VERITY
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 actionDetail: hours per day
ranktierproviderstatescoreat stakewhy
1191MELVIN MATHEWS BERMUDEZ
1831297530, individual, Manati
PR95$166K
  • Listed on the Medicare revocation list since January 22, 2020.
  • Medicaid still paid claims in 32 later months, $165,501 in total.
1581PHYSICIAN H.M.O. INC.
1730481649, organization, San Juan
PR95$81K
  • Adjudicated (pleaded guilty) per a Department of Justice release dated July 17, 2025.
  • Medicaid paid $81,097 in the last 12 observed months.
3211DIANA GALLARDO
1346460094, individual, Caguas
PR94$5K
  • Listed on the OIG exclusion list and the Medicare revocation list since July 9, 2021.
  • Medicaid still paid claims in 8 later months, $5,215 in total.
4011VILLALBA MEDICAL TRANSPORT LLC
1447921648, organization, Juana Diaz
PR93$909
  • Listed on the Medicare revocation list since November 2, 2023.
  • Medicaid still paid claims in 1 later month, $909 in total.
4081PHYSICIAN HMO INC.
1689946956, organization, San Juan
PR93$680
  • Adjudicated (pleaded guilty) per a Department of Justice release dated July 17, 2025.
  • Medicaid paid $680 in the last 12 observed months.
4601PHYSICIAN HMO INC.
1922379718, organization, Rio Piedras
PR90$0
  • Adjudicated (pleaded guilty) per a Department of Justice release dated July 17, 2025.
  • No Medicaid payments in the last 12 observed months.
6962YAMIR GARCIA SEGARRA
1164795985, individual, Caguas
PR85$1.9M
  • Billed more hands-on hours than a day holds in 3 months, peaking at 22.2 hours per day across 3 billing organizations.
  • Medicaid dollars per patient on code 92526 ($630 per patient-month) sit in the top 5% of every provider billing that code.
35023CMS HOME CARE NORTE, LLC
1215486964, organization, Hatillo
PR60$0
  • Part of provider network D1-00068, ranked 68 nationally.
35593CMS HOME CARE OESTE, LLC.
1568864940, organization, Mayaguez
PR60$0
  • Part of provider network D1-00068, ranked 68 nationally.
44053NUEVA VIDA DE LA SALUD HOME CARE CORP
1902167703, organization, Bayamon
PR60$0
  • Part of provider network D1-00068, ranked 68 nationally.
51473CMS HOME CARE SUR, LLC.
1770907818, organization, Ponce
PR60$0
  • Part of provider network D1-00068, ranked 68 nationally.
52513CMS HOME CARE METRO, LLC.
1811370562, organization, San Juan
PR60$0
  • Part of provider network D1-00068, ranked 68 nationally.
76454ANGELICA DE JESUS SURILLO
1487982781, individual, Cidra
PR55$2.3M
  • Hours beyond a day in 3 months under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 92526 ($670 per patient-month) sit in the top 5% of every provider billing that code.
76684LUIS ACOSTA
1366785438, individual, Vega Alta
PR55$2.2M
  • Hours beyond a day in 15 months, but with up to 883 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 99232 ($181 per patient-month) sit in the top 5% of every provider billing that code.
78314FRANKIE ALVARADO
1730219098, individual, San Juan
PR55$1.0M
  • Hours beyond a day in 3 months under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 99291 ($878 per patient-month) sit in the top 5% of every provider billing that code.
79254PAULA RODRIGUEZ
1841543766, individual, Guayama
PR55$537K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 97112 ($235 per patient-month) sit in the top 5% of every provider billing that code.
79464JAN RODRIGUEZ FERRER
1407969215, individual, San Juan
PR55$483K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 99233 ($297 per patient-month) sit in the top 5% of every provider billing that code.
79684LUIS SUAREZ ALMEDINA
1144234915, individual, Cayey
PR55$394K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 99233 ($665 per patient-month) sit in the top 5% of every provider billing that code.
80214VIMARIE FLORES
1124099296, individual, Humacao
PR54$222K
  • Hours beyond a day in 1 month, but with up to 131 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 99233 ($313 per patient-month) sit in the top 5% of every provider billing that code.
80334FRANCISCO ALVARADO MELENDEZ
1437199593, individual, Caguas
PR54$198K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 99223 ($201 per patient-month) sit in the top 5% of every provider billing that code.
80624JULIO FERNANDEZ RODRIGUEZ
1245689413, individual, Cayey
PR54$115K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • Medicaid dollars per patient on code 99462 ($450 per patient-month) sit in the top 5% of every provider billing that code.
82634ANTONIA NIEVES SANCHEZ
1467509521, individual, Ponce
PR52$186K
  • Hours beyond a day in 1 month, but with up to 104 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • 76% of Medicaid dollars are on codes with a history of abuse.
83264DAISY COSTAS VARGAS
1902238835, individual, Ponce
PR52$7.7M
  • Hours beyond a day in 54 months under one organization, which can be supervisory billing.
  • Records needed.
84084NYDIA GONZALEZ LOPEZ
1538312293, individual, Caguas
PR52$5.1M
  • Hours beyond a day in 28 months, but with up to 641 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
84254CARMEN TATIS DE LEON
1316241128, individual, Trujillo Alto
PR52$4.7M
  • Hours beyond a day in 25 months, but with up to 567 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
84904RAFAEL ACEVEDO
1205069275, individual, Hormigueros
PR52$3.6M
  • Hours beyond a day in 2 months, but with up to 2025 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
85444MARIA RIVERA CRUZ
1851696199, individual, Carolina
PR51$3.1M
  • Hours beyond a day in 4 months, but with up to 521 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
88904ARNALDO CRUZ IGARTUA
1013110899, individual, San Juan
PR51$1.3M
  • Hours beyond a day in 1 month, but with up to 683 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
90034MARIANA GOMEZ
1275970436, individual, Santurce
PR51$960K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
91294SHAIRA LOPEZ ACEVEDO
1356577563, individual, Ponce
PR51$634K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
93084BENJAMIN MENENDEZ RUIZ
1669580452, individual, Bayamon
PR51$362K
  • Hours beyond a day in 12 months under one organization, which can be supervisory billing.
  • Records needed.
93484AILEEN GINORIO HERNANDEZ
1598898405, individual, Trujillo Alto
PR50$311K
  • Hours beyond a day in 1 month, but with up to 812 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
94414JOSE RODRIGUEZ ROCHE
1003030784, individual, Villalba
PR50$221K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
95214WALESKA LIND
1336853886, individual, San Juan
PR50$144K
  • Hours beyond a day in 2 months, but with up to 224 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
95304NATALIA DIEPPA LOPEZ DE VICTORIA
1659667368, individual, Ponce
PR50$138K
  • Hours beyond a day in 2 months, but with up to 294 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
95684JORGE VAZQUEZ MARCANO
1356454169, individual, Carolina
PR50$102K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
97024LEYDA ROMAN NIEVES
1881850428, individual, Humacao
PR49$23K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
99095MARIECARMEN FONTANET AVILES
1134289010, individual, Gurabo
PR36$3.6M
  • Medicaid dollars per patient on code 97533 ($994 per patient-month) sit in the top 5% of every provider billing that code.
100465MAYRA VIZCARRONDO
1942331731, individual, San Juan
PR35$1.4M
  • Medicaid dollars per patient on code 99233 ($294 per patient-month) sit in the top 5% of every provider billing that code.
101085UBALDO SANTIAGO BUONO
1104825611, individual, San Juan
PR35$996K
  • Medicaid dollars per patient on code 99233 ($251 per patient-month) sit in the top 5% of every provider billing that code.
101475LUIS JIMENEZ REYES
1053562488, individual, Caguas
PR35$809K
  • Medicaid dollars per patient on code 99232 ($276 per patient-month) sit in the top 5% of every provider billing that code.
101625JOSE COLON - MARQUEZ
1538213574, individual, Carolina
PR35$758K
  • Medicaid dollars per patient on code 99233 ($607 per patient-month) sit in the top 5% of every provider billing that code.
102075LISETTE LUGO-CALZADA
1497783542, individual, San Juan
PR35$639K
  • Medicaid dollars per patient on code 99233 ($338 per patient-month) sit in the top 5% of every provider billing that code.
102635RICARDO GARCIA-DE JESUS
1124007513, individual, San Juan
PR35$500K
  • Medicaid dollars per patient on code 99291 ($1640 per patient-month) sit in the top 5% of every provider billing that code.
103195DAVID RODRIGUEZ LEON
1790456341, individual, Yabucoa
PR35$388K
  • Medicaid dollars per patient on code 97032 ($134 per patient-month) sit in the top 5% of every provider billing that code.
103285JOSE RAMIREZ-MARTINEZ
1649247701, individual, Coto Laurel
PR35$358K
  • Medicaid dollars per patient on code 99232 ($300 per patient-month) sit in the top 5% of every provider billing that code.
103505ALWIN VARGAS
1447375639, individual, Caguas
PR34$279K
  • Medicaid dollars per patient on code 97140 ($121 per patient-month) sit in the top 5% of every provider billing that code.
103845JOSE PEREZ YORDAN
1497193924, individual, Caguas
PR34$212K
  • Medicaid dollars per patient on code 99214 ($179 per patient-month) sit in the top 5% of every provider billing that code.
104005BEVERLY ARROYO MARQUEZ
1225072408, individual, Juncos
PR34$181K
  • Medicaid dollars per patient on code 97032 ($110 per patient-month) sit in the top 5% of every provider billing that code.
104275JUAN DELGADO RODRIGUEZ
1982666327, individual, Cayey
PR34$139K
  • Medicaid dollars per patient on code 99233 ($480 per patient-month) sit in the top 5% of every provider billing that code.
104515YARAT GOMEZ BAEZ
1871064774, individual, Las Piedras
PR34$111K
  • Medicaid dollars per patient on code 92507 ($494 per patient-month) sit in the top 5% of every provider billing that code.
104535LUIS FONTAN LASANTA
1740308675, individual, Cayey
PR34$100K
  • Medicaid dollars per patient on code 99233 ($279 per patient-month) sit in the top 5% of every provider billing that code.
104605LEONARDO PIRILLO
1891991352, individual, Caguas
PR34$94K
  • Medicaid dollars per patient on code 99223 ($253 per patient-month) sit in the top 5% of every provider billing that code.
104635GLENDA AYALA-RIVERA
1306964432, individual, Humacao
PR34$89K
  • Medicaid dollars per patient on code 97140 ($195 per patient-month) sit in the top 5% of every provider billing that code.
104675ELSIE MEDINA
1770582827, individual, Toa Alta
PR34$76K
  • Medicaid dollars per patient on code 97140 ($247 per patient-month) sit in the top 5% of every provider billing that code.
104945DIANA ALLENDE
1518926971, individual, Mayaguez
PR34$53K
  • Medicaid dollars per patient on code 99239 ($170 per patient-month) sit in the top 5% of every provider billing that code.
105245ARIEL RIVERA
1740398668, individual, Vega Alta
PR33$27K
  • Medicaid dollars per patient on code 99203 ($130 per patient-month) sit in the top 5% of every provider billing that code.
106175RICHARD SANTOS GARCIA
1043496631, individual, Juana Diaz
PR33$416K
  • 66% of Medicaid dollars are on codes with a history of abuse.
107065JOMAYRA NEGRON BANKS
1689367708, individual, Ponce
PR32$40K
  • 81% of Medicaid dollars are on codes with a history of abuse.
107525AXEL REYES VAZQUEZ
1093327439, individual, Ponce
PR31$27K
  • 63% of Medicaid dollars are on codes with a history of abuse.
108985YAMILETTE MOLINA CRUZ
1962739615, individual, Villalba
PR31$15K
  • 79% of Medicaid dollars are on codes with a history of abuse.
111865PACO DIAZ-PARES
1609011295, individual, Arecibo
PR31$549K
113545VIVIAN ACEBAL LOPEZ
1881810091, individual, San Juan
PR31$317K
113875ALBAIXA GONZALEZ BATIZ
1740855196, individual, San German
PR30$280K
114045IVONNE RODRIGUEZ RAMOS
1265789861, individual, Gurabo
PR30$258K
114765LUIS LOPEZ DEL POZO
1548338700, individual, Ponce
PR30$191K
114775MARIMAR CABAN
1316206287, individual, Guayma
PR30$191K
114825FRANCES FRANCESCHINI DIAZ
1841445459, individual, Rio Piedras
PR30$186K
114975MELISSA FIGUEROA RESTO
1154859106, individual, Gurabo
PR30$173K
115025KAREN RUPERTO-RIVERA
1861409781, individual, Ponce
PR30$169K
115335JESUS RAMOS GARCIA
1942457304, individual, Aguada
PR30$153K
115725KARLA TORRES TORRES
1235384231, individual, San Juan
PR30$132K
116245CLAUDINO ARIAS
1467413427, individual, Cayey
PR30$101K
116295MARIA PALOU
1326166448, individual, Las Piedras
PR30$98K
116375NANCY RIVERA
1780056614, individual, Humacao
PR30$94K
116505IVELISSE LOPEZ
1215281639, individual, Caguas
PR30$90K
116805MARILYN TOLEDO GARCIA
1639151434, individual, Manati
PR30$76K
117015MARIE LUGO
1972576551, individual, Aibonito
PR30$68K
117415DENNISE MEJIAS
1285396770, individual, Arecibo
PR30$53K
117545BENIGNO LOPEZ
1215017819, individual, Caguas
PR30$49K
118145ASTRID MALDONADO
1023445202, individual, Comerio
PR30$36K
118755SARA RICO
1982914727, individual, Arecibo
PR29$21K
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