Providers screened
2,009
High-severity flags
18
Flagged Medicare dollars
$196,750,496
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 cluster34
- Extreme per-patient billing26
- Shared address22
- Suite stacking10
- Billing far above peers7
- New-entity cluster2
- Excluded owner2
Flags in public data over time
Pennsylvania 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
45
High severity
18
Excluded-owner links
2
Billing outliers
32
Shared addresses
22
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility16
- Home health agency14
- Hospice9
- Health centre6
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.
What the patterns mean
Owner cluster
34 providersThe same person or company owns or manages several Medicare providers.
Extreme per-patient billing
26 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Shared address
22 providersSeveral different Medicare providers are enrolled at the exact same street address.
Suite stacking
10 providersMany providers list different suite or unit numbers at the same building, making it look like separate offices.
Billing far above peers
7 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
2 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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