Providers screened
174
High-severity flags
1
Flagged Medicare dollars
$54,678,230
Payments from the latest regional snapshot, not a fraud or loss estimate. Payment records do not cover every provider. Lead, not proof.
Top flag types
- Extreme per-patient billing5
- Owner cluster3
- Billing far above peers1
- Shared address1
Flags in public data over time
Rhode Island providers with any flag and with high-severity flags, from saved refresh snapshots. Each provider is counted once per series. Lead, not proof.
Only saved dates are shown; missing weeks are not counted as zero. Changes can reflect source coverage or rule updates, not changes in wrongdoing.
How to report to OIG
Check the source records and document supported concerns before reporting to the HHS Office of Inspector General. A flag alone is not evidence of wrongdoing. Lead, not proof.
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Total leads
6
High severity
1
Excluded-owner links
0
Billing outliers
6
Shared addresses
1
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility4
- Hospice1
- Home health agency1
Provider public records
These are flags in public data, not findings of wrongdoing. Lead, not proof. Most providers bill honestly.
Ranked by pattern score. Each row is a starting point for research.
| Provider | City | Type | Patterns matched |
|---|---|---|---|
| ELMHURST OPERATOR LLC | Providence | Skilled nursing facility | 3 |
| HOPEHEALTH HOSPICE & PALLIATIVE CARE | Providence | Hospice | 1 |
| LINCOLNWOOD OPERATOR LLC | North Providence | Skilled nursing facility | 2 |
| COVENTRY OPERATIONS RI LLC | Coventry | Skilled nursing facility | 2 |
| HOMECARE ADVANTAGE CHC INC. | Cranston | Home health agency | 1 |
| MANSION, INC | Central Falls | Skilled nursing facility | 1 |
What the patterns mean
Extreme per-patient billing
5 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Owner cluster
3 providersThe same person or company owns or manages several Medicare providers.
Billing far above peers
1 providersThis provider's Medicare payments are far higher than typical for its provider type and state.
Shared address
1 providersSeveral different Medicare providers are enrolled at the exact same street address.
Method and sources
Counts come from the live FraudFinder Watchlist, built from CMS Medicare enrollment, ownership and payment files and the HHS OIG exclusion list (LEIE). Every published lead passes automated cross-checks against the source files, and the data is re-pulled every Monday.
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