Providers screened
389
High-severity flags
6
Flagged Medicare dollars
$14,858,699
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 address9
- Owner cluster8
- Extreme per-patient billing6
- New-entity cluster6
- Excluded owner1
Flags in public data over time
Utah 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
14
High severity
6
Excluded-owner links
1
Billing outliers
6
Shared addresses
9
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Hospice6
- Home health agency5
- Skilled nursing facility3
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 |
|---|---|---|---|
| GRANDVIEW HEALTHCARE LLC | Bountiful | Hospice | 3 |
| GRANDVIEW HEALTHCARE LLC | Bountiful | Home health agency | 3 |
| SERENITY HOME HEALTH OF UTAH LLC | Pleasant Grove | Home health agency | 2 |
| SERENITY HOSPICE OF UTAH LLC | Pleasant Grove | Hospice | 2 |
| REFINED HOME HEALTH AND PERSONAL CARE LLC | Midvale | Home health agency | 2 |
| REFINED HOSPICE LLC | Midvale | Hospice | 2 |
| INTEGRATED SENIOR CARE HOSPICE | St George | Hospice | 3 |
| HOLBROOK HEALTHCARE LLC | Bountiful | Skilled nursing facility | 2 |
| AVALON CARE CENTER - VA PAYSON LLC | Payson | Skilled nursing facility | 2 |
| BEAVER VALLEY HOSPITAL | Salt Lake City | Skilled nursing facility | 2 |
| BEAVER VALLEY HOSPITAL | Beaver | Home health agency | 2 |
| ASPIRE HOSPICE CARE, INC | Taylorsville | Hospice | 2 |
| BEAVER VALLEY HOSPITAL | Beaver | Hospice | 2 |
| SPECIALTY NURSING SERVICES | Huntsville | Home health agency | 1 |
What the patterns mean
Shared address
9 providersSeveral different Medicare providers are enrolled at the exact same street address.
Owner cluster
8 providersThe same person or company owns or manages several Medicare providers.
Extreme per-patient billing
6 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
New-entity cluster
6 providersMultiple providers at this address were incorporated very recently, around the same time.
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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