Why this was flagged
Medicare paid this provider far more than its peers
In 2024 Medicare paid this provider $37,479,144, against a typical payment of $2,031,868 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.
Source Medicare Hospice Payments by Provider · record as of 11 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 5f1f87
Owners and managing parties of record
PAULA WAGNER
CORPORATE DIRECTOR · I · since Jan 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KEN D ADAMS
CORPORATE DIRECTOR · I · since Jan 1, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MARY COFFEY
CORPORATE DIRECTOR · I · since Jan 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MILLICENT GRACE BURKE-SINCLAIR
W-2 MANAGING EMPLOYEE · I · since Aug 5, 2014
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NAVIN ANTHONY
CORPORATE DIRECTOR · I · since Oct 1, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
HEATHER HALFORD
W-2 MANAGING EMPLOYEE · I · since Sep 2, 2014
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
RICHELLE NUGENT HOOPER
W-2 MANAGING EMPLOYEE · I · since Sep 1, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
KORAL ALMAN
CORPORATE DIRECTOR · I · since Oct 1, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
RUTH MIZE THOMSON
W-2 MANAGING EMPLOYEE · I · since Dec 20, 2021
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
WILLIAM D MCKIBBIN
CORPORATE DIRECTOR · I · since Oct 1, 2016
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CORY DONOHUE
CORPORATE DIRECTOR · I · since Jan 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
CAROL HUNTER
CORPORATE DIRECTOR · I · since Oct 1, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
TINA GENTRY
CORPORATE DIRECTOR · I · since Jan 1, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
PAIGE DICKENS WHEELER
W-2 MANAGING EMPLOYEE · I · since Jul 8, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NANCY BOUVET
CORPORATE DIRECTOR · I · since Oct 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
DARYL CROUSE
CORPORATE DIRECTOR · I · since Oct 1, 2020
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
VICTORIA FLANAGAN
CORPORATE DIRECTOR · I · since Oct 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
SUSAN KERSBERGEN
CORPORATE DIRECTOR · I · since Jan 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
JASON BRADSHAW
CORPORATE DIRECTOR · I · since Jan 1, 2025
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MONICA BYRD WATTS
W-2 MANAGING EMPLOYEE · I · since Feb 10, 2003
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
NATASHA MICHAELS
CORPORATE DIRECTOR · I · since Jan 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
LEEANN TUCKER
CORPORATE DIRECTOR · I · since Jan 1, 2024
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
MALINDA VERA CRUZ
CORPORATE DIRECTOR · I · since Oct 1, 2019
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
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.
- Medicare paid this provider far more than its peers
Weekly refreshes
- 18 Sept 2026 (in use)6,134 recordspublisher data as of 11 Aug 2026
- 18 Sept 20261,000 recordspublisher data as of 11 Aug 2026(running)
Records read from this file
- Four Seasons The Care You Trust — 2024$37,479,144 paid · 3,252 patients
CMS Hospice All Owners
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- PAULA WAGNERCORPORATE DIRECTOR · since 2024-01-01
- KEN D ADAMSCORPORATE DIRECTOR · since 2025-01-01
- MARY COFFEYCORPORATE DIRECTOR · since 2024-01-01
- MILLICENT GRACE BURKE-SINCLAIRW-2 MANAGING EMPLOYEE · since 2014-08-05
- NAVIN ANTHONYCORPORATE DIRECTOR · since 2020-10-01
- HEATHER HALFORDW-2 MANAGING EMPLOYEE · since 2014-09-02
- RICHELLE NUGENT HOOPERW-2 MANAGING EMPLOYEE · since 2020-09-01
- KORAL ALMANCORPORATE DIRECTOR · since 2021-10-01
CMS Hospice Enrollments
Weekly refreshes
- 18 Sept 2026 (in use)5,802 records5,000 added · 1 changed · 0 removedpublisher data as of 27 Jul 2026
Records read from this file
- HOSPICE OF HENDERSON COUNTY INCNPI 1275524621 · certification 341530 · 571 S ALLEN RD, FLAT ROCK, NC
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 | HOSPICE OF HENDERSON COUNTY INC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | FOUR SEASONS THE CARE YOU TRUST | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1275524621 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 341530 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 4880507466 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Organisation type | CORPORATION | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 571 S ALLEN RD | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | FLAT ROCK | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | NC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 287319447 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
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.