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High
OpenScore 330

AMEDISYS NEW JERSEY, LLC

Doing business as AMEDISYS HOME HEALTH

Flagged provider address

21 MAIN ST, STE 252, HACKENSACK, NJ, 07601-7086

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Why this was flagged

High
Billing far above peers

Medicare paid this provider far more than its peers

In 2022 Medicare paid this provider $29,400,686, against a typical payment of $967,249 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.

Source Medicare Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19

View the records behind this flag →

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2022 this provider was paid $6,881 per patient, against a typical $4,927 for the same kind of provider in NJ. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.

Source Medicare Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19

View the records behind this flag →

Moderate
Owner cluster

Owner is tied to 663 providers

An owner or managing party of this provider (UNITEDHEALTH GROUP INCORPORATED) is listed on 663 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

View the records behind this flag →

Moderate
Shared address

2 providers share this street address

This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.

Source CMS Home Health Agency Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7

View the records behind this flag →

Owners and managing parties of record

UNITEDHEALTH GROUP INCORPORATED

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 14, 2025

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

AMEDISYS INC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 31, 2009

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

AMEDISYS HOLDING LLC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Nov 1, 2011

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

MARCUS MACIP

CORPORATE OFFICER · I · since Jan 1, 2026

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

KIMBERLY SEYMOUR

CORPORATE OFFICER · I · since Apr 13, 2026

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

BRIDGET R KAIGLER

W-2 MANAGING EMPLOYEE · I · since Apr 15, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

BRIDGET R KAIGLER

OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 15, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JONI BABINEAUX

CORPORATE OFFICER · I · since Apr 13, 2026

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

KRISTINA J BRAUD

W-2 MANAGING EMPLOYEE · I · since Apr 15, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

KRISTINA J BRAUD

OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 15, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JEANNE SHINGLETON

CORPORATE OFFICER · I · since Jan 1, 2026

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JOSHUA LEE PROFFITT

CORPORATE OFFICER · I · since Jan 1, 2026

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

PATRICIA MCGROGAN

W-2 MANAGING EMPLOYEE · I · since Jan 25, 2026

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameAMEDISYS NEW JERSEY, LLCCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Trading nameAMEDISYS HOME HEALTHCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
NPI1952402737CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Medicare certification number317047CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CMS associate ID1153465075CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Provider typePART A PROVIDER - HOME HEALTH AGENCYCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Organisation typeLLCCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Incorporation date2009-09-01CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
State of incorporationNJCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Street address21 MAIN ST, STE 252CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CityHACKENSACKCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
StateNJCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
ZIP07601-7086CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7

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