Providers screened
617
High-severity flags
1
Flagged Medicare dollars
$39,780,619
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
- Extreme per-patient billing10
- Owner cluster9
- Shared address3
- Excluded owner1
- Billing far above peers1
Flags in public data over time
Oregon 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
11
High severity
1
Excluded-owner links
1
Billing outliers
11
Shared addresses
3
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility5
- Hospice3
- Home health agency3
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 |
|---|---|---|---|
| PROVIDENCE HEALTH & SERVICES OREGON | Portland | Home health agency | 4 |
| CONNECTED HEALTHCARE, INC. | Tigard | Hospice | 3 |
| PINNACLE HOSPICE CARE INC | Portland | Hospice | 3 |
| WILLOWBROOK SNF HEALTHCARE LLC | Pendleton | Skilled nursing facility | 2 |
| SERENITY PALLIATIVE CARE AND HOSPICE LLC | Tigard | Hospice | 2 |
| PORTLAND OF CASCADIA LLC | Portland | Skilled nursing facility | 2 |
| MILTON FREEWATER SNF OPERATIONS, LLC | Milton Freewater | Skilled nursing facility | 2 |
| REGENCY GRESHAM NURSING & REHABILITATION CENTER, LLC | Gresham | Skilled nursing facility | 2 |
| REGENCY HERMISTON NURSING & REHABILITATION CENTER, LLC | Hermiston | Skilled nursing facility | 2 |
| BAY AREA HOME HEALTH OPERATIONS LLC | Coos Bay | Home health agency | 1 |
| DIVINE MERCY HOME HEALTH, LLC | Beaverton | Home health agency | 1 |
What the patterns mean
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.
Owner cluster
9 providersThe same person or company owns or manages several Medicare providers.
Shared address
3 providersSeveral different Medicare providers are enrolled at the exact same street address.
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.
Billing far above peers
1 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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