Providers
All 256 in FL
ALTERNATIVE MEDICAL HEALTHCARE SERVICES, CORP.
NPI 1124249446, organization, Miami, FL, Home Health
3
Evidence tier
network structure with a list link
- Part of provider network D1-00129, ranked 129 nationally.
- Medicaid dollars per patient on code S9123 ($13222 per patient-month) sit in the top 5% of every provider billing that code.
score 71 of 100, rank 763, $10.3M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ALTERNATIVE MEDICAL HEALTHCARE SERVICES, CORP. |
| Type | Organization |
| Status | Active |
| NPI issued | May 2, 2007, last updated May 4, 2020 |
| Practice location | 7071 SW 47TH STREET, Miami, FL 33155-4697, 305-447-8981 |
| Authorized official | MONICA RIVERO (President/Administrator) |
| Specialties | Home Health (251E00000X, primary, license 299992725 FL) |
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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| S9124 | Nursing care in the home by LPN per hour | $38.6M | 52% | $10K | $7K (top 5% from $15K) | 75th percentile | |
| S9123 | Nursing care in the home by RN per hour | $23.9M | 32% | $13K | $365 (top 5% from $10K) | 97th percentile | |
| S9122 | Home health aide or CNA in the home per hour | $10.2M | 14% | $2K | $2K (top 5% from $5K) | 47th percentile | |
| T1021 | Medicaid service code | $706K | 1% | $653 | $899 (top 5% from $2K) | 38th percentile | |
| T1019 | Personal care services per 15 minhistory of abuse | $645K | 1% | $1K | $2K (top 5% from $4K) | 36th percentile | |
| T1030 | Nursing care in the home by RN per diem | $463K | 1% | $346 | $273 (top 5% from $750) | 67th percentile | |
| S5130 | Homemaker service per 15 min | $241K | 0% | $462 | $473 (top 5% from $2K) | 48th percentile | |
| T1031 | Nursing care in the home by LPN per diem | $69K | 0% | $318 | $219 (top 5% from $659) | 75th percentile |
In this area
256 providers in Miami-Dade County, FL carry an indicator in the public record, with $444.2M at stake between them. The most common is more hours than a day holds, on 203 of them, followed by part of a provider network on 43. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ALAN SWARTZ Miami, FL, ranked 419 | $452 |
|
| 1 | ROSALVA ZEGARRA Hialeah, FL, ranked 424 | $302 |
|
| 1 | LARKIN BEHAVIOR HEALTH INC Hialeah Gardens, FL, ranked 501 | $0 |
|
| 1 | ABRH CARE INC Miami, FL, ranked 507 | $0 |
|
| 1 | DAVILA MEDICAL CENTER INC Miami, FL, ranked 649 | $0 |
|
| 1 | NEW BEHAVIOR HEALTH DIRECTION INC Miami, FL, ranked 683 | $0 |
|
| 2 | MARIA MACHADO Miami, FL, ranked 691 | $4.0M |
|
| 2 | MASSIEL MERLO-GOMEZ Miami, FL, ranked 740 | $387K |
|
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.