Providers screened
1,033
High-severity flags
5
Flagged Medicare dollars
$131,767,588
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
- Owner cluster20
- Extreme per-patient billing18
- Billing far above peers5
- Shared address3
Flags in public data over time
Virginia 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
24
High severity
5
Excluded-owner links
0
Billing outliers
23
Shared addresses
3
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility14
- Home health agency7
- Hospice3
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 |
|---|---|---|---|
| ADVANCED TECHNOLOGIES IN HOME CARE, INC. | Mechanicsville | Home health agency | 3 |
| AMEDISYS HOME HEALTH OF VIRGINIA, LLC | Midlothian | Home health agency | 2 |
| FAIRFAX OPERATOR LLC | Fairfax | Skilled nursing facility | 2 |
| CAPITAL HOSPICE | Falls Church | Hospice | 2 |
| INOVA HOME HEALTH LLC | Fairfax | Home health agency | 2 |
| WESTMINSTER CANTERBURY CORPORATION | Richmond | Hospice | 2 |
| CULPEPER CARE CENTER LLC | Culpeper | Skilled nursing facility | 2 |
| BELMONT BAY OPERATOR, LLC | Woodbridge | Skilled nursing facility | 2 |
| MEDI HOME HEALTH AGENCY, INC. | Charlottesville | Hospice | 2 |
| RBM OPCO OF MARTINSVILLE LLC | Martinsville | Skilled nursing facility | 2 |
| RBM OPCO OF BASTIAN LLC | Bastian | Skilled nursing facility | 2 |
| GRUNDY LIFE CARE CORP | Grundy | Skilled nursing facility | 2 |
| CARILION TAZEWELL COMMUNITY HOSPITAL | Tazewell | Home health agency | 2 |
| AML OPERATING LLC | Amelia | Skilled nursing facility | 2 |
| DILLWYN LIFE CARE, LLC | Dillwyn | Skilled nursing facility | 2 |
| RBM OPCO OF HOT SPRINGS LLC | Hot Springs | Skilled nursing facility | 2 |
| WARRENTON OPERATIONS LLC | Warrenton | Skilled nursing facility | 2 |
| WISE LIFE CARE, LLC | Wise | Skilled nursing facility | 2 |
| RBM OPCO OF FINCASTLE LLC | Fincastle | Skilled nursing facility | 2 |
| OLD SOUTHWEST HEALTH AND REHABILITATION LLC | Roanoke | Skilled nursing facility | 2 |
| BIG STONE GAP LIFE CARE LLC | Big Stone Gap | Skilled nursing facility | 2 |
| SHEME HOME HEALTH CARE AGENCY INC | Fairfax | Home health agency | 1 |
| FIRST CHOICE HOME HEALTH CARE, INC. | Norton | Home health agency | 1 |
| PRO HEALTHCARE SERVICING,LLC | Fairfax | Home health agency | 1 |
What the patterns mean
Owner cluster
20 providersThe same person or company owns or manages several Medicare providers.
Extreme per-patient billing
18 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Billing far above peers
5 providersThis provider's Medicare payments are far higher than typical for its provider type and state.
Shared address
3 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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