Providers screened
1,335
High-severity flags
5
Flagged Medicare dollars
$154,065,735
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 cluster13
- Extreme per-patient billing10
- Shared address4
- Billing far above peers3
- New-entity cluster2
- Excluded owner1
- Suite stacking1
Flags in public data over time
Kentucky 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
16
High severity
5
Excluded-owner links
1
Billing outliers
13
Shared addresses
4
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility6
- Hospice4
- Home health agency4
- Health centre2
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 |
|---|---|---|---|
| TRINITY FAMILY HEALTH INC | Corbin | Health centre | 2 |
| TRINITY FAMILY HEALTH INC | Corbin | Health centre | 2 |
| SAINT JOSEPH-ANC HOME CARE SERVICES, LLC | Louisville | Home health agency | 2 |
| HOSPARUS INC | Madisonville | Hospice | 3 |
| HOSPICE OF THE BLUEGRASS, INC. | Lexington | Hospice | 2 |
| HOSPARUS INC | Louisville | Hospice | 2 |
| HOSPICE OF THE BLUEGRASS, INC. | Hazard | Hospice | 3 |
| ROCKCASTLE COUNTY HOSPITAL, INC. | Mount Vernon | Skilled nursing facility | 3 |
| COMPREHENSIVE HOME HEALTHCARE SERVICES, L.L.C. | Middlesboro | Home health agency | 2 |
| PHELPS KY OPCO LLC | Phelps | Skilled nursing facility | 2 |
| CHESTNUT SNF OPERATIONS LLC | Louisville | Skilled nursing facility | 2 |
| APPALACHIAN REGIONAL HEALTHCARE INC | Middlesboro | Home health agency | 2 |
| GREEN RIVER TRAILS, LLC | Greensburg | Skilled nursing facility | 2 |
| TRADEWATER POINTE, LLC | Dawson Springs | Skilled nursing facility | 2 |
| LANDMARK OF ELKHORN CITY REHABILITATION AND NURSING CENTER | Elkhorn City | Skilled nursing facility | 2 |
| RAINBOW LLC | Bowling Green | Home health agency | 1 |
What the patterns mean
Owner cluster
13 providersThe same person or company owns or manages several Medicare providers.
Extreme per-patient billing
10 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Shared address
4 providersSeveral different Medicare providers are enrolled at the exact same street address.
Billing far above peers
3 providersThis provider's Medicare payments are far higher than typical for its provider type and state.
New-entity cluster
2 providersMultiple providers at this address were incorporated very recently, around the same time.
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.
Suite stacking
1 providersMany providers list different suite or unit numbers at the same building, making it look like separate offices.
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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