| 62 | 1 | SHAWN TYSON 1164064044, individual, Hartford | CT | 96 | $0 | - Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated June 21, 2024.
- No Medicaid payments in the last 12 observed months.
- Medicaid dollars per patient on code 90837 ($761 per patient-month) sit in the top 5% of every provider billing that code.
- 100% of Medicaid dollars are on codes with a history of abuse.
|
| 74 | 1 | MINDS CORNERSTONE LLC 1811532112, organization, Wethersfield | CT | 96 | $721K | - Adjudicated (complaint, pleaded guilty) per a Department of Justice release and an HHS-OIG enforcement record dated January 16, 2025.
- Medicaid paid $721,009 in the last 12 observed months.
|
| 112 | 1 | HELEN ZERVAS 1831266576, individual, Bristol | CT | 95 | $192K | - Adjudicated (pleaded guilty, indicted) per a Department of Justice release dated February 11, 2025.
- Medicaid paid $192,083 in the last 12 observed months.
|
| 133 | 1 | SORAYA SAWICKI 1710190590, individual, Avon | CT | 95 | $131K | - Adjudicated (sentenced) per a state attorney general release dated June 3, 2025.
- Medicaid paid $130,870 in the last 12 observed months.
|
| 169 | 1 | KATRIN MOSKOWITZ 1285063446, individual, Waterbury | CT | 95 | $63K | - Listed on the Medicare revocation list since September 24, 2020.
- Medicaid still paid claims in 34 later months, $63,386 in total.
|
| 418 | 1 | ANANTHAKUMAR THILLAINATHAN 1285900621, individual, Stratford | CT | 93 | $461 | - Listed on the Medicare revocation list since November 4, 2022.
- Medicaid still paid claims in 1 later month, $461 in total.
- Hours beyond a day in 13 months, but with up to 1268 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- A second detector adds a weaker signal.
|
| 444 | 1 | MICHAEL PINES 1891887691, individual, Glastonbury | CT | 92 | $0 | - Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated January 31, 2024.
- No Medicaid payments in the last 12 observed months.
- 99% of Medicaid dollars are on codes with a history of abuse.
|
| 446 | 1 | THE GEMINI PROJECT, LLC 1114370566, organization, Newington | CT | 92 | $0 | - Adjudicated (pleaded guilty, complaint) per a Department of Justice release dated January 16, 2025.
- No Medicaid payments in the last 12 observed months.
- 99% of Medicaid dollars are on codes with a history of abuse.
|
| 453 | 1 | MDCARENOW LLC 1356854400, organization, Stratford | CT | 92 | $45 | - Listed on the Medicare revocation list since November 4, 2022.
- Medicaid still paid claims in 4 later months, $45 in total.
|
| 472 | 1 | DENNIS TOMCZAK 1053842658, individual, Vernon | CT | 90 | $0 | - Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated November 8, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 488 | 1 | ANATOLY BRAYLOVSKY 1023004124, individual, Wallingford | CT | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated May 22, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 494 | 1 | JEANNIE PASACRETA 1235186255, individual, Newtown | CT | 90 | $0 | - Adjudicated (civil judgment) per a state attorney general release dated August 1, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 514 | 1 | FAMILY PRACTICE OF GREATER NEW HAVEN, LLC 1922114495, organization, Wallingford | CT | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated May 22, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 550 | 1 | COLLABORATIVE COUNSELING CENTER, LLC 1841761087, organization, Hartford | CT | 90 | $0 | - Adjudicated (sentenced) per a state attorney general release dated August 28, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 575 | 1 | DONALD SALZBERG 1063413615, individual, West Hartford | CT | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated May 9, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 584 | 1 | THELMA EPPS 1649574799, individual, Hartford | CT | 90 | $0 | - Adjudicated (pleaded guilty, sentenced) per a Department of Justice release dated November 8, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 606 | 1 | HELPING HANDS ACADEMY 1093180929, organization, Bridgeport | CT | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated February 26, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 617 | 1 | HAMED GHORBANI-MOGHADDAM 1700144714, individual, Bridgeport | CT | 90 | $0 | - Adjudicated (pleaded guilty) per a Department of Justice release dated September 4, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 637 | 1 | PRIMAL MENTAL AND PHYSICAL HEALTH 1467010116, organization, Oakville | CT | 90 | $0 | - Adjudicated (sentenced) per a state attorney general release dated June 20, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 673 | 1 | LP COUNSELING SERVICES, LLC 1871100388, organization, North Haven | CT | 90 | $0 | - Adjudicated (sentenced, pleaded guilty) per a Department of Justice release dated August 6, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 674 | 1 | DONALD J SALZBERG, MD 1235288937, organization, West Hartford | CT | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated May 9, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 677 | 1 | ALICIA THOMPKINS 1720481369, individual, Farmington | CT | 90 | $0 | - Adjudicated (sentenced) per a state attorney general release dated August 28, 2024.
- No Medicaid payments in the last 12 observed months.
|
| 685 | 1 | MIRACLES TO DESTINY 1508201518, organization, Wethersfield | CT | 90 | $0 | - Adjudicated (sentenced) per a Department of Justice release dated January 31, 2025.
- No Medicaid payments in the last 12 observed months.
|
| 717 | 2 | JANIA ROSS 1366159584, individual, Windsor | CT | 83 | $480K | - Billed more hands-on hours than a day holds in 2 months, peaking at 17.7 hours per day across 3 billing organizations.
- 72% of Medicaid dollars are on codes with a history of abuse.
|
| 779 | 3 | TOTALITY HOME HEALTH CARE AGENCY, LLC 1306198197, organization, Milford | CT | 70 | $2.3M | - Part of provider network D1-00091, ranked 91 nationally.
- Medicaid dollars per patient on code T1502 ($1331 per patient-month) sit in the top 5% of every provider billing that code.
|
| 1443 | 3 | TORRINGTON CENTER FOR NURSING & REHABILITATION LLC 1477129849, organization, Torrington | CT | 65 | $41K | - Part of provider network D1-00091, ranked 91 nationally.
|
| 1451 | 3 | WHITNEY MANOR OPERATING COMPANY LLC 1447255468, organization, Hamden | CT | 65 | $35K | - Part of provider network D1-00091, ranked 91 nationally.
|
| 1465 | 3 | DAY KIMBALL HEALTHCARE, INC. 1710063367, organization, Putnam | CT | 64 | $29K | - Part of provider network D1-00123, ranked 123 nationally.
|
| 1466 | 3 | WV-CROSSINGS EAST LLC 1619421872, organization, New London | CT | 64 | $29K | - Part of provider network D1-00123, ranked 123 nationally.
|
| 1471 | 3 | ADVANCED CENTER FOR NURSING & REHABILITATION LLC 1336599497, organization, New Haven | CT | 64 | $27K | - Part of provider network D1-00091, ranked 91 nationally.
|
| 1478 | 3 | SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC 1386210755, organization, Southport | CT | 64 | $25K | - Part of provider network D1-00091, ranked 91 nationally.
|
| 1479 | 3 | NEW HAVEN CENTER FOR NURSING & REHABILITATION, LLC 1750957122, organization, New Haven | CT | 64 | $24K | - Part of provider network D1-00091, ranked 91 nationally.
|
| 1496 | 3 | WEST HAVEN CENTER FOR NURSING & REHABILITATION, LLC 1649846015, organization, West Haven | CT | 64 | $20K | - Part of provider network D1-00091, ranked 91 nationally.
|
| 1507 | 3 | WATERBURY CENTER FOR NURSING & REHABILITATION, LLC 1013583483, organization, Waterbury | CT | 64 | $17K | - Part of provider network D1-00091, ranked 91 nationally.
|
| 1654 | 3 | PLAINFIELD SNF OPCO LLC 1033874425, organization, Plainfield | CT | 63 | $1K | - Part of provider network D1-00123, ranked 123 nationally.
|
| 1664 | 3 | HARBOR VIEW MANOR, INC. 1548339740, organization, West Haven | CT | 63 | $952 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 2541 | 3 | AFFINITY CARE OF CONNECTICUT LLC 1639854813, organization, Hamden | CT | 60 | $0 | - Part of provider network D1-00113, ranked 113 nationally.
|
| 2567 | 3 | POMPERAUG WOODS, INC. 1154305290, organization, Southbury | CT | 60 | $0 | - Part of provider network D1-00091, ranked 91 nationally.
|
| 2634 | 3 | PLAINVILLE HEALTH CARE CENTER INC. 1992874135, organization, Plainville | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 3172 | 3 | ORCHARD GROVE SPECIALTY CARE CENTER LLC 1205994480, organization, Uncasville | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 3342 | 3 | GRANDVIEW OPCO LLC 1366324303, organization, New Britain | CT | 60 | $0 | - Part of provider network D1-00091, ranked 91 nationally.
|
| 3828 | 3 | LEDGECREST HEALTH CARE CENTER INC. 1437175932, organization, Kensington | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 3893 | 3 | DAY KIMBALL HEALTHCARE, INC. 1801972450, organization, Putnam | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 4365 | 3 | FOWLER NURSING CENTER, INC. 1942379177, organization, Guilford | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 4535 | 3 | BRIGHTVIEW NURSING & RETIREMENT CENTER LTD. 1841385804, organization, Avon | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 4538 | 3 | LIBERTY HALL NURSING CENTER INC 1962581199, organization, Colchester | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 4670 | 3 | HIGHVIEW HEALTH CARE CENTER INC. 1336218593, organization, Middletown | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5127 | 3 | AMBERWOODS REHAB CENTER LLC 1396425955, organization, Farmington | CT | 60 | $0 | - Part of provider network D1-00091, ranked 91 nationally.
|
| 5222 | 3 | WOLCOTT HALL NURSING CENTER, INC. 1023187291, organization, Torrington | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5395 | 3 | MATULAITIS NURSING HOME, INC. 1093822843, organization, Putnam | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5521 | 3 | ELM HILL NURSING CENTER, INC. 1184657173, organization, Rocky Hill | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5555 | 3 | HEWITT HEALTH & REHABILITATION 1811925266, organization, Shelton | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5752 | 3 | GARDNER HEIGHTS HEALTH CARE CENTER 1891725008, organization, Shelton | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5781 | 3 | SHELTON LAKES HEALTH CARE CENTER, INC 1669502365, organization, Shelton | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5917 | 3 | BEACON HOSPICE, LLC 1134203284, organization, East Hartford | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5926 | 3 | WATERBURY EXTENDED CARE FACILITY, INC. 1558430256, organization, Watertown | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5954 | 3 | MARY ELIZABETH NURSING CENTER INC. 1679603732, organization, Mystic | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 5989 | 3 | BEECHWOOD SNF OPCO LLC 1639980345, organization, New London | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 6098 | 3 | COVENANT HOME, INC. (CONNECTICUT) 1851497093, organization, Cromwell | CT | 60 | $0 | - Part of provider network D1-00075, ranked 75 nationally.
|
| 6154 | 3 | DUNCASTER INCORPORATED 1285851998, organization, Bloomfield | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 6199 | 3 | NIGHTINGALE HOME HEALTHCARE OF CONNECTICUT INC 1659027282, organization, Stamford | CT | 60 | $0 | - Part of provider network D1-00135, ranked 135 nationally.
|
| 6362 | 3 | MERIDEN HEALTH CARE CENTER INC 1396814547, organization, Meriden | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 6452 | 3 | WV-PARKWAY PAVILION LLC 1821541194, organization, Enfield | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 6727 | 3 | ISELANDE DESYR 1487190278, individual, Stratford | CT | 60 | $0 | - Charged (charged) per a state attorney general release dated October 22, 2024, not adjudicated.
- Hours beyond a day in 25 months, but with up to 554 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- A second detector adds a weaker signal.
|
| 6951 | 3 | RIDGEVIEW HEALTH CARE CENTER INC. 1982783163, organization, Cromwell | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 6976 | 3 | SAINT JOSEPHS LIVING CENTER INC 1811087224, organization, Windham | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 7011 | 3 | LAUREL WOODS HEALTH CARE CENTER LLC 1164418471, organization, East Haven | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 7025 | 3 | HOLISTIC PSYCHIATRIC SERVICES LLC 1700357233, organization, Stratford | CT | 60 | $0 | - Charged (charged) per a state attorney general release dated October 22, 2024, not adjudicated.
|
| 7166 | 3 | SAYBROOK HEALTH CARE CENTER, INC. 1932103694, organization, Old Saybrook | CT | 60 | $0 | - Part of provider network D1-00123, ranked 123 nationally.
|
| 7322 | 4 | CORTNEY DUNLAP 1720390115, individual, Hartford | CT | 57 | $1.2M | - Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($1069 per patient-month) sit in the top 5% of every provider billing that code.
- 99% of Medicaid dollars are on codes with a history of abuse.
|
| 7323 | 4 | DERRICK THOMPSON 1568752368, individual, Plainville | CT | 57 | $1.2M | - Hours beyond a day in 6 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($652 per patient-month) sit in the top 5% of every provider billing that code.
- 97% of Medicaid dollars are on codes with a history of abuse.
|
| 7333 | 4 | JEFFREY SLOCUM 1942733803, individual, Uncasville | CT | 57 | $774K | - Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 90837 ($735 per patient-month) sit in the top 5% of every provider billing that code.
- 97% of Medicaid dollars are on codes with a history of abuse.
|
| 7445 | 4 | REX MAHNENSMITH 1760466528, individual, Waterbury | CT | 56 | $5.2M | - Hours beyond a day in 20 months, but with up to 2731 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 95165 ($1117 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7674 | 4 | JASDEEP SIDANA 1558482075, individual, Orange | CT | 55 | $2.1M | - Hours beyond a day in 10 months, but with up to 2854 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 95165 ($1235 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7780 | 4 | WENDY CARLSON-QUIRK 1780677450, individual, Shelton | CT | 55 | $1.3M | - Hours beyond a day in 1 month, but with up to 217 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99309 ($177 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7848 | 4 | PATRICIA JORQUERA 1669559951, individual, Norwalk | CT | 55 | $922K | - Hours beyond a day in 5 months, but with up to 533 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99392 ($152 per patient-month) sit in the top 5% of every provider billing that code.
|
| 7966 | 4 | THEODORA FRASER MCPHERSON 1992192827, individual, New Haven | CT | 55 | $397K | - Hours beyond a day in 2 months, but with up to 726 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99213 ($163 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8098 | 4 | CINDY PERRY 1679865398, individual, Darien | CT | 54 | $36K | - Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
- Medicaid dollars per patient on code 96160 ($161 per patient-month) sit in the top 5% of every provider billing that code.
|
| 8246 | 4 | CHUKWUEMEKA OKWUOSA 1497006225, individual, Woodbridge | CT | 53 | $358K | - Hours beyond a day in 4 months under one organization, which can be supervisory billing.
- Records needed.
- 89% of Medicaid dollars are on codes with a history of abuse.
|
| 8331 | 4 | DANIEL PURCELL 1689855280, individual, Farmington | CT | 52 | $7.3M | - Hours beyond a day in 17 months, but with up to 6691 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8404 | 4 | AWAIS MALIK 1508025594, individual, Bridgeport | CT | 52 | $5.1M | - Hours beyond a day in 2 months, but with up to 2108 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8887 | 4 | STACEY DOTSON 1548701808, individual, Watertown | CT | 51 | $13K | - Hours beyond a day in 1 month under one organization, which can be supervisory billing.
- Records needed.
- 67% of Medicaid dollars are on codes with a history of abuse.
|
| 8900 | 4 | KRIPA PLAPETTA DAMODHARAN 1457752107, individual, West Haven | CT | 51 | $1.3M | - Hours beyond a day in 1 month, but with up to 935 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 8901 | 4 | MICHAEL LAWLOR 1861597817, individual, Hartford | CT | 51 | $1.3M | - Hours beyond a day in 4 months, but with up to 267 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9188 | 4 | RALPH ARNONE 1467535757, individual, North Haven | CT | 51 | $544K | - Hours beyond a day in 8 months under one organization, which can be supervisory billing.
- Records needed.
|
| 9341 | 4 | ROBERT GINTHER 1568891729, individual, New London | CT | 50 | $314K | - Hours beyond a day in 1 month, but with up to 744 patients a month across 5 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9401 | 4 | SHANZA IHSAN 1669865044, individual, Bridgeport | CT | 50 | $262K | - Hours beyond a day in 1 month, but with up to 1573 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9610 | 4 | RICHARD QUINITILIANI 1033132329, individual, Hartford | CT | 50 | $65K | - Hours beyond a day in 1 month, but with up to 195 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9691 | 4 | ERIN JOUDREY 1992124507, individual, Hebron | CT | 49 | $27K | - Hours beyond a day in 1 month, but with up to 312 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9729 | 4 | JEFFREY SIEVERING 1831253517, individual, Somers | CT | 49 | $13K | - Hours beyond a day in 1 month, but with up to 244 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
|
| 9979 | 5 | MUNEEB SAMMA 1114958840, individual, New Haven | CT | 35 | $1.9M | - Medicaid dollars per patient on code 99396 ($132 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10120 | 5 | ELIZABETH RUSSO 1437284403, individual, West Haven | CT | 35 | $958K | - Medicaid dollars per patient on code 99308 ($106 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10154 | 5 | ROBERT MEROLLE 1720091127, individual, Waterbury | CT | 35 | $785K | - Medicaid dollars per patient on code 97014 ($82 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10280 | 5 | STEVEN MURPHY 1962623165, individual, Stamford | CT | 35 | $463K | - Medicaid dollars per patient on code 99401 ($48 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10439 | 5 | JULIAN CANO 1467944884, individual, North Haven | CT | 34 | $126K | - Medicaid dollars per patient on code 97026 ($418 per patient-month) sit in the top 5% of every provider billing that code.
|
| 10651 | 5 | GLENROY PATTERSON 1063754653, individual, East Hartford | CT | 32 | $117K | - 60% of Medicaid dollars are on codes with a history of abuse.
|
| 10685 | 5 | PARTHSARTHI PATEL 1629171756, individual, Newington | CT | 32 | $5.8M | |
| 10917 | 5 | JOSE ESTELA 1235142431, individual, Bristol | CT | 31 | $1.4M | |
| 10941 | 5 | THOMAS BROWN 1053402263, individual, Wethersfield | CT | 31 | $1.2M | |
| 11019 | 5 | DAVID GRODBERG 1447469606, individual, New Haven | CT | 31 | $1.0M | |