Why this was flagged
Medicare paid far more per patient than peers
In 2021 this provider was paid $29,640 per patient, against a typical $11,998 for the same kind of provider in LA. 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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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 Hospice Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d
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Owners and managing parties of record
SHERRY SPIVEY
W-2 MANAGING EMPLOYEE · I · 100% ownership · since Mar 7, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
GREGORY LANCE SMITH
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Mar 19, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
GREGORY LANCE SMITH
W-2 MANAGING EMPLOYEE · I · 100% ownership · since May 15, 2018
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MARK V SHELTON
CONTRACTED MANAGING EMPLOYEE · 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
Source timeline
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Source records
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| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | HAND IN HAND HOSPICE CARE LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1497232748 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 191690 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 2365776168 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Organisation type | LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 135 E 5TH ST | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | NATCHITOCHES | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | LA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 71457-5723 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
What changed
Public research history
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