Why this was flagged
An owner matches the federal exclusion list
A person or company listed as an owner or managing party of this provider matches a name on the HHS OIG list of individuals and entities excluded from federal healthcare programs. Names can coincide, so the identity must be confirmed before this means anything.
Source HHS OIG Exclusion List (LEIE) · record as of 18 Sept 2026 · pulled 18 Sept 2026 · version 2026-09-18 · e6ca62
Owner is tied to 31 providers
An owner or managing party of this provider (PROVIDENCE HEALTH & SERVICES - WASHINGTON) is listed on 31 separate Medicare enrollments. Chains are legal, but rapid multi-entity accumulation is a common structure in healthcare fraud cases.
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
Medicare paid this provider far more than its peers
In 2024 Medicare paid this provider $17,629,518, against a typical payment of $899,466 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 18 Sept 2026 · version 2026-09-18 · 31bbc0
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 27 Jul 2026 · pulled 18 Sept 2026 · version 2026-09-18 · c6841a
Other providers at this street address (1)
PROVIDENCE HEALTH & SERVICES OREGON
STE 300 · Incorporated Feb 20, 1934
Owners and managing parties of record
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 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
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 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ROGELIO RIOJAS
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
JAMES MARTIN
CORPORATE OFFICER · I · 0% ownership · since Jan 13, 2023
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DONNA MARKHAM
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2024
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
PROVIDENCE HEALTH & SERVICES
OPERATIONAL/MANAGERIAL CONTROL · O · 0% ownership · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MARY BETH KINGSTON
CORPORATE DIRECTOR · I · 0% ownership · since Sep 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ERIK WEXLER
CORPORATE OFFICER · I · 0% ownership · since Jan 1, 2023
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
KARIN DUFAULT
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MARVIN O'QUINN
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2024
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
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 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
LINDA BUCK
CORPORATE DIRECTOR · I · 0% ownership · since Jan 1, 2025
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ISIAAH D CRAWFORD
CORPORATE DIRECTOR · I · since Feb 1, 2012
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MICHAEL W MURPHY
CORPORATE DIRECTOR · I · since Jan 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ERIC D SPRUNK
CORPORATE DIRECTOR · I · since Jan 1, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
ANNA R NEWSOM
CORPORATE OFFICER · I · since May 13, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
CHARLES WALLACE SORENSON
CORPORATE DIRECTOR · I · since Jan 1, 2019
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
RICHARD S BLAIR
CORPORATE DIRECTOR · I · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
PROVIDENCE HEALTH & SERVICES-OREGON
OPERATIONAL/MANAGERIAL CONTROL · O · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MARY E LYONS
CORPORATE DIRECTOR · I · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
NICOLE SIKES
W-2 MANAGING EMPLOYEE · I · since Aug 22, 2022
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
PHYLLIS M HUGHES
CORPORATE DIRECTOR · I · since Jan 1, 2014
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MALISA J WESTLUND
W-2 MANAGING EMPLOYEE · I · since Mar 6, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DIANE L HEJNA
CORPORATE DIRECTOR · I · since Jul 1, 2016
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
MICHAEL D ROBINSON
W-2 MANAGING EMPLOYEE · I · since Jan 6, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
SHAUNE C MATTSSON
W-2 MANAGING EMPLOYEE · I · since Aug 25, 1994
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
DONALD WAYNE ANDERSON
CORPORATE OFFICER · I · since Jan 1, 2017
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
GREGORY DAVID HOFFMAN
CORPORATE OFFICER · I · since Oct 1, 2020
Source CMS Home Health Agency All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · f10296
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Owner is tied to 31 providers
Weekly refreshes
- 18 Sept 2026 (in use)101,188 recordspublisher data as of 19 Aug 2026
Records read from this file
- PROVIDENCE HEALTH & SERVICES - WASHINGTONOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2016-07-01
- PROVIDENCE HEALTH & SERVICES-OREGON5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2016-07-01
- ROGELIO RIOJASCORPORATE DIRECTOR · 0% share · since 2025-01-01
- JAMES MARTINCORPORATE OFFICER · 0% share · since 2023-01-13
- DONNA MARKHAMCORPORATE DIRECTOR · 0% share · since 2024-01-01
- PROVIDENCE HEALTH & SERVICESOPERATIONAL/MANAGERIAL CONTROL · 0% share · since 2016-07-01
- MARY BETH KINGSTONCORPORATE DIRECTOR · 0% share · since 2022-09-01
- ERIK WEXLERCORPORATE OFFICER · 0% share · since 2023-01-01
- 2 providers share this street address
Weekly refreshes
- 18 Sept 2026 (in use)11,494 records11,494 added · 0 changed · 0 removedpublisher data as of 27 Jul 2026
- 18 Sept 20261,000 records1,000 added · 0 changed · 0 removedpublisher data as of 27 Jul 2026(running)
Records read from this file
- PROVIDENCE HEALTH & SERVICES OREGONNPI 1790873461 · certification 387048 · 6410 NE HALSEY ST, PORTLAND, OR
- PROVIDENCE HEALTH & SERVICES OREGONsame street address in the same file
- An owner matches the federal exclusion list
Weekly refreshes
- 21 Sept 2026 (in use)1,000 records(running)
- 18 Sept 202683,953 records
- 18 Sept 202634,978 records(running)
- 18 Sept 202639,976 records(failed)
- 18 Sept 20261,000 records(failed)
Records read from this file
- JAMES MARTINexcluded 1984-02-15 · type 1128a1
- Medicare paid this provider far more than its peers
Weekly refreshes
- 18 Sept 2026 (in use)8,609 recordspublisher data as of 11 Aug 2026
Records read from this file
- Providence Home Health — 2024$17,629,518 paid · 3,353 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | PROVIDENCE HEALTH & SERVICES OREGON | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Trading name | PROVIDENCE HOME HEALTH | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| NPI | 1790873461 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Medicare certification number | 387048 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| CMS associate ID | 6305755000 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Provider type | PART A PROVIDER - HOME HEALTH AGENCY | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Organisation type | CORPORATION | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Incorporation date | 1934-02-20 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State of incorporation | OR | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| Street address | 6410 NE HALSEY ST, STE 200 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| City | PORTLAND | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| State | OR | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
| ZIP | 972134742 | CMS Home Health Agency Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · c6841a |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.