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Elevated
OpenScore 100

TRANSITIONS AT HOME, INC.

Doing business as TRANSITIONS AT HOME OF WESTERN WI

Flagged provider address

100 S 1ST ST, MOUNT HOREB, WI, 53572-1906

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2024 this provider was paid $7,369 per patient, against a typical $4,733 for the same kind of provider in WI. 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

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Info
Owner cluster

Owner is tied to 11 providers

An owner or managing party of this provider (CARRIAGE HEALTHCARE COMPANIES INC) is listed on 11 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

CARRIAGE HEALTHCARE COMPANIES INC

OPERATIONAL/MANAGERIAL CONTROL · O · 100% ownership · since Jun 4, 2020

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

WISCONSIN ILLINOIS SENIOR HOUSING INC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 4, 2020

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

ANDREW C. KERWIN

CORPORATE DIRECTOR · I · since Jun 4, 2020

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

LORI DUPONT

CORPORATE DIRECTOR · I · since Jun 4, 2020

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

MIRIAM GEHLER

CORPORATE DIRECTOR · I · since Jun 4, 2020

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

STEPHANIE L SHERMAN

CORPORATE OFFICER · I · since Apr 3, 2023

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

NICHOLAS LYNN

CORPORATE DIRECTOR · I · since Jun 4, 2020

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

DANA BURKE

CONTRACTED MANAGING EMPLOYEE · I · since Jun 4, 2020

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

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameTRANSITIONS AT HOME, INC.CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Trading nameTRANSITIONS AT HOME OF WESTERN WICMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
NPI1003450008CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Medicare certification number527341CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CMS associate ID1951403260CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Provider typePART A PROVIDER - HOME HEALTH AGENCYCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Organisation typeCORPORATIONCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Incorporation date2020-06-04CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
State of incorporationWICMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Street address100 S 1ST STCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CityMOUNT HOREBCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
StateWICMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
ZIP53572-1906CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7

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