Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $20,006 per patient, against a typical $12,467 for the same kind of provider in WA. 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 28 providers
An owner or managing party of this provider (SAMUEL STERN) is listed on 28 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
STARCO MANAGEMENT LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2025
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SAMUEL STERN
CORPORATE OFFICER · I · 100% ownership · since Oct 17, 2017
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SAMUEL STERN
CORPORATE DIRECTOR · I · 100% ownership · since Oct 17, 2017
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
STERN FAMILY 2019 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 90% ownership · since Jan 1, 2025
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SAMUEL STERN
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 10% ownership · since Jan 1, 2025
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DON NGUYEN
CONTRACTED MANAGING EMPLOYEE · I · since Jan 30, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SAMUEL STERN
CONTRACTED MANAGING EMPLOYEE · I · since Oct 17, 2017
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
PATRICK SHEPARD
W-2 MANAGING EMPLOYEE · I · since Feb 3, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SAMUEL HONIGWACHS
OTHER · 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
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 | CONTINUUM CARE OF SNOHOMISH, LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1598318941 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 501545 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 3678805082 | 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 | 2017-10-17 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State of incorporation | WA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 19009 33RD AVE W, STE 305 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | LYNNWOOD | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | WA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 98036-4740 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
What changed
Public research history
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