Why this was flagged
Medicare paid this provider far more than its peers
In 2021 Medicare paid this provider $16,613,974, against a typical payment of $962,450 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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Owner is tied to 21 providers
An owner or managing party of this provider (ALTERNATE SOLUTIONS HEALTH NETWORK LLC) is listed on 21 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
INOVA HH HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
INOVA HEALTH CARE SERVICES
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 51% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ASHN MIDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 49% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HEALTH NETWORK LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 49% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ASHN HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 49% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HEALTHCARE NORTHERN VIRGINIA LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 49% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ALTERNATE SOLUTIONS HOLDINGS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 28.7% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
WARREN DAVID GANZSARTO
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 21.1% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
GENERAL ATLANTIC (AS) COLLECTIONS LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 20.3% ownership · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
INOVA VNA HOME HEALTH
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · since Sep 5, 2018
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
DEBBIE KIRSCHMAN
CORPORATE OFFICER · I · since Dec 31, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
JODIE MCMILLEN
W-2 MANAGING EMPLOYEE · I · since Jan 3, 2022
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 | INOVA HOME HEALTH LLC | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1710473673 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 497008 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 0749534907 | 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 |
| Incorporation date | 2018-04-20 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State of incorporation | VA | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 9900 MAIN ST, STE 100 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | FAIRFAX | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | VA | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 22031-3920 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
What changed
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