Providers screened
199
High-severity flags
2
Flagged Medicare dollars
$67,160,051
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 cluster4
- Extreme per-patient billing3
- Billing far above peers2
Flags in public data over time
Hawaii 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
5
High severity
2
Excluded-owner links
0
Billing outliers
5
Shared addresses
0
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility4
- Hospice1
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 |
|---|---|---|---|
| BRISTOL HOSPICE - HAWAII, L.L.C. | Honolulu | Hospice | 2 |
| LILIHA KUPUNA SNF LLC | Honolulu | Skilled nursing facility | 2 |
| GARDEN ISLE HEALTHCARE, LLC | Lihue | Skilled nursing facility | 2 |
| ISLANDS SKILLED NURSING AND REHABILITATION, LLC | Honolulu | Skilled nursing facility | 2 |
| DIVERSIFIED MEDICAL ENTERPRISES INC | Honolulu | Skilled nursing facility | 1 |
What the patterns mean
Owner cluster
4 providersThe same person or company owns or manages several Medicare providers.
Extreme per-patient billing
3 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Billing far above peers
2 providersThis provider's Medicare payments are far higher than typical for its provider type and state.
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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