Total leads
22
High severity
19
Excluded-owner links
1
Billing outliers
6
Shared addresses
20
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Home health agency12
- Hospice10
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
Shared address
20 providersSeveral different Medicare providers are enrolled at the exact same street address.
Suite stacking
19 providersMany providers list different suite or unit numbers at the same building, making it look like separate offices.
Owner cluster
5 providersThe same person or company owns or manages several Medicare providers.
Extreme per-patient billing
5 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
New-entity cluster
2 providersMultiple providers at this address were incorporated very recently, around the same time.
Billing far above peers
1 providersThis provider's Medicare payments are far higher than typical for its provider type and state.
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.
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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