Why this was flagged
Medicare paid this provider far more than its peers
In 2020 Medicare paid this provider $10,895,125, against a typical payment of $1,246,226 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.
Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5
View the records behind this flag →
Owner is tied to 92 providers
An owner or managing party of this provider (MINDEE POSEN) is listed on 92 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
EXTON OPERATOR LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
QUINTO NEXGEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 78.6% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MANUFACTURERS & TRADERS TRUST COMPANY
5% OR GREATER MORTGAGE INTEREST · O · 75% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MANUFACTURERS & TRADERS TRUST COMPANY
5% OR GREATER SECURITY INTEREST · O · 75% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
TRYKO NEXGEN HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 56.8% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
YR NEXGEN TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 28.4% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
RSBRMK HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 21.8% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
NFR 2020 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 21.8% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
UKR NEXGEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 20% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
UAK 2020 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 20% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
SK NEXGEN TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 14.2% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
YK NEXGEN TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 14.2% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
INDIRECT OWNERSHIP INTEREST · O · 1.4% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
FRAIDE ROKEACH
INDIRECT OWNERSHIP INTEREST · I · 0.02% ownership · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 15, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
DINA HARMAN
MANAGING CONTROL - GOVERNING BODY · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
DINA HARMAN
ADP OF THE SNF · I · since Jan 14, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 15, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
RELIANT PRO REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Jan 15, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
RELIANT PRO REHAB LLC
ADP OF THE SNF · O · since Jan 15, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
CAMERON GRANT MOORE
OPERATIONAL/MANAGERIAL CONTROL · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
CAMERON GRANT MOORE
ADP OF THE SNF · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 20, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 20, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MARQUIS LIMITED LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MARQUIS LIMITED LLC
ADP OF THE SNF · O · since Mar 28, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 14, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MINDEE POSEN
CORPORATE OFFICER · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
MINDEE POSEN
ADP OF THE SNF · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
GIGI COX-MALESCIO
CORPORATE DIRECTOR · I · since Feb 24, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
GIGI COX-MALESCIO
OPERATIONAL/MANAGERIAL CONTROL · I · since Feb 24, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
GIGI COX-MALESCIO
MANAGING CONTROL - GOVERNING BODY · I · since Feb 24, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
GIGI COX-MALESCIO
ADP OF THE SNF · I · since Feb 24, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 14, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
YOGESH V VIROJA
MANAGING CONTROL - GOVERNING BODY · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
YOGESH V VIROJA
ADP OF THE SNF · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
BEVERLY FRY
MANAGING CONTROL - GOVERNING BODY · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
BEVERLY FRY
ADP OF THE SNF · I · since Jan 15, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 14, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Unnamed party
ADP OF THE SNF · O · since Jan 15, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0
Source timeline
Corrections and disputes
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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.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | EXTON OPERATOR LLC | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Trading name | EXTON POST ACUTE | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| NPI | 1396565719 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Medicare certification number | 396144 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| CMS associate ID | 3173048964 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Organisation type | LLC | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| Street address | 501 THOMAS JONES WAY | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| City | EXTON | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| State | PA | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
| ZIP | 19341-2531 | CMS Skilled Nursing Facility Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · e83b3d |
What changed
Public research history
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