Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $25,032 per patient, against a typical $17,545 for the same kind of provider in WY. 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 CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9
Owners and managing parties of record
NORTH BIG HORN HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DAVID WINTERHOLLER
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
EDWARD L BANGERTER
MANAGING CONTROL - GOVERNING BODY · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ROCKY MOUNTAIN CARE LLC
ADP OF THE SNF · O · since Sep 24, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CRYSTAL LAKE
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CRYSTAL LAKE
ADP OF THE SNF · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
NATHAN BANGERTE
MANAGING CONTROL - GOVERNING BODY · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Oct 11, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ERIC S CONNELL
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ERIC S CONNELL
ADP OF THE SNF · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JOHNATHAN BANGERTER
MANAGING CONTROL - GOVERNING BODY · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
JASON GATHERUM
MANAGING CONTROL - GOVERNING BODY · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
COURTNEY C NEVES
MANAGING CONTROL - GOVERNING BODY · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KARLI MCMILLAN
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SUMMIT RIDGE OC LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SUMMIT RIDGE OC LLC
ADP OF THE SNF · O · since Oct 11, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MEGAN DARBY
MANAGING CONTROL - GOVERNING BODY · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BENJAMIN TODD SIMMONS
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BENJAMIN TODD SIMMONS
MANAGING CONTROL - GOVERNING BODY · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BENJAMIN TODD SIMMONS
ADP OF THE SNF · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KELLY SNOWBALL
MANAGING CONTROL - GOVERNING BODY · I · since Apr 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ROBERT B MORRISON
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ROBERT B MORRISON
MANAGING CONTROL - GOVERNING BODY · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KARLI MCMILLAN
ADP OF THE SNF · I · since Sep 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Jan 15, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Medicare paid far more per patient than peers
Weekly refreshes
- 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026
Records read from this file
- NORTH BIG HORN HOSPITAL DISTRICTNPI 1285523639 · certification 535040 · 1108 BIRCH ST, DOUGLAS, WY
CMS Skilled Nursing Facility All Owners
Weekly refreshes
- 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026
Records read from this file
- NORTH BIG HORN HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST · 100% share · since 2025-09-01
- DAVID WINTERHOLLEROPERATIONAL/MANAGERIAL CONTROL · since 2025-09-01
- EDWARD L BANGERTERMANAGING CONTROL - GOVERNING BODY · since 2025-09-01
- ROCKY MOUNTAIN CARE LLCADP OF THE SNF · since 2025-09-24
- CRYSTAL LAKEOPERATIONAL/MANAGERIAL CONTROL · since 2025-09-01
- CRYSTAL LAKEADP OF THE SNF · since 2025-09-01
- NATHAN BANGERTEMANAGING CONTROL - GOVERNING BODY · since 2025-09-01
- Unnamed partyADP OF THE SNF · since 2025-10-11
cms_snf_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Douglas Care Center Llc — 2024$700,892 paid · 28 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | NORTH BIG HORN HOSPITAL DISTRICT | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Trading name | SUMMIT RIDGE SKILLED NURSING & REHABILITATION | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| NPI | 1285523639 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Medicare certification number | 535040 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| CMS associate ID | 1456269869 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Organisation type | OTHER | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Street address | 1108 BIRCH ST | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| City | DOUGLAS | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State | WY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| ZIP | 826332761 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.