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
9	1	MOHAMMAD HOQUE 1093811341, individual, Arlington	VA	99	$241K	Listed on the Medicare revocation list since January 21, 2021. Medicaid still paid claims in 15 later months, $241,391 in total. Medicaid dollars per patient on code 99231 ($121 per patient-month) sit in the top 5% of every provider billing that code.
14	1	SWIFT MEDICAL TRANSPORT LLC 1649669771, organization, Virginia Beach	VA	99	$140K	Listed on the Medicare revocation list since May 13, 2019. Medicaid still paid claims in 4 later months, $140,338 in total. Medicaid dollars per patient on code A0428 ($712 per patient-month) sit in the top 5% of every provider billing that code.
58	1	ADVANCED SPINE AND PAIN CENTERS, PLLC 1215266267, organization, Stafford	VA	96	$1.3M	Listed on the Medicare revocation list since November 19, 2021. Medicaid still paid claims in 23 later months, $1,327,755 in total.
80	1	SYNERGY HEALTH SYSTEMS 1821652603, organization, Chesapeake	VA	96	$510K	Listed on a Department of Justice release since August 26, 2024. Medicaid still paid claims in 4 later months, $510,040 in total. Adjudicated (pleaded guilty) per a Department of Justice release dated August 26, 2024.
81	1	SALMAN AKBAR 1619081304, individual, Richmond	VA	96	$484K	Listed on the Medicare revocation list since July 13, 2022. Medicaid still paid claims in 27 later months, $484,231 in total.
88	1	RICHARD HILL 1295823672, individual, Chesapeake	VA	96	$407K	Listed on the Medicare revocation list since December 30, 2022. Medicaid still paid claims in 24 later months, $407,424 in total.
104	1	THOMAS RALEY 1518967207, individual, Stafford	VA	95	$253K	Listed on the Medicare revocation list since November 19, 2021. Medicaid still paid claims in 9 later months, $252,808 in total.
110	1	WASHINGTON GASTROENTEROLOGY PC 1366549834, organization, Arlington	VA	95	$228K	Listed on the Medicare revocation list since January 21, 2021. Medicaid still paid claims in 15 later months, $227,556 in total.
192	1	KRISTA PINE 1215030549, individual, Williamsburg	VA	95	$48K	Listed on the CA Medicaid exclusion list since April 21, 2015. Medicaid still paid claims in 17 later months, $48,192 in total.
264	1	STONESPRINGS GASTROENTEROLOGY PLLC 1932763786, organization, Dulles	VA	94	$14K	Listed on the Medicare revocation list since January 21, 2021. Medicaid still paid claims in 4 later months, $13,835 in total.
277	1	LOPITO BUGARIN 1609825553, individual, Chesapeake	VA	94	$12K	Listed on the Medicare revocation list since August 11, 2020. Medicaid still paid claims in 7 later months, $11,758 in total.
279	1	WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC 1730618091, organization, Chesapeake	VA	94	$12K	Listed on the Medicare revocation list since August 11, 2020. Medicaid still paid claims in 7 later months, $11,529 in total.
281	1	KAREN HOBBS 1265401657, individual, Woodbridge	VA	94	$11K	Listed on the CA Medicaid exclusion list since December 30, 2017. Medicaid still paid claims in 5 later months, $10,631 in total.
340	1	L5 MEDICAL HOLDINGS LLC 1336491877, organization, Madison Heights	VA	94	$3K	Listed on the Medicare revocation list since July 26, 2023. Medicaid still paid claims in 1 later month, $3,442 in total. Adjudicated (sentenced) per a state attorney general release and a Department of Justice release dated March 21, 2024.
416	1	GARFIELD SAMUELS 1083654669, individual, Virginia Beach	VA	93	$489	Listed on the Medicare revocation list since September 20, 2022. Medicaid still paid claims in 3 later months, $489 in total.
482	1	KYNETIC MEDICAL GROUP INC 1801364781, organization, Woodbridge	VA	90	$0	Adjudicated (sentenced) per a Department of Justice release dated May 23, 2025. No Medicaid payments in the last 12 observed months.
523	1	1ST ADULT N PEDIATRIC HEALTHCARE SERVICES INC 1992367841, organization, Lovingston	VA	90	$0	Adjudicated (indicted, pleaded guilty, sentenced) per a state attorney general release and a Department of Justice release dated January 9, 2024. No Medicaid payments in the last 12 observed months.
541	1	INNOVATIVE FAMILY SERVICES, LLC 1659503852, organization, Mechanicsville	VA	90	$0	Adjudicated (convicted) per a Department of Justice release dated August 20, 2024. No Medicaid payments in the last 12 observed months.
542	1	RANDY'S GATEWAY DRUG, INC 1992705339, organization, Richlands	VA	90	$0	Adjudicated (sentenced) per a Department of Justice release dated January 7, 2025. No Medicaid payments in the last 12 observed months.
573	1	1ST ADULT N PEDIATRIC HEALTHCARE SERVICES INC 1912356098, organization, Alexandria	VA	90	$0	Adjudicated (sentenced, pleaded guilty, indicted) per a Department of Justice release and a state attorney general release dated January 9, 2024. No Medicaid payments in the last 12 observed months.
623	1	SYNERGY HEALTH SYSTEMS 1922462761, organization, Chesapeake	VA	90	$0	Adjudicated (pleaded guilty) per a Department of Justice release dated August 26, 2024. No Medicaid payments in the last 12 observed months.
676	1	DAPHNE JENKINS 1659439651, individual, MC Lean	VA	90	$0	Adjudicated (sentenced) per a Department of Justice release dated April 10, 2024. No Medicaid payments in the last 12 observed months.
713	2	CHRISTINA HAYES 1407268477, individual, Lynchburg	VA	83	$1.4M	Billed more hands-on hours than a day holds in 2 months, peaking at 17.6 hours per day across 3 billing organizations. 89% of Medicaid dollars are on codes with a history of abuse.
758	3	MPS HEALTHCARE INC 1689638488, organization, Vienna	VA	71	$12.9M	Part of provider network D1-00044, ranked 44 nationally. Medicaid dollars per patient on code T1002 ($4853 per patient-month) sit in the top 5% of every provider billing that code.
909	3	ADVANCING COMMUNITIES EVERYWHERE,LLC 1942825286, organization, North Chesterfield	VA	67	$7.8M	Charged (charged) per a Department of Justice release dated June 23, 2026, not adjudicated. Medicaid paid $7,836,123 in the last 12 observed months.
937	3	DIVINE YOUTH COUNSELING LLC 1962002402, organization, Henrico	VA	67	$3.6M	Charged (indicted) per a Department of Justice release dated February 17, 2026, not adjudicated. Medicaid paid $3,588,671 in the last 12 observed months.
1040	3	CAPITAL HOSPICE 1568485894, organization, Falls Church	VA	66	$1.0M	Part of provider network D1-00126, ranked 126 nationally.
1069	3	THE ITHIEL GROUP, LLC 1861714339, organization, Richmond	VA	66	$852K	Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated. Medicaid paid $851,752 in the last 12 observed months.
1258	3	ALTERNATE SOLUTIONS HOME HEALTH, LLC 1710473673, organization, Fairfax	VA	65	$246K	Part of provider network D1-00115, ranked 115 nationally.
1320	3	HOSPICE OF SURRY COUNTY, INC 1346422847, organization, Galax	VA	65	$134K	Part of provider network D1-00086, ranked 86 nationally.
1343	3	AFFINITY CARE OF VIRGINIA LLC 1699373449, organization, Newport News	VA	65	$118K	Part of provider network D1-00113, ranked 113 nationally.
1459	3	JAWAD BHATTI 1609912351, individual, Richmond	VA	64	$31K	Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated. Medicaid paid $31,331 in the last 12 observed months.
1474	3	JAMES RIVER HOME HEALTH CARE, LLC 1790125987, organization, North Chesterfield	VA	64	$26K	Part of provider network D1-00106, ranked 106 nationally.
1480	3	ROCKBRIDGE AREA HOSPICE, INC 1750381901, organization, Lexington	VA	64	$24K	Part of provider network D1-00122, ranked 122 nationally.
1658	3	TRINITY HOSPICE 2, LLC 1053904003, organization, Richmond	VA	63	$1K	Part of provider network D1-00053, ranked 53 nationally.
1695	3	INTEGRITY HOME HEALTH INC 1285957225, organization, Richmond	VA	62	$254	Part of provider network D1-00053, ranked 53 nationally.
1708	3	THE MEDICAL TEAM, INC 1790732667, organization, Reston	VA	62	$0	Part of provider network D1-00101, ranked 101 nationally. 93% of Medicaid dollars are on codes with a history of abuse.
1849	3	BIRCHWOOD PARK REHABILITATION AND NURSING LLC 1396494571, organization, Virginia Beach	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
1946	3	MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC. 1437263209, organization, Arlington	VA	60	$0	Part of provider network D1-00126, ranked 126 nationally.
1949	3	WYTHE VA OPCO LLC 1487367769, organization, Rural Retreat	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
1953	3	DEER MEADOWS REHABILITATION AND NURSING LLC 1578276853, organization, Abingdon	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
1957	3	SEVEN HILLS REHABILITATION AND NURSING LLC 1669185948, organization, Lynchburg	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
2039	3	ABINGDON HEALTH CARE LLC 1710256920, organization, Abingdon	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
2055	3	CYPRESS POINT REHABILITATION AND NURSING LLC 1033868211, organization, Virginia Beach	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
2203	3	ROANOKE REHAB AND HEALTHCARE CENTER LLC 1033899935, organization, Roanoke	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
2272	3	BAY POINTE REHABILITATION AND NURSING LLC 1538818703, organization, Virginia Beach	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
2366	3	NORVIEW HEIGHTS REHABILITATION AND NURSING LLC 1942959127, organization, Norfolk	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
2399	3	BIRDMONT HEALTH CARE, LLC 1598796674, organization, Wytheville	VA	60	$0	Part of provider network D1-00080, ranked 80 nationally.
2448	3	SP LEE LLC 1659340537, organization, Pennington Gap	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
2547	3	JAMES RIVER HOME HEALTH CARE, LLC 1760148712, organization, Fredericksburg	VA	60	$0	Part of provider network D1-00106, ranked 106 nationally.
2551	3	BOTETOURT HEALTH CARE, LLC 1922039015, organization, Daleville	VA	60	$0	Part of provider network D1-00080, ranked 80 nationally.
2652	3	NORFOLK AREA SENIOR CARE LLC 1275041600, organization, Chesapeake	VA	60	$0	Part of provider network D1-00080, ranked 80 nationally.
2962	3	PULSE MEDICAL SUPPLY LLC 1700591690, organization, Fairfax	VA	60	$0	Charged (charged) per a Department of Justice release dated June 23, 2026, not adjudicated.
2963	3	CCSP NOVA LLC 1710291679, organization, Sterling	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
2995	3	BLUE RIDGE REHABILITATION AND NURSING LLC 1205549581, organization, Harrisonburg	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
3094	3	CHASE CITY HEALTH CARE LLC 1285603142, organization, Chase City	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
3193	3	JAVAID PERWAIZ 1588611610, individual, Chesapeake	VA	60	$0	Charged (indicted) per a Department of Justice release dated January 8, 2025, not adjudicated.
3207	3	JAMES RIVER HOME HEALTH CARE, LLC 1922602705, organization, Farmville	VA	60	$0	Part of provider network D1-00106, ranked 106 nationally.
3269	3	HERITAGE HUNT LLC 1689608473, organization, Gainesville	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
3388	3	NASSAWADOX REHABILITATION AND NURSING LLC 1306587597, organization, Nassawadox	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
3398	3	ENNOBLE HOSPICE VA LLC 1518672880, organization, Arlington	VA	60	$0	Part of provider network D1-00103, ranked 103 nationally.
3519	3	WARRENTON OPERATIONS, LLC 1669834032, organization, Warrenton	VA	60	$0	Part of provider network D1-00035, ranked 35 nationally.
3548	3	AMERICAN HOME HEALTHCARE 1386277648, organization, Chesapeake	VA	60	$0	Part of provider network D1-00053, ranked 53 nationally.
3659	3	BON SECOURS MERCY HEALTH FRANKLIN LLC 1649815770, organization, Franklin	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
3728	3	JAMES RIVER HOME HEALTH CARE, LLC 1235804949, organization, Lynchburg	VA	60	$0	Part of provider network D1-00106, ranked 106 nationally.
3753	3	GREENE ACRES REHABILITATION AND NURSING LLC 1841903127, organization, Stanardsville	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
3766	3	REMEDY HOME HEALTH CORP 1154759819, organization, Roanoke	VA	60	$0	Part of provider network D1-00111, ranked 111 nationally.
3991	3	HOPEWELL HEALTH CARE LLC 1740241181, organization, Hopewell	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
4041	3	TRINITY HOSPICE 3 LLC 1881433647, organization, Charlottesville	VA	60	$0	Part of provider network D1-00053, ranked 53 nationally.
4147	3	MANASSAS HEALTH CARE LLC 1609986744, organization, Manassas	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
4296	3	CRISTINA SCHASSE 1245594282, individual, Richmond	VA	60	$0	Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
4368	3	JAMES RIVER HOME HEALTH CARE, LLC 1003269853, organization, North Chesterfield	VA	60	$0	Part of provider network D1-00106, ranked 106 nationally.
4413	3	LAKE PRINCE AT HOME LLC 1174112445, organization, Suffolk	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
4415	3	SOUTH HILL VA OPCO LLC 1205655206, organization, South Hill	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
4586	3	BRISTOL HOSPICE - RICHMOND, L.L.C. 1225774136, organization, Richmond	VA	60	$0	Part of provider network D1-00039, ranked 39 nationally.
4733	3	OLD DOMINION REHABILITATION AND NURSING LLC 1649038381, organization, Newport News	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
4746	3	LAKE PRINCE AT HOME LLC 1932601747, organization, Suffolk	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
4876	3	JAMES RIVER HOME HEALTH CARE, LLC 1043985757, organization, Lynchburg	VA	60	$0	Part of provider network D1-00106, ranked 106 nationally.
5262	3	LAKE PRINCE CENTER, INC. 1073500310, organization, Suffolk	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
5447	3	TRADITIONS HOSPICE OF GLEN ALLEN, LLC 1275527970, organization, Glen Allen	VA	60	$0	Part of provider network D1-00051, ranked 51 nationally.
5474	3	CLIFTON FORGE HEALTH CARE LLC 1861461881, organization, Clifton Forge	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
5732	3	OLD SOUTHWEST HEALTH AND REHABILITATION LLC 1750094033, organization, Roanoke	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
5778	3	THE MEDICAL TEAM, INC 1427432624, organization, Reston	VA	60	$0	Part of provider network D1-00101, ranked 101 nationally.
5838	3	E'MON AMBERS 1235892654, individual, Henrico	VA	60	$0	Charged (indicted) per a Department of Justice release dated February 17, 2026, not adjudicated.
5846	3	VIRGINIA INTEGRATIVE HEALTH, LLC 1568809713, organization, Vienna	VA	60	$0	Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
5867	3	DINWIDDIE HEALTH CARE LLC 1497922843, organization, Petersburg	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
6027	3	CSP NOVA LLC 1538473418, organization, Herndon	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
6053	3	JAMES RIVER HOME HEALTH CARE, LLC 1740946797, organization, Fredericksburg	VA	60	$0	Part of provider network D1-00106, ranked 106 nationally.
6181	3	NRV HEALTH CARE LLC 1881663771, organization, Radford	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
6226	3	NANS POINTE REHABILITATION AND NURSING LLC 1194474361, organization, Suffolk	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
6445	3	JAMES RIVER HOME HEALTH CARE, LLC 1790389575, organization, Farmville	VA	60	$0	Part of provider network D1-00106, ranked 106 nationally.
6600	3	NORTHERN CARDINAL REHABILITATION AND NURSING LLC 1548028285, organization, Suffolk	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
6657	3	FREDERICKSBURG HEALTH CARE LLC 1912153164, organization, Fredericksburg	VA	60	$0	Part of provider network D1-00136, ranked 136 nationally.
6872	3	ESSEX REHABILITATION AND CARE CENTER LLC 1346323573, organization, Tappahannock	VA	60	$0	Part of provider network D1-00080, ranked 80 nationally.
6886	3	TRINITY HOSPICE 1, LLC 1386263499, organization, Chesapeake	VA	60	$0	Part of provider network D1-00053, ranked 53 nationally.
6941	3	BRISTOL HOSPICE - VIRGINIA BEACH, L.L.C. 1962149740, organization, Virginia Beach	VA	60	$0	Part of provider network D1-00039, ranked 39 nationally.
6970	3	RIVER EDGE REHABILITATION AND NURSING LLC 1487367868, organization, Waynesboro	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
6981	3	THALIA GARDENS REHABILITATION AND NURSING LLC 1053060236, organization, Virginia Beach	VA	60	$0	Part of provider network D1-00004, ranked 4 nationally.
7187	3	LEXINGTON RETIREMENT COMMUNITY, INC 1538392295, organization, Lexington	VA	60	$0	Part of provider network D1-00122, ranked 122 nationally.
7491	4	THRESA SIMON 1003871989, individual, Petersburg	VA	56	$4.0M	Hours beyond a day in 62 months, but with up to 629 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 ($506 per patient-month) sit in the top 5% of every provider billing that code.

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