Providers screened
1,093
High-severity flags
0
Flagged Medicare dollars
$32,529,649
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 cluster23
- Shared address16
- Extreme per-patient billing15
- Excluded owner1
Flags in public data over time
Iowa 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
30
High severity
0
Excluded-owner links
1
Billing outliers
15
Shared addresses
16
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Hospice11
- Skilled nursing facility11
- Home health agency8
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 |
|---|---|---|---|
| CARE INITIATIVES | Kingsley | Skilled nursing facility | 3 |
| DT VALLEY LLC | Missouri Valley | Skilled nursing facility | 3 |
| SANFORD HEALTH NETWORK | Sheldon | Home health agency | 2 |
| AVERA AT HOME | Estherville | Hospice | 2 |
| IOWA HOSPICE LLC | Panora | Hospice | 2 |
| AVERA AT HOME | Estherville | Home health agency | 2 |
| SANFORD HEALTH NETWORK | Sheldon | Hospice | 2 |
| CURO HEALTH SERVICES LLC | Davenport | Hospice | 2 |
| FAMILY TOUCH HOME HEALTH CARE, LLC | Council Bluffs | Home health agency | 2 |
| KOSSUTH REGIONAL HEALTH CENTER | Algona | Home health agency | 2 |
| OPCO IOWA CITY IA LLC | Iowa City | Skilled nursing facility | 2 |
| BURGESS HEALTH CENTER | Onawa | Hospice | 2 |
| BURGESS HEALTH CENTER | Onawa | Home health agency | 2 |
| PALO ALTO COUNTY HOSPITAL | Emmetsburg | Home health agency | 2 |
| OPCO HIGH ROAD NORWALK IA LLC | Norwalk | Skilled nursing facility | 2 |
| PALO ALTO COUNTY HOSPITAL | Emmetsburg | Hospice | 2 |
| OPCO OSAGE IA LLC | Osage | Skilled nursing facility | 2 |
| BCP CLARINDA LLC | Clarinda | Skilled nursing facility | 2 |
| OPCO WELLMAN IA LLC | Wellman | Skilled nursing facility | 2 |
| KOSSUTH REGIONAL HEALTH CENTER | Algona | Hospice | 2 |
| OPCO SHENANDOAH IA LLC | Shenandoah | Skilled nursing facility | 2 |
| MARY GREELEY MEDICAL CENTER | Ames | Hospice | 2 |
| MOMENTS HOSPICE OF DES MOINES LLC | Hiawatha | Hospice | 2 |
| LAKES REGIONAL HEALTHCARE | Spirit Lake | Home health agency | 1 |
| WINNESHIEK MEDICAL CENTER | Decorah | Hospice | 1 |
| ESTHERVILLE OPCO LLC | Estherville | Skilled nursing facility | 1 |
| ON WITH LIFE INC | Ankeny | Skilled nursing facility | 1 |
| LEXINGTON SQUARE LLC | Keokuk | Skilled nursing facility | 1 |
| WINNESHIEK MEDICAL CENTER | Decorah | Home health agency | 1 |
| LAKES REGIONAL HEALTHCARE | Spirit Lake | Hospice | 1 |
What the patterns mean
Owner cluster
23 providersThe same person or company owns or manages several Medicare providers.
Shared address
16 providersSeveral different Medicare providers are enrolled at the exact same street address.
Extreme per-patient billing
15 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Excluded owner
1 providersAn owner or managing person matches the federal exclusion list — the HHS Office of Inspector General's list of people and companies banned from billing Medicare and Medicaid.
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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