Providers

SMITHVILLE WESTERN INC.

NPI 1144210634, organization, Wooster, OH, Skilled Nursing Facility

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00130, ranked 130 nationally.
score 60 of 100, rank 2598, $0 at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameSMITHVILLE WESTERN INC.
TypeOrganization
StatusActive
NPI issuedOctober 26, 2005, last updated February 4, 2009
Practice location4110 E SMITHVILLE WESTERN RD, Wooster, OH 44691-7782, 330-345-9050
Authorized officialMARK SPRENGER (Executive VP and CIO)
Specialties
Skilled Nursing Facility (314000000X, primary, license 6141 OH)

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
T2031Assisted living waiver per diem$10K100%$641$2K (top 5% from $5K)too few months to rank

In this area

2 providers in Wayne County, OH carry an indicator in the public record, with $2K at stake between them. The most common is paid after a public list action, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1DOUGLAS SMITH
Wooster, OH, ranked 363
$2K
  • Listed on the Medicare revocation list since February 7, 2023.
  • Medicaid still paid claims in 2 later months, $2,252 in total.
3PROGRESSIVE PINES, LLC
Wooster, OH, ranked 4644
$0
  • Part of provider network D1-00087, ranked 87 nationally.

Recent enforcement in OH

All releases

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

DOJCivil settlementJun 23, 2026
Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid
Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.
DOJSentencedJun 15, 2026
Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare
A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.
DOJCivil settlementApr 2, 2026
Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations
Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.
DOJComplaint filedFeb 20, 2026
Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients
The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.
DOJSentencedJan 14, 2026
Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme
A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.

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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.