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Elevated
OpenScore 90

FOUR ROSES LLC

Doing business as PREMIERE HOME HEALTH

Flagged provider address

926 HEMSATH RD, STE 104A, SAINT CHARLES, MO, 63303-6728

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2022 this provider was paid $7,047 per patient, against a typical $3,898 for the same kind of provider in MO. 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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Owners and managing parties of record

ANN LYNCH LAIBEN

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 100% ownership · since Nov 1, 2007

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

ANN LYNCH LAIBEN

CORPORATE DIRECTOR · I · 100% ownership · since Nov 1, 2007

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

ANN LYNCH LAIBEN

W-2 MANAGING EMPLOYEE · I · 100% ownership · since Nov 1, 2007

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 nameFOUR ROSES LLCCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Trading namePREMIERE HOME HEALTHCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
NPI1265621700CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Medicare certification number267612CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CMS associate ID1456449537CMS 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 date2007-10-18CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
State of incorporationMOCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
Street address926 HEMSATH RD, STE 104ACMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
CitySAINT CHARLESCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
StateMOCMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7
ZIP63303-6728CMS Home Health Agency EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · 80bfb7

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