Providers screened
5,682
High-severity flags
94
Flagged Medicare dollars
$449,274,404
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
- Shared address307
- Suite stacking254
- Owner cluster159
- Extreme per-patient billing95
- Excluded owner16
- New-entity cluster8
- Billing far above peers7
Flags in public data over time
Texas 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
377
High severity
94
Excluded-owner links
16
Billing outliers
102
Shared addresses
307
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Home health agency194
- Hospice141
- Skilled nursing facility42
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.
Cities in Texas
- Houston63 leads
- Dallas49 leads
- San Antonio26 leads
- Sugar Land22 leads
- Garland21 leads
- Richardson20 leads
- Stafford20 leads
What the patterns mean
Shared address
307 providersSeveral different Medicare providers are enrolled at the exact same street address.
Suite stacking
254 providersMany providers list different suite or unit numbers at the same building, making it look like separate offices.
Owner cluster
159 providersThe same person or company owns or manages several Medicare providers.
Extreme per-patient billing
95 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Excluded owner
16 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.
New-entity cluster
8 providersMultiple providers at this address were incorporated very recently, around the same time.
Billing far above peers
7 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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