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Elevated
OpenScore 190

MEMORIAL HOSPITAL ASSOCIATION

Doing business as BEARTOOTH BILLINGS CLINIC

Flagged provider address

2525 N BROADWAY AVE, RED LODGE, MT, 59068-9222

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2021 this provider was paid $4,833 per patient, against a typical $3,876 for the same kind of provider in MT. 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 Home Health Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · db4c19

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Elevated
Shared address

4 providers share this street address

This address is the registered location of 4 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 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 80bfb7

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Info
Owner cluster

Owner is tied to 6 providers

An owner or managing party of this provider (BRANDI MAINS) is listed on 6 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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Owners and managing parties of record

SARAH EWALD

CORPORATE DIRECTOR · I · 0% ownership · since May 1, 2011

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

RICHARD FELLOWS

CORPORATE DIRECTOR · I · 0% ownership · since May 1, 2011

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

STEVEN J MUTH

CORPORATE DIRECTOR · I · 0% ownership · since May 1, 2002

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

SHARON NORBY

W-2 MANAGING EMPLOYEE · I · 0% ownership · since Sep 17, 1998

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

EDMUND JAMES DUNCAN

CORPORATE DIRECTOR · I · 0% ownership · since May 1, 2011

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

BRANDI MAINS

W-2 MANAGING EMPLOYEE · I · 0% ownership · since May 27, 1997

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

TROY KANE

CORPORATE DIRECTOR · I · since Apr 1, 2021

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

WILLIAM B OLEY

CORPORATE DIRECTOR · I · since Apr 1, 2018

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

KELLY HEATON

CORPORATE DIRECTOR · I · since Apr 1, 2017

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

GEORGE CLOW

CORPORATE DIRECTOR · I · since May 1, 2016

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

GUY R SCHMIDT

CORPORATE DIRECTOR · I · since Apr 1, 2017

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

ABBY LOTZ

CORPORATE DIRECTOR · I · since Oct 1, 2022

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

JOHN CROCKER

CORPORATE DIRECTOR · I · since Apr 1, 2020

Source CMS Home Health Agency All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 5196f4

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 nameMEMORIAL HOSPITAL ASSOCIATIONCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Trading nameBEARTOOTH BILLINGS CLINICCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
NPI1851469449CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Medicare certification number277066CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CMS associate ID1951375849CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Provider typePART A PROVIDER - HOME HEALTH AGENCYCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Organisation typeCORPORATIONCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Incorporation date1992-05-12CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
State of incorporationMTCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Street address2525 N BROADWAY AVECMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CityRED LODGECMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
StateMTCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
ZIP59068-9222CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7

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