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Elevated
OpenScore 90

HORIZON HEALTH CARE L L C

Doing business as HORIZON HOSPICE

Flagged provider address

608 E HOLLAND AVE, SPOKANE, WA, 99218-1255

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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 $18,614 per patient, against a typical $11,093 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

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Owners and managing parties of record

LOREN MICHAEL GUSKE

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Mar 29, 1996

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ELIZABETH GUSKE

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Mar 29, 1996

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

LOREN MICHAEL GUSKE

CORPORATE DIRECTOR · I · since Apr 5, 2003

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

LOREN MICHAEL GUSKE

W-2 MANAGING EMPLOYEE · I · since Mar 29, 1996

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

ELIZABETH GUSKE

CORPORATE DIRECTOR · I · since Apr 5, 2003

Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2

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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 nameHORIZON HEALTH CARE L L CCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Trading nameHORIZON HOSPICECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
NPI1669554275CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Medicare certification number501535CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CMS associate ID7517876535CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Provider typePART A PROVIDER - HOSPICECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Organisation typeLLCCMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Incorporation date1996-03-29CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
State of incorporationWACMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
Street address608 E HOLLAND AVECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
CitySPOKANECMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
StateWACMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d
ZIP99218-1255CMS Hospice EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · cca83d

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