Why this was flagged
Medicare paid this provider far more than its peers
In 2021 Medicare paid this provider $20,683,892, against a typical payment of $962,450 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.
Source Medicare Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19
View the records behind this flag →
An owner name may match the federal exclusion list
The owner name matches an exclusion-list name, but no second identifier confirms identity. Treat this as low-confidence context until a person verifies it.
Source HHS OIG Exclusion List (LEIE) · record as of 9 Nov 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 9e9c16
View the records behind this flag →
Owner is tied to 142 providers
An owner or managing party of this provider (PROVIDENCE HEALTH & SERVICES - WASHINGTON) is listed on 142 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
View the records behind this flag →
2 providers share this street address
This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Home Health Agency Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7
View the records behind this flag →
Owners and managing parties of record
PROVIDENCE HEALTH & SERVICES-OREGON
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
PROVIDENCE HEALTH & SERVICES - WASHINGTON
OPERATIONAL/MANAGERIAL CONTROL · O · 100% ownership · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MARVIN O'QUINN
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2024
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
LINDA BUCK
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ERIK WEXLER
CORPORATE OFFICER · I · 0% ownership · since Jan 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ROGELIO RIOJAS
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
JAMES MARTIN
CORPORATE OFFICER · I · 0% ownership · since Jan 13, 2023
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
DONNA MARKHAM
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2024
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
PROVIDENCE HEALTH & SERVICES
OPERATIONAL/MANAGERIAL CONTROL · O · 0% ownership · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MARY BETH KINGSTON
CORPORATE DIRECTOR · I · 0% ownership · since Sep 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
KARIN DUFAULT
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
PROVIDENCE ST. JOSEPH HEALTH
OPERATIONAL/MANAGERIAL CONTROL · O · 0% ownership · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
DIANE L HEJNA
CORPORATE DIRECTOR · I · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
RICHARD S BLAIR
CORPORATE DIRECTOR · I · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
PROVIDENCE HEALTH & SERVICES-OREGON
OPERATIONAL/MANAGERIAL CONTROL · O · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MARY E LYONS
CORPORATE DIRECTOR · I · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
NICOLE SIKES
W-2 MANAGING EMPLOYEE · I · since Aug 22, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
PHYLLIS M HUGHES
CORPORATE DIRECTOR · I · since Jan 1, 2014
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MALISA J WESTLUND
W-2 MANAGING EMPLOYEE · I · since Mar 6, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
CHARLES WALLACE SORENSON
CORPORATE DIRECTOR · I · since Jan 1, 2019
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MICHAEL D ROBINSON
W-2 MANAGING EMPLOYEE · I · since Jan 6, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
SHAUNE C MATTSSON
W-2 MANAGING EMPLOYEE · I · since Aug 25, 1994
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
DONALD WAYNE ANDERSON
CORPORATE OFFICER · I · since Jan 1, 2017
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
GREGORY DAVID HOFFMAN
CORPORATE OFFICER · I · since Oct 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ISIAAH D CRAWFORD
CORPORATE DIRECTOR · I · since Feb 1, 2012
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
MICHAEL W MURPHY
CORPORATE DIRECTOR · I · since Jan 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ERIC D SPRUNK
CORPORATE DIRECTOR · I · since Jan 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
ANNA R NEWSOM
CORPORATE OFFICER · I · since May 13, 2022
Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4
Source timeline
Corrections and disputes
Providers and researchers can dispute a detail, submit supporting links, and track the review.
Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | PROVIDENCE HEALTH & SERVICES OREGON | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Trading name | PROVIDENCE HOME HEALTH | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| NPI | 1790873461 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Medicare certification number | 387048 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| CMS associate ID | 6305755000 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Provider type | PART A PROVIDER - HOME HEALTH AGENCY | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Organisation type | CORPORATION | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Incorporation date | 1934-02-20 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State of incorporation | OR | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| Street address | 6410 NE HALSEY ST, STE 200 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| City | PORTLAND | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| State | OR | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
| ZIP | 97213-4742 | CMS Home Health Agency Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · 80bfb7 |
What changed
Public research history
Loading the research history…