Providers screened
739
High-severity flags
0
Flagged Medicare dollars
$12,944,648
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 cluster10
- Shared address1
Flags in public data over time
West Virginia 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
0
Excluded-owner links
0
Billing outliers
10
Shared addresses
1
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility6
- Home health agency5
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 |
|---|---|---|---|
| WARRIOR LEASING CO LLC | New Richmond | Skilled nursing facility | 2 |
| HUNTINGTON SNF OPERATIONS LLC | Huntington | Skilled nursing facility | 2 |
| BOONE MEMORIAL HOMECARE, LLC | Danville | Home health agency | 2 |
| CENTERWELL CERTIFIED HEALTHCARE CORP | South Charleston | Home health agency | 2 |
| COMPLETE CARE AT DAWNVIEW LLC | Fort Ashby | Skilled nursing facility | 2 |
| CENTERWELL CERTIFIED HEALTHCARE CORP | Ona | Home health agency | 2 |
| WEIRTON MEDICAL CENTER INC | Weirton | Home health agency | 2 |
| BLUE RIDGE NURSING LLC | Charles Town | Skilled nursing facility | 2 |
| NURSING CARE - HOME HEALTH AGENCY INC | Chapmanville | Home health agency | 2 |
| RIPLEY SNF OPERATIONS LLC | Ripley | Skilled nursing facility | 2 |
| FAIRHAVEN OPCO, LLC | Huntington | Skilled nursing facility | 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
10 providersThe same person or company owns or manages several Medicare providers.
Shared address
1 providersSeveral different Medicare providers are enrolled at the exact same street address.
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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