Medicare provider flags in public data: New Jersey

44 Medicare providers in New Jersey match one or more risk patterns in public CMS and HHS OIG records; 30 are high severity.

Lead, not proof.

A lead is a pattern in public records, not an accusation. Most providers bill honestly. Check the source records before drawing any conclusion. Spot an error? Request a correction.

Data updated November 2, 2026

Providers screened

683

High-severity flags

30

Flagged Medicare dollars

$583,484,377

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 cluster38
  • Billing far above peers30
  • Extreme per-patient billing15
  • Shared address3

Flags in public data over time

New Jersey providers with any flag and with high-severity flags, from saved refresh snapshots. Each provider is counted once per series. Lead, not proof.

Providers with any flagHigh-severity flags
0282564Sep 24, 2026: 72 providers with any flagSep 24, 2026: 12 high-severity flagsOct 13, 2026: 558 providers with any flagOct 13, 2026: 30 high-severity flagsOct 21, 2026: 564 providers with any flagOct 21, 2026: 30 high-severity flagsOct 22, 2026: 44 providers with any flagOct 22, 2026: 30 high-severity flagsOct 26, 2026: 44 providers with any flagOct 26, 2026: 30 high-severity flagsNov 2, 2026: 44 providers with any flagNov 2, 2026: 30 high-severity flagsSep 24, 2026Nov 2, 2026

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

44

High severity

30

Excluded-owner links

0

Billing outliers

44

Shared addresses

3

One provider can match more than one pattern, so the pattern counts overlap.

Leads by provider type

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.

ProviderCityTypePatterns matched
AMEDISYS NEW JERSEY, LLCHackensackHome health agency4
AHS HOSPITAL CORPMorristownHome health agency3
VALLEY HOME CARE INC.ParamusHome health agency2
VNA HEALTH GROUP OF NEW JERSEY LLCToms RiverHome health agency2
BARTLEY OPERATOR LLCJacksonSkilled nursing facility2
113 SOUTH ROUTE 73 OPCO LLCVoorheesSkilled nursing facility2
301 UNION STREET, LLCHackensackSkilled nursing facility2
CARE ONE AT BIRCHWOOD, LLCEdisonSkilled nursing facility2
HAMILTON PARK OPCO LLCJersey CitySkilled nursing facility2
TRI-COUNTY HOME AND HOSPICE CARE,LLCMillvilleHome health agency2
GRACE HEALTHCARE SERVICES LLCEdisonHospice2
BAYADA HOME HEALTH CARE, INC.PennsaukenHome health agency2
MILLENNIUM HEALTHCARE CENTERS II, LLCCresskillSkilled nursing facility2
MOORESTOWN OPERATOR LLCMoorestownSkilled nursing facility2
CARE ONE AT WALL, LLCWallSkilled nursing facility2
MILLENNIUM HEALTHCARE CENTERS, LLCParamusSkilled nursing facility2
ST CLOUD ROCHELLE PARK LLCRochelle ParkSkilled nursing facility2
COMPLETE CARE AT WALL LLCWall TownshipSkilled nursing facility2
PATIENT CARE NEW JERSEY, INC.CliftonHome health agency2
CARE ONE AT TEANECK, LLCTeaneckSkilled nursing facility2
493 BLACK OAK RIDGE ROAD, LLCWayneSkilled nursing facility2
HCC LLCHolmdelSkilled nursing facility2
SERENITY HOSPICE CARE, LLCBordentownHospice2
HUDSONVIEW CENTER FOR REHABILITATION AND HEALTHCARE LLCNorth BergenSkilled nursing facility2
FAMILY OF CARING HEALTHCARE AT RIDGEWOOD, LLCRidgewoodSkilled nursing facility2
521 PINE BROOK OPERATING LLCLincoln ParkSkilled nursing facility2
WOODBURY SNF OPERATIONS LLCWoodburySkilled nursing facility2
499 PINE BROOK OPERATING LLCLincoln ParkSkilled nursing facility2
JEWISH HOME AT ROCKLEIGHRockleighSkilled nursing facility1
CHRISTIAN HEALTH CARE CENTERWyckoffSkilled nursing facility1
COMPLETE CARE AT LAKEVIEW LLCWayneSkilled nursing facility2
CARNEYS POINT REHABILITATION AND NURSING CENTER LLCPennsgroveSkilled nursing facility2
800 RIVER ROAD OPERATING COMPANY, LLCNew MilfordSkilled nursing facility2
LAKELAND OPERATOR LLCHaskellSkilled nursing facility2
ARBOR RIDGE OPERATOR LLCWayneSkilled nursing facility2
MV OPCO LLCUnion CitySkilled nursing facility2
CARING HOSPICE OF CENTRAL JERSEY LLCEdisonHospice2
NORTH JERSEY PEDIATRIC AND ADULT NURSING AND WELLNESS CENTER, LLCHaskellSkilled nursing facility2
NORWOOD TERRACE HEALTH CENTER, LLCPlainfieldSkilled nursing facility2
SPRING CREEK REHABILITATION AND NURSING CENTER LLCPerth AmboySkilled nursing facility2
FAMILY OF CARING AT TEANECK LLCTeaneckSkilled nursing facility2
EMBRACING HOSPICECARE OF NEW JERSEY,LLCWallHospice1
1120 ALPS ROAD OPERATING COMPANY LLCWayneSkilled nursing facility1
HOSPICE AT LSMNJ, INC.Egg Harbor TownshipHospice1

What the patterns mean

Owner cluster

38 providers

The same person or company owns or manages several Medicare providers.

Billing far above peers

30 providers

This provider's Medicare payments are far higher than typical for its provider type and state.

Extreme per-patient billing

15 providers

This provider was paid far more per patient than at least 99% of similar providers in its state that year.

Shared address

3 providers

Several different Medicare providers are enrolled at the exact same street address.

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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