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Elevated
OpenScore 130

COUNTY OF THROCKMORTON

Doing business as AVIR AT GAINESVILLE

Flagged provider address

1900 ONEAL ST, GAINESVILLE, TX, 76240-3604

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2023 this provider was paid $37,488 per patient, against a typical $16,623 for the same kind of provider in TX. 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 Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5

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Moderate
Owner cluster

Owner is tied to 299 providers

An owner or managing party of this provider (WELLTOWER OP LLC) is listed on 299 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

View the records behind this flag →

Owners and managing parties of record

COUNTY OF THROCKMORTON

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Apr 1, 2018

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

1900 O'NEAL STREET PROPERTY OWNER, LLC

5% OR GREATER SECURITY INTEREST · O · 100% ownership · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

NATHAN A WATSON

OPERATIONAL/MANAGERIAL CONTROL · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

NATHAN A WATSON

ADP OF THE SNF · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

ERIN CLEMENS

ADP OF THE SNF · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

KIRBY GOBER

CORPORATE DIRECTOR · I · since Apr 1, 2018

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

NOCHUM FREUND

OPERATIONAL/MANAGERIAL CONTROL · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

AARON TRAVITSKY

OPERATIONAL/MANAGERIAL CONTROL · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER NNN GROUP, LLC

ADP OF THE SNF · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

1900 O'NEAL STREET OPCO, LLC

OPERATIONAL/MANAGERIAL CONTROL · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER OP LLC

ADP OF THE SNF · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

1900 O'NEAL STREET PROPERTY OWNER, LLC

ADP OF THE SNF · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER INC

ADP OF THE SNF · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

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Source records

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DetailValuePublished fileRecord as ofPulledVersion
Legal nameCOUNTY OF THROCKMORTONCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Trading nameAVIR AT GAINESVILLECMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
NPI1881192268CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Medicare certification number675067CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CMS associate ID6305067539CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Organisation typeGOVERNMENTCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Street address1900 ONEAL STCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CityGAINESVILLECMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
StateTXCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
ZIP76240-3604CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d

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