Providers

RJ MERIDIAN CARE OF GALVESTON,LLC

NPI 1679898803, organization, Galveston, TX, Skilled Nursing Facility

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00077, ranked 77 nationally.
score 60 of 100, rank 2316, $0 at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameRJ MERIDIAN CARE OF GALVESTON,LLC (also THE MERIDIAN)
TypeOrganization
StatusActive
NPI issuedMarch 31, 2010, last updated May 3, 2023
Practice location2228 SEAWALL BLVD, Galveston, TX 77550-8940, 210-827-5818
Mailing address25009 OAKHURST DR, Spring, TX 77386-1975
Authorized officialALICE FLORES (Director of Finance)
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
codewhat it ispaidshareper patient-monthtypicalrank among providers
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$00%$0.00$40 (top 5% from $69)too few months to rank
G2024Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source$00%$0.00$19 (top 5% from $72)too few months to rank

In this area

7 providers in Galveston County, TX carry an indicator in the public record, with $2.6M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by paid after a public list action on 2. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1JANIS FOWLER-GULDE
Hitchcock, TX, ranked 372
$2K
  • Listed on the Medicare revocation list since January 13, 2020.
  • Medicaid still paid claims in 7 later months, $1,828 in total.
1VITAVIA TELEMEDICINE PLLC
League City, TX, ranked 411
$562
  • Listed on the Medicare revocation list since August 20, 2024.
  • Medicaid still paid claims in 1 later month, $562 in total.
3DEMPSEY SPEARS
Texas City, TX, ranked 1572
$7K
  • Charged (indicted) per a Department of Justice release dated September 23, 2025, not adjudicated.
  • Medicaid paid $6,903 in the last 12 observed months.
3INTEGRITY HOSPICE LLC
League City, TX, ranked 2081
$0
  • Part of provider network D1-00051, ranked 51 nationally.
4MAHALAKSHMI RAMCHANDRA
Dickinson, TX, ranked 7622
$2.5M
  • Hours beyond a day in 1 month, but with up to 1734 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
5SYED ZAIDI
Friendswood, TX, ranked 11552
$141K
5RACHEL MCCLOSKEY
Texas City, TX, ranked 11960
$4K

Recent enforcement in TX

All releases

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

DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.

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.

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