Providers
All 15 in WI
CCC OF PEWAUKEE LLC
NPI 1578049995, organization, Waukesha, WI, Skilled Nursing Facility
3
Evidence tier
network structure with a list link
- Part of provider network D1-00095, ranked 95 nationally.
score 64 of 100, rank 1529, $10K at stake
Provider networks
D1-00095 ranked 9584 providers around Wauwatosa, WI: 6 hospices, 2 home health agencies, 76 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CCC OF PEWAUKEE LLC (also CROSSROADS CARE CENTER OF PEWAUKEE; AVINA OF PEWAUKEE) |
| Type | Organization |
| Status | Active |
| NPI issued | July 18, 2018, last updated June 4, 2026 |
| Practice location | N26W23977 WATERTOWN RD, Waukesha, WI 53188-1006, 847-983-4860 |
| Mailing address | 5454 FARGO AVE, Skokie, IL 60077-3210 |
| Authorized official | David Merzel (Cfo) |
| Specialties | Skilled Nursing Facility (314000000X, primary) |
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 | |
|---|---|---|---|---|---|---|---|
| A0120 | Medicaid service code | $8K | 73% | $87 | $69 (top 5% from $497) | 57th percentile | |
| S0215 | Medicaid service code | $3K | 27% | $33 | $89 (top 5% from $498) | 24th percentile |
In this area
15 providers in Waukesha County, WI carry an indicator in the public record, with $3.3M 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.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | KESTREL MEDICAL LLC Oconomowoc, WI, ranked 530 | $0 |
|
| 3 | COMMONHEART, INC. Waukesha, WI, ranked 1136 | $534K |
|
| 3 | COMMONHEART, INC. Waukesha, WI, ranked 1406 | $59K |
|
| 3 | ARIA OF BROOKFIELD LLC Brookfield, WI, ranked 1630 | $2K |
|
| 3 | LINDENGROVE COMMUNITIES LLC Mukwonago, WI, ranked 2594 | $0 |
|
| 3 | ARIA OF WAUKESHA LLC Waukesha, WI, ranked 3873 | $0 |
|
| 3 | LINDENGROVE COMMUNITIES LLC Menomonee Falls, WI, ranked 4500 | $0 |
|
| 3 | WHEATON FRANCISCAN HEALTHCARE TERRACE AT ST. FRANCIS, INC. Brookfield, WI, ranked 5747 | $0 |
|
Recent enforcement in WI
All releasesDepartment 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
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.