Why this was flagged
Medicare paid far more per patient than peers
In 2022 this provider was paid $26,064 per patient, against a typical $14,291 for the same kind of provider in AL. 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
View the records behind this flag →
Owner is tied to 36 providers
An owner or managing party of this provider (PAMELA A DUNCAN OWENS) is listed on 36 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
ARROW MANAGEMENT HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ACG MISSISSIPPI, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ACG MISSISSIPPI, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
REP AGP HOLDCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 92.72% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ACG ACQUISITION LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 84.39% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
REP AGP III, L.P.
LIMITED PARTNERSHIP INTEREST · O · 40.9% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
REP COINVEST III AGP BLOCKER, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 31.7% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
REP COINVEST III AGP BLOCKER, LP
LIMITED PARTNERSHIP INTEREST · O · 30.97% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
REP COINVEST III AGP, L.P.
LIMITED PARTNERSHIP INTEREST · O · 26.7% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
REP COINVEST III AGP GP LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 26.14% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
TVG HCSC BLOCKER, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 15.61% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ACP 2021 LAVA III LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 9.67% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
PCIF IV HOLDING VEHICLE, L.P.
LIMITED PARTNERSHIP INTEREST · O · 6.75% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ACP 2021 PLUTO I LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 6.4% ownership · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JORDAN CRUMLEY
CORPORATE DIRECTOR · I · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
TROY YARBOROUGH
CORPORATE OFFICER · I · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
HAYLEY EBY
CORPORATE DIRECTOR · I · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
KATHLYN DIEFENDERFER
CONTRACTED MANAGING EMPLOYEE · I · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JANELLE I PLOWS
CORPORATE DIRECTOR · I · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
PAMELA A DUNCAN OWENS
CORPORATE OFFICER · I · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DAVID W GILLIGAN
CORPORATE OFFICER · I · since Aug 23, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
BOBBIE M HARDEN
W-2 MANAGING EMPLOYEE · I · since Aug 23, 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.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | FIRST CHOICE HOSPICE, LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Trading name | ACG HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1821033200 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 011656 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 8325051881 | 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 |
| Incorporation date | 2006-04-04 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State of incorporation | AL | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 966 CLAXTON AVE N | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | ELBA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | AL | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 36323-1541 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
What changed
Public research history
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