Providers

COMMONHEART, INC.

NPI 1083652333, organization, Waukesha, WI, Hospice Care, Community Based

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00095, ranked 95 nationally.
score 66 of 100, rank 1136, $534K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameCOMMONHEART, INC. (also COMMONHEART HOME HEALTH; COMMONHEART HOSPICE)
TypeOrganization
StatusActive
NPI issuedJune 2, 2006, last updated July 10, 2026
Practice locationN16W23217 STONE RIDGE DR STE 350, Waukesha, WI 53188-1171, 844-206-4930
Authorized officialJUSTIN MUNZEL (President)
Specialties
Hospice Care, Community Based (251G00000X, primary, license 2015 WI)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
T2046Medicaid service code$7.2M100%$3K$4K (top 5% from $6K)27th percentile
G0299Direct skilled nursing by RN in home health or hospice each 15 min$00%$0.00$151 (top 5% from $742)too few months to rank
G0156Home health or hospice aide each 15 min$00%$0.00$585 (top 5% from $4K)too few months to rank
G0155Clinical social worker in home health or hospice setting each 15 min$00%$0.00$0.00 (top 5% from $192)too few months to rank

In this area

15 providers in Waukesha County, WI carry an indicator in the public record, with $2.8M at stake between them. The most common is part of a provider network, on 9 of them, followed by more hours than a day holds on 5. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1KESTREL MEDICAL LLC
Oconomowoc, WI, ranked 530
$0
  • Adjudicated (sentenced) per a Department of Justice release dated January 30, 2026.
  • No Medicaid payments in the last 12 observed months.
3COMMONHEART, INC.
Waukesha, WI, ranked 1406
$59K
  • Part of provider network D1-00095, ranked 95 nationally.
3CCC OF PEWAUKEE LLC
Waukesha, WI, ranked 1529
$10K
  • Part of provider network D1-00095, ranked 95 nationally.
3ARIA OF BROOKFIELD LLC
Brookfield, WI, ranked 1630
$2K
  • Part of provider network D1-00095, ranked 95 nationally.
3LINDENGROVE COMMUNITIES LLC
Mukwonago, WI, ranked 2594
$0
  • Part of provider network D1-00095, ranked 95 nationally.
3ARIA OF WAUKESHA LLC
Waukesha, WI, ranked 3873
$0
  • Part of provider network D1-00095, ranked 95 nationally.
3LINDENGROVE COMMUNITIES LLC
Menomonee Falls, WI, ranked 4500
$0
  • Part of provider network D1-00095, ranked 95 nationally.
3WHEATON FRANCISCAN HEALTHCARE TERRACE AT ST. FRANCIS, INC.
Brookfield, WI, ranked 5747
$0
  • Part of provider network D1-00106, ranked 106 nationally.
All 15 in WI

Recent enforcement in WI

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 25, 2026
Federal Charges Announced in Multi-Million Dollar Medicaid Fraud Scheme and Prescription Drug Diversion Conspiracy; Announcement Made as Part of Justice Department’s National Health Care Fraud Takedown
Cooper submitted over $5.8 million in false claims to Wisconsin Medicaid for prenatal care coordination services that beneficiaries never received and used another person's means of identification, while Jones conspired to distribute controlled substances outside the usual course of professional practice.
DOJCivil settlementApr 17, 2026
Appleton Clinic to Pay Over $380,000 to Resolve False Claims Act Allegations Relating to the Marketing and Use of Electric Stimulation Devices
Apple Medical Clinic and its principal caused the submission of false claims to Medicare for electrical muscle stimulation, vitamin injections, and other related services that were not medically reasonable or necessary, and marketed the Sanexas device outside its FDA clearance and contrary to coverage determinations.
DOJSentencedMar 23, 2026
Owner of Now-Closed Milwaukee Prenatal Care Coordination Company Sentenced to 60 Months’ Imprisonment for Healthcare Fraud Scheme
Jackson offered women kickbacks in exchange for their Medicaid numbers and falsely billed Wisconsin Medicaid for prenatal care coordination services, almost always at the monthly maximum, when she and her employees provided few to no covered services.
DOJCivil settlementMar 5, 2026
Waukesha Medical Equipment Company Agrees to Pay Nearly $7 Million to Resolve Allegations of False Billings to Federal Healthcare Programs
From 2019 through 2024, Kinex provided patients covered by federal programs with medical braces the patients did not need and billed Medicare, TRICARE, FEHBP, and OWCP as if the braces had been necessary, inducing patients to accept them by waiving co-pays and giving free equipment.
DOJSentencedFeb 3, 2026
Delafield Man Sentenced to 18 Months’ Imprisonment for Conspiracy to Pay Healthcare Kickbacks
Johnson paid kickbacks to companies purporting to provide marketing services in exchange for signed prescriptions and doctors' orders for durable medical equipment that his company Kestrel Medical submitted to Medicare.

Referral packet

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Ask this case

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