Providers

Every flagged provider, ranked.

One row per provider. The tier says what the public record can prove; the score, out of 100, rises when independent detectors agree. Dollars at stake come from the strongest finding, never a sum. Every row is a candidate for a records review, not a finding. Use the search box above to look up any provider in the country.

Tiers: 1 on a public list and still paid; 2 more hours than a day holds across organizations; 3 part of a network that touches a public list; 4 network structure alone or hours beyond a day under one organization; 5 worth knowing.

Detail: paid after a list action Detail: hours per day

rank	tier	provider	state	score	at stake	why
31	1	MILESTONE COMMUNITY DEVELOPMENT CENTER 1700546561, organization, Greenville	MS	98	$415K	Listed on the Medicare revocation list since February 6, 2023. Medicaid still paid claims in 3 later months, $414,794 in total. 74% of Medicaid dollars are on codes with a history of abuse.
99	1	BRANTLEY NICHOLS 1265696769, individual, Ruleville	MS	95	$299K	Listed on the Medicare revocation list since July 24, 2018. Medicaid still paid claims in 17 later months, $298,768 in total.
222	1	CHRISTA STAPLES 1740319839, individual, Columbia	MS	94	$28K	Listed on the CA Medicaid exclusion list since November 30, 2022. Medicaid still paid claims in 10 later months, $27,901 in total.
320	1	BENJAMIN SANFORD 1629042304, individual, Starkville	MS	94	$5K	Listed on the Medicare revocation list since January 26, 2021. Medicaid still paid claims in 3 later months, $5,278 in total.
399	1	MARION LUND 1396085015, individual, Oxford	MS	93	$923	Listed on the Medicare revocation list since February 2, 2023. Medicaid still paid claims in 1 later month, $923 in total.
400	1	FOOT DOCTOR, PLLC 1205345485, organization, Oxford	MS	93	$923	Listed on the Medicare revocation list since February 2, 2023. Medicaid still paid claims in 1 later month, $923 in total.
512	1	MEDIHEALTH MEDICAL SOLUTIONS LLC 1841725314, organization, Amory	MS	90	$0	Adjudicated (sentenced) per a Department of Justice release dated February 15, 2024. No Medicaid payments in the last 12 observed months.
697	2	JOHN WILKAITIS 1154360824, individual, Jackson	MS	85	$1.6M	Billed more hands-on hours than a day holds in 2 months, peaking at 24.6 hours per day across 3 billing organizations. Medicaid dollars per patient on code 99232 ($286 per patient-month) sit in the top 5% of every provider billing that code.
785	3	KARE-IN-HOME HOSPICE, LLC 1619238698, organization, Wiggins	MS	70	$1.5M	Part of provider network D1-00051, ranked 51 nationally. Medicaid dollars per patient on code Q5001 ($4410 per patient-month) sit in the top 5% of every provider billing that code.
791	3	KARE-IN-HOME HOSPICE OF NORTH MISSISSIPPI, LLC 1336690296, organization, Tupelo	MS	70	$831K	Part of provider network D1-00051, ranked 51 nationally. Medicaid dollars per patient on code Q5001 ($3870 per patient-month) sit in the top 5% of every provider billing that code.
1087	3	KARE-IN-HOME HOSPICE OF NORTHWEST MISSISSIPPI, LLC 1952847402, organization, Batesville	MS	66	$722K	Part of provider network D1-00051, ranked 51 nationally.
1239	3	KARE-IN-HOME HEALTH SERVICES, INC. 1174527030, organization, Gulfport	MS	65	$272K	Part of provider network D1-00051, ranked 51 nationally.
1271	3	WAYS, LLC 1215244017, organization, Cleveland	MS	65	$217K	Part of provider network D1-00051, ranked 51 nationally.
1534	3	BNB HEALTHCARE, LLC 1821419052, organization, Flowood	MS	64	$0	Part of provider network D1-00051, ranked 51 nationally. Medicaid dollars per patient on code Q5001 ($5183 per patient-month) sit in the top 5% of every provider billing that code.
3724	3	WESLEY HEALTH SYSTEM LLC 1164476107, organization, Hattiesburg	MS	60	$0	Part of provider network D1-00097, ranked 97 nationally.
5087	3	HOSPICE ADVANTAGE, LLC. 1134415433, organization, Southaven	MS	60	$0	Part of provider network D1-00051, ranked 51 nationally.
6111	3	TRADITIONS HOSPICE OF BILOXI, LLC 1144792425, organization, Ocean Springs	MS	60	$0	Part of provider network D1-00051, ranked 51 nationally.
6544	3	TRADITIONS HOSPICE OF RIDGELAND, LLC 1043782329, organization, Ridgeland	MS	60	$0	Part of provider network D1-00051, ranked 51 nationally.
7042	3	HATTIESBURG HOME CARE SERVICES LLC 1023077310, organization, Hattiesburg	MS	60	$0	Part of provider network D1-00097, ranked 97 nationally.
7867	4	SAGAR PATEL 1386725570, individual, Jackson	MS	55	$846K	Hours beyond a day in 2 months under one organization, which can be supervisory billing. Records needed. Medicaid dollars per patient on code 99232 ($184 per patient-month) sit in the top 5% of every provider billing that code.
8050	4	TIMOTHY ESTES 1285746511, individual, Jackson	MS	54	$149K	Hours beyond a day in 1 month, but with up to 1648 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 99307 ($69 per patient-month) sit in the top 5% of every provider billing that code.
8074	4	REBECCA THOMPSON 1598045833, individual, University	MS	54	$71K	Hours beyond a day in 1 month under one organization, which can be supervisory billing. Records needed. Medicaid dollars per patient on code 99309 ($88 per patient-month) sit in the top 5% of every provider billing that code.
8586	4	DEONTRANESE TAYLOR 1619211992, individual, Monticello	MS	51	$2.8M	Hours beyond a day in 1 month, but with up to 957 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
8605	4	JULIE GARNER 1265616866, individual, Oxford	MS	51	$2.7M	Hours beyond a day in 13 months, but with up to 1291 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
9035	4	JESSICA DEAN 1770090193, individual, Natchez	MS	51	$857K	Hours beyond a day in 1 month, but with up to 736 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
9325	4	JOHN HERZOG 1093734949, individual, Greenville	MS	51	$336K	Hours beyond a day in 1 month under one organization, which can be supervisory billing. Records needed.
9361	4	SATWINDER SINGH 1295770709, individual, Greenville	MS	50	$297K	Hours beyond a day in 2 months under one organization, which can be supervisory billing. Records needed.
9371	4	CATHERINE FANDEL 1184010985, individual, Starkville	MS	50	$283K	Hours beyond a day in 6 months under one organization, which can be supervisory billing. Records needed.
9462	4	KAREN ROBERSON 1184836496, individual, Starkville	MS	50	$207K	Hours beyond a day in 3 months under one organization, which can be supervisory billing. Records needed.
9624	4	CANDACE BARRON 1619485034, individual, Ridgeland	MS	50	$57K	Hours beyond a day in 2 months under one organization, which can be supervisory billing. Records needed.
9656	4	BETHANY GOUGH 1871819177, individual, Ridgeland	MS	50	$42K	Hours beyond a day in 4 months, but with up to 69 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
9936	5	AKHTAR SIDDIQUI 1255313896, individual, Meridian	MS	35	$2.6M	Medicaid dollars per patient on code 99213 ($148 per patient-month) sit in the top 5% of every provider billing that code.
10295	5	KULMORIS JOINER 1891189767, individual, Jackson	MS	35	$42.7M	90% of Medicaid dollars are on codes with a history of abuse.
10297	5	PATRICK WELDON 1003907460, individual, Jackson	MS	35	$425K	Medicaid dollars per patient on code 99232 ($178 per patient-month) sit in the top 5% of every provider billing that code.
10392	5	KRISHAN GUPTA 1598769176, individual, Jackson	MS	34	$197K	Medicaid dollars per patient on code 99232 ($244 per patient-month) sit in the top 5% of every provider billing that code.
10446	5	BRANDON SMITH 1639746001, individual, Sumrall	MS	34	$121K	Medicaid dollars per patient on code 99213 ($134 per patient-month) sit in the top 5% of every provider billing that code.
10472	5	KIMBERLY HARRELL 1265505853, individual, Whitfield	MS	34	$75K	Medicaid dollars per patient on code 99307 ($123 per patient-month) sit in the top 5% of every provider billing that code.
10475	5	TONI LADNER 1922374057, individual, Vicksburg	MS	34	$74K	Medicaid dollars per patient on code 99308 ($121 per patient-month) sit in the top 5% of every provider billing that code.
10603	5	LUEZARAH ROBINSON 1104924646, individual, Aberdeen	MS	33	$591K	100% of Medicaid dollars are on codes with a history of abuse.
10633	5	MARK STAVROS 1336103241, individual, Pascagoula	MS	32	$22.0M
10641	5	MARY DARBY-MCLAURIN 1144579400, individual, Laurel	MS	32	$151K	100% of Medicaid dollars are on codes with a history of abuse.
10806	5	STACY ANDREACCHIO 1700865235, individual, Meridian	MS	31	$2.0M
10966	5	BILLY RUSH 1659723260, individual, Carriere	MS	31	$1.2M
11082	5	MISTI GARNETT 1023442795, individual, Columbus	MS	31	$851K
11367	5	AMANDA PATTERSON 1255711958, individual, Saltillo	MS	30	$301K
11410	5	KELLY STERLING-GREGORY 1730594383, individual, Tupelo	MS	30	$252K
11487	5	CLINT TREST 1750833984, individual, Whitfield	MS	30	$184K
11498	5	TYRICE CARTWRIGHT 1124316914, individual, Olive Branch	MS	30	$172K
11547	5	STACEY MUELLER 1629091590, individual, Olive Branch	MS	30	$143K
11583	5	SANDERS EYE CLINIC 1487744686, organization, Mccomb	MS	30	$128K
11849	5	GARY SCHNEIDER 1922254531, individual, Madison	MS	29	$26K
11855	5	FIRST CHOICE HOME MEDICAL EQUIPMENT INC. 1730305871, organization, Greenville	MS	29	$25K
11909	5	MID-DELTA DURABLE MEDICAL EQUIPMENT 1922023860, organization, Belzoni	MS	29	$14K

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