Providers screened
956
High-severity flags
3
Flagged Medicare dollars
$183,332,049
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 billing20
- Owner cluster18
- Shared address4
- Billing far above peers3
Flags in public data over time
Wisconsin 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
23
High severity
3
Excluded-owner links
0
Billing outliers
23
Shared addresses
4
One provider can match more than one pattern, so the pattern counts overlap.
Leads by provider type
- Skilled nursing facility12
- Hospice7
- Home health agency4
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 |
|---|---|---|---|
| AGRACE HOSPICECARE INCORPORATED | Fitchburg | Hospice | 1 |
| VISITING NURSE ASSOCIATION OF WISCONSIN, INC | West Allis | Home health agency | 2 |
| ST CROIX HOSPICE LLC | Eau Claire | Hospice | 2 |
| WEST ALLIS NURSING & REHABILITATION CENTER, LLC | West Allis | Skilled nursing facility | 3 |
| HOMETOWN HOSPICE & HOMECARE INC | Waukesha | Hospice | 3 |
| HOMECARE HEALTH SERVICES INC | Manitowoc | Hospice | 2 |
| NSH SOLDIERS GROVE LLC | Soldiers Grove | Skilled nursing facility | 2 |
| NSH STEVENS POINT LLC | Stevens Point | Skilled nursing facility | 2 |
| AJ OPERATIONS LLC | Beloit | Skilled nursing facility | 2 |
| NSH SOUTH SHORE LLC | St Francis | Skilled nursing facility | 2 |
| HOSPICE PREFERRED CHOICE, INC | Brookfield | Hospice | 2 |
| CALUMET COUNTY | Chilton | Home health agency | 2 |
| THE BAY AT NORTH RIDGE HEALTH AND REHABILITATION LLC | Manitowoc | Skilled nursing facility | 2 |
| MIDWAY MANOR CORP | Kenosha | Skilled nursing facility | 2 |
| THE BAY AT WATERS EDGE HEALTH AND REHABILITATION LLC | Kenosha | Skilled nursing facility | 2 |
| INNOVO HEALTHCARE, LLC | Eau Claire | Hospice | 2 |
| MOMENTS HOSPICE OF MILWAUKEE | Mt Pleasant | Hospice | 2 |
| RIVER FALLS WI OPCO LLC | River Falls | Skilled nursing facility | 2 |
| COLUMBUS OPERATOR LLC | Columbus | Skilled nursing facility | 2 |
| ARIA OF WAUKESHA LLC | Waukesha | Skilled nursing facility | 2 |
| TRANSITIONS AT HOME, INC. | Mount Horeb | Home health agency | 2 |
| HANNAH HOME HEALTH CARE, INC. | Waukesha | Home health agency | 1 |
| PRAIRIE NURSING FACILITY LLC | Prairie Du Chien | Skilled nursing facility | 1 |
What the patterns mean
Extreme per-patient billing
20 providersThis provider was paid far more per patient than at least 99% of similar providers in its state that year.
Owner cluster
18 providersThe same person or company owns or manages several Medicare providers.
Shared address
4 providersSeveral different Medicare providers are enrolled at the exact same street address.
Billing far above peers
3 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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