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
690	2	STEVEN NEWMAN 1134157613, individual, Cedar City	UT	86	$4.4M	Billed more hands-on hours than a day holds in 1 month, peaking at 25.2 hours per day across 3 billing organizations. Medicaid dollars per patient on code 96372 ($468 per patient-month) sit in the top 5% of every provider billing that code.
748	2	CASEY STELTER 1073607222, individual, Layton	UT	79	$30K	Billed more hands-on hours than a day holds in 1 month, peaking at 4.7 hours per day across 3 billing organizations.
767	3	IVY LANE PEDIATRICS, LLC 1083635692, organization, South Ogden	UT	71	$5.1M	Part of provider network D1-00040, ranked 40 nationally. Medicaid dollars per patient on code T1001 ($1652 per patient-month) sit in the top 5% of every provider billing that code.
797	3	HOME CAREGIVERS PARTNERSHIP, LLC 1306899265, organization, Murray	UT	70	$618K	Part of provider network D1-00128, ranked 128 nationally. Medicaid dollars per patient on code T1005 ($1808 per patient-month) sit in the top 5% of every provider billing that code.
1189	3	HOME CAREGIVERS PARTNERSHIP LLC 1154665651, organization, Murray	UT	66	$397K	Part of provider network D1-00128, ranked 128 nationally.
1333	3	BRISTOL HOSPICE - UTAH II, L.L.C. 1619253606, organization, Murray	UT	65	$125K	Part of provider network D1-00104, ranked 104 nationally.
1467	3	KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT 1720127608, organization, Cedar City	UT	64	$29K	Part of provider network D1-00128, ranked 128 nationally.
1490	3	KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT 1063401750, organization, Springville	UT	64	$21K	Part of provider network D1-00128, ranked 128 nationally.
2159	3	DIXIE HOME REHAB LLC 1982772109, organization, ST George	UT	60	$0	Part of provider network D1-00062, ranked 62 nationally.
2199	3	LEGACY HEALTH CARE INC 1952417214, organization, Layton	UT	60	$0	Part of provider network D1-00112, ranked 112 nationally.
2732	3	GOOD SHEPHERD HOMECARE AND HOSPICE OF EASTERN UTAH, INC. 1184820854, organization, Vernal	UT	60	$0	Part of provider network D1-00009, ranked 9 nationally.
2852	3	BRIGHTENLIFE HOME HEALTH LLC 1144506825, organization, Murray	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
2872	3	KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT 1740604958, organization, Washington Terrace	UT	60	$0	Part of provider network D1-00128, ranked 128 nationally.
2954	3	HOME HEALTH SPECIALISTS LLC 1538436563, organization, Cedar City	UT	60	$0	Part of provider network D1-00077, ranked 77 nationally.
3290	3	KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT 1144554734, organization, Richfield	UT	60	$0	Part of provider network D1-00128, ranked 128 nationally.
3595	3	KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT 1255612487, organization, American Fork	UT	60	$0	Part of provider network D1-00128, ranked 128 nationally.
3802	3	HOSPICE SPECIALISTS, LLC 1841212818, organization, Murray	UT	60	$0	Part of provider network D1-00077, ranked 77 nationally.
3815	3	TEMPLEVIEW HOME HEALTH & HOSPICE 1134754054, organization, Washington	UT	60	$0	Part of provider network D1-00112, ranked 112 nationally.
3817	3	BRISTOL HOSPICE - UTAH, L.L.C. 1164527792, organization, Ogden	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
3958	3	HEALTH WATCH PROVO INC 1093763427, organization, Orem	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
4129	3	DIXIE HOSPICE CARE, LLC 1306141361, organization, Saint George	UT	60	$0	Part of provider network D1-00062, ranked 62 nationally.
4293	3	AVALON CARE CENTER - VA PAYSON LLC 1205177722, organization, Payson	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
4426	3	HOSPICE SPECIALISTS, LLC 1548450281, organization, ST George	UT	60	$0	Part of provider network D1-00077, ranked 77 nationally.
4458	3	ELEVATION HOSPICE OF UTAH, LLC 1154744548, organization, Draper	UT	60	$0	Part of provider network D1-00137, ranked 137 nationally.
4751	3	EZRA HEALTHCARE 1003809369, organization, Lehi	UT	60	$0	Part of provider network D1-00031, ranked 31 nationally.
4796	3	AVALON CARE CENTER - VA OGDEN LLC 1114253275, organization, Ogden	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
4979	3	BRIGHTENLIFE HOSPICE, L.L.C. 1730936188, organization, ST George	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
5463	3	GOOD SHEPHERD HOMECARE AND HOSPICE OF EASTERN UTAH, INC. 1669557864, organization, Vernal	UT	60	$0	Part of provider network D1-00009, ranked 9 nationally.
5768	3	LEGACY HEALTH CARE, INC. 1831196328, organization, Layton	UT	60	$0	Part of provider network D1-00112, ranked 112 nationally.
6127	3	AVALON CARE CENTER - VA SALT LAKE II LLC 1972754133, organization, Slc	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
6342	3	HEALTH WATCH HOSPICE OF UTAH INC. 1518500479, organization, Orem	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
6553	3	AVALON CARE CENTER - VA IVINS LLC 1366783466, organization, Ivins	UT	60	$0	Part of provider network D1-00104, ranked 104 nationally.
7209	3	HOME HEALTH SPECIALISTS, LLC 1326315672, organization, Murray	UT	60	$0	Part of provider network D1-00077, ranked 77 nationally.
7217	3	CANYON UTAH LLC 1336806942, organization, Springville	UT	60	$0	Part of provider network D1-00128, ranked 128 nationally.
7507	4	CARL GRAY 1598873382, individual, Ogden	UT	56	$3.7M	Hours beyond a day in 3 months under one organization, which can be supervisory billing. Records needed. Medicaid dollars per patient on code 99214 ($2051 per patient-month) sit in the top 5% of every provider billing that code.
7844	4	PAUL FLACK 1124234349, individual, Woods Cross	UT	55	$940K	Hours beyond a day in 2 months under one organization, which can be supervisory billing. Records needed. Medicaid dollars per patient on code 90837 ($1293 per patient-month) sit in the top 5% of every provider billing that code.
7872	4	ANDREA FRODSHAM 1437670114, individual, West Valley City	UT	55	$827K	Hours beyond a day in 5 months, but with up to 186 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 99308 ($251 per patient-month) sit in the top 5% of every provider billing that code.
8135	4	ANDREW PITTINGTON 1437349040, individual, Heber City	UT	53	$2.0M	Hours beyond a day in 4 months under one organization, which can be supervisory billing. Records needed. 63% of Medicaid dollars are on codes with a history of abuse.
8271	4	MIGUEL VILLALOBOS 1073572228, individual, Saratoga Springs	UT	52	$2K	Hours beyond a day in 1 month, but with up to 1514 patients a month across 6 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 90471 ($27 per patient-month) sit in the top 5% of every provider billing that code.
9838	5	ROSELENE DALANHESE 1821187246, individual, South Jordan	UT	37	$1.5M	Medicaid dollars per patient on code 90791 ($368 per patient-month) sit in the top 5% of every provider billing that code. 84% of Medicaid dollars are on codes with a history of abuse.
9917	5	KATHERINE MAILEY 1740712983, individual, Salt Lake City	UT	35	$3.1M	Medicaid dollars per patient on code 99204 ($267 per patient-month) sit in the top 5% of every provider billing that code.
10001	5	MARCEL CHAPPUIS 1164540472, individual, Taylorsville	UT	35	$1.8M	Medicaid dollars per patient on code H2012 ($3669 per patient-month) sit in the top 5% of every provider billing that code.
10043	5	RICHARD ARBOGAST 1376613141, individual, Ogden	UT	35	$1.4M	Medicaid dollars per patient on code 99204 ($438 per patient-month) sit in the top 5% of every provider billing that code.
10300	5	RHONDA SMITH 1992808109, individual, Bountiful	UT	35	$419K	Medicaid dollars per patient on code 96372 ($1014 per patient-month) sit in the top 5% of every provider billing that code.

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