Why this was flagged
Medicare paid this provider far more than its peers
In 2024 Medicare paid this provider $14,696,525, against a typical payment of $899,466 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
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Medicare paid far more per patient than peers
In 2023 this provider was paid $7,134 per patient, against a typical $4,840 for the same kind of provider in TN. 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 →
Owner is tied to 351 providers
An owner or managing party of this provider (VANGUARD GROUP INC) is listed on 351 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 →
Owners and managing parties of record
HOMECARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 9, 2006
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
AMERICAN HOME CARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 8, 2006
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
WILLIAM BRADLEY BICKHAM
CORPORATE OFFICER · I · 100% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
WILLIAM BRADLEY BICKHAM
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
WILLIAM BRADLEY BICKHAM
OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADDUS HOMECARE CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
TRAVIS BLASER
CORPORATE OFFICER · I · 100% ownership · since Apr 15, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ADDUS HEALTHCARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
BLACKROCK INSTITUTIONAL TRUST COMPANY
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 16% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
CAPITAL ONE NA
5% OR GREATER MORTGAGE INTEREST · O · 11.6% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
BANK OF AMERICA, N.A.
5% OR GREATER MORTGAGE INTEREST · O · 9.2% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
WELLS FARGO BANK, N.A.
5% OR GREATER MORTGAGE INTEREST · O · 9.2% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
FIFTH THIRD BANK, NATIONAL ASSOCIATION
5% OR GREATER MORTGAGE INTEREST · O · 9.2% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
PNC BANK
5% OR GREATER MORTGAGE INTEREST · O · 9.2% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
BMO BANK, N.A.
5% OR GREATER MORTGAGE INTEREST · O · 9.2% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
VANGUARD GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 6.8% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
CITIZENS BANK NA
5% OR GREATER MORTGAGE INTEREST · O · 5.4% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
THE HUNTINGTON NATIONAL BANK
5% OR GREATER MORTGAGE INTEREST · O · 5.4% ownership · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
SYNOVOUS BANK, NATIONAL ASSOCIATION
5% OR GREATER MORTGAGE INTEREST · O · 5.4% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
REGIONS BANK
5% OR GREATER MORTGAGE INTEREST · O · 5.4% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ROYAL BANK OF CANADA
5% OR GREATER MORTGAGE INTEREST · O · 5.4% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
US BANK, N.A.
5% OR GREATER MORTGAGE INTEREST · O · 5.4% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
BRIAN T MONAHAN
CORPORATE OFFICER · I · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
RODNEY DIRK ALLISON
CORPORATE OFFICER · I · since Aug 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
TRAVIS BLASER
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 15, 2024
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
BRIAN W POFF
CORPORATE OFFICER · I · since Aug 1, 2023
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
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| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | TENNESSEE VALLEY HOME CARE, LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Trading name | TENNESSEE QUALITY CARE- HOME HEALTH | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1396702536 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 447402 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 3072562750 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Provider type | PART A PROVIDER - HOME HEALTH AGENCY | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Organisation type | LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 580 TENNESSEE AVE N | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | PARSONS | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | TN | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 38363-2624 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
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