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Elevated
OpenScore 140

HOSPICE OF THE BLUEGRASS, INC.

Doing business as MOUNTAIN COMMUNITY HOSPICE

Flagged provider address

57 DENNIS SANDLIN, MD COVE, HAZARD, KY, 41701-5902

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2023 this provider was paid $13,866 per patient, against a typical $7,769 for the same kind of provider in KY. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.

Source Medicare Hospice Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · c311f7

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Moderate
Excluded owner

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 →

Info
Owner cluster

Owner is tied to 8 providers

An owner or managing party of this provider (ROBERT COFIELD) is listed on 8 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

View the records behind this flag →

Owners and managing parties of record

EVERENT HEALTH INC

OPERATIONAL/MANAGERIAL CONTROL · O · 100% ownership · since Apr 1, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ELIZABETH FOWLER

CORPORATE OFFICER · I · 0% ownership · since Sep 8, 2014

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ELIZABETH FOWLER

CORPORATE DIRECTOR · I · 0% ownership · since Sep 8, 2014

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ELIZABETH FOWLER

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Sep 8, 2014

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ELIZABETH FOWLER

OPERATIONAL/MANAGERIAL CONTROL · I · 0% ownership · since Sep 8, 2014

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

HOLLY HODGE

CORPORATE OFFICER · I · 0% ownership · since Jun 2, 2014

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

HOLLY HODGE

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Jun 2, 2014

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

AMANDA HENSON

CORPORATE DIRECTOR · I · since Jan 1, 2018

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

CATHY ZION

CORPORATE DIRECTOR · I · since Dec 5, 2024

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

SALLI E WHISMAN

W-2 MANAGING EMPLOYEE · I · since Jan 1, 2021

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

MARK DAY

CORPORATE DIRECTOR · I · since Jan 1, 2022

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

LYNN K FIELDHOUSE

CORPORATE OFFICER · I · since Jan 1, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

JEFFREY KOONCE

CORPORATE DIRECTOR · I · since Jan 1, 2022

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

JENNIFER TAYLOR

CORPORATE DIRECTOR · I · since Jan 1, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

NANA MENSAH

CORPORATE DIRECTOR · I · since Dec 17, 2024

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ROBERT ROSENSTEIN

CORPORATE DIRECTOR · I · since Jan 1, 2017

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

JENNIFER MADDEN

CORPORATE DIRECTOR · I · since Jan 1, 2022

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ROBERT COFIELD

CORPORATE DIRECTOR · I · since Jan 1, 2019

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ROBERT EDWARDS

CORPORATE DIRECTOR · I · since Jan 1, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

MARK MEADE

CORPORATE DIRECTOR · I · since Jan 1, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

LAWRENCE WETHERBY

CORPORATE DIRECTOR · I · since Jan 1, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

SHIRIE HAWKINS

CORPORATE DIRECTOR · I · since Jan 1, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

DAVID COOK

CORPORATE OFFICER · I · since Sep 7, 2021

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

DAVID COOK

CORPORATE DIRECTOR · I · since Sep 7, 2021

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

RACHAEL CHAMBERLAIN

CORPORATE DIRECTOR · I · since Jan 1, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

REBECCA PHILLIPS

CORPORATE DIRECTOR · I · since Apr 18, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

JAMES WATSON

CORPORATE DIRECTOR · I · since Dec 5, 2025

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

RICHARD HOPGOOD

CORPORATE DIRECTOR · I · since Jan 1, 2018

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

JONATHON DAVIS

CORPORATE DIRECTOR · I · since Jan 1, 2023

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

LYNN M BYNUM

CORPORATE DIRECTOR · I · since Dec 5, 2024

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

CHERI GLASS

CORPORATE DIRECTOR · I · since Dec 5, 2024

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

FAIRLENA K FUGATE

CORPORATE DIRECTOR · I · since Jan 1, 2024

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

JOHN AUSTIN

CORPORATE DIRECTOR · I · since Jan 1, 2021

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

HOSPICE OF THE BLUEGRASS, INC.

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · since Sep 15, 2009

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

HOSPICE OF THE BLUEGRASS, INC.

OPERATIONAL/MANAGERIAL CONTROL · O · since Sep 8, 2014

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

GIOVANNI ROMERO

CORPORATE DIRECTOR · I · since Jan 1, 2024

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

Source timeline

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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.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameHOSPICE OF THE BLUEGRASS, INC.CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Trading nameMOUNTAIN COMMUNITY HOSPICECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
NPI1033328232CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Medicare certification number181526CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CMS associate ID9830279439CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Organisation typeCORPORATIONCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Incorporation date1980-09-25CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
State of incorporationKYCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Street address57 DENNIS SANDLIN, MD COVECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CityHAZARDCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
StateKYCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
ZIP41701-5902CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d

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