Why this was flagged
Medicare paid far more per patient than peers
In 2020 this provider was paid $21,963 per patient, against a typical $12,104 for the same kind of provider in LA. 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 6 providers
An owner or managing party of this provider (CHAIM ROTTENBERG) 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 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
CARSON INVESTMENTS OF LOUISIANA, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jun 18, 2010
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
CARSON INVESTMENTS OF LOUISIANA, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 21, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
CARSON INVESTMENTS OF LOUISIANA, INC
OPERATIONAL/MANAGERIAL CONTROL · O · 100% ownership · since Jun 18, 2010
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SCOTT CARSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 51% ownership · since Jan 21, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
LISA CARSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 19% ownership · since Jan 21, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
REUVEN ALTER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 6% ownership · since Jan 21, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
STEPHEN WEDIGER
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 6% ownership · since Jan 21, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MARK TRESS
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 6% ownership · since Jan 21, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
YAAKOV SEPTIMUS
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 6% ownership · since Jan 21, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
CHAIM ROTTENBERG
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 6% ownership · since Jan 21, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
BRIAN A MONACO
CONTRACTED MANAGING EMPLOYEE · I · since Nov 7, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SCOTT CARSON
CORPORATE OFFICER · I · since Jun 18, 2010
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SCOTT CARSON
OPERATIONAL/MANAGERIAL CONTROL · I · since Jun 18, 2010
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
LISA CARSON
CORPORATE OFFICER · I · since Jun 18, 2010
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
LISA CARSON
CORPORATE DIRECTOR · I · since Jun 18, 2010
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
LISA CARSON
W-2 MANAGING EMPLOYEE · I · since Jun 18, 2010
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
LISA CARSON
OPERATIONAL/MANAGERIAL CONTROL · I · since Jun 18, 2010
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
Source timeline
Corrections and disputes
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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 | CARSON INVESTMENTS OF LOUISIANA, INC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Trading name | NIGHTINGALE HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1194034868 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 191686 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 9335311687 | 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 | CORPORATION | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 4530 BARKDALE BLVD, SUITE A & A2 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | BOSSIER CITY | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | LA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 71112-4598 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
What changed
Public research history
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