Why this was flagged
Medicare paid this provider far more than its peers
In 2024 Medicare paid this provider $38,436,030, against a typical payment of $2,031,868 for the same kind of provider that year. High volume can be legitimate, but extreme outliers are where billing fraud shows up.
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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An owner name may match the federal exclusion list
The owner name matches an exclusion-list name, but no second identifier confirms identity. Treat this as low-confidence context until a person verifies it.
Source HHS OIG Exclusion List (LEIE) · record as of 9 Nov 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 9e9c16
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2 providers share this street address
This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Hospice Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d
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Owner is tied to 11 providers
An owner or managing party of this provider (WENDY C CHOW) is listed on 11 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
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Owners and managing parties of record
SHELBY D DECOSTA-GALDEIRA
CORPORATE DIRECTOR · I · since Aug 28, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ARMIKA J BERKLEY
CORPORATE DIRECTOR · I · since Jan 30, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
HELEN L ABE
CORPORATE DIRECTOR · I · since Jul 7, 2009
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
GERALD R PETERS
CORPORATE DIRECTOR · I · since Jul 1, 1985
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
PETER BUSSI
CORPORATE OFFICER · I · since Mar 8, 2021
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
LISA J BURLESON
W-2 MANAGING EMPLOYEE · I · since Aug 5, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ROBERTINA K SZOLAROVA
CORPORATE OFFICER · I · since Apr 23, 2018
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JO ELLEN HYLIND
CORPORATE DIRECTOR · I · since Jun 18, 2013
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
LESLIE HASSAN-SEIDMAN
W-2 MANAGING EMPLOYEE · I · since Feb 25, 2013
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
GREGORY A LECLAIRE
CORPORATE DIRECTOR · I · since Dec 16, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
KENNETH G MEISLIN
CORPORATE DIRECTOR · I · since Feb 10, 2009
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MICHELLE S MOURAD
CORPORATE DIRECTOR · I · since Aug 28, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
TRACY A HOGAN
CORPORATE DIRECTOR · I · since Dec 16, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JAMES T KELLY
CORPORATE OFFICER · I · since Nov 1, 2021
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JAMES T KELLY
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 1, 2019
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
WENDY C CHOW
CORPORATE DIRECTOR · I · since Dec 15, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SKELLY WINGARD
CORPORATE OFFICER · I · since Jun 19, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SKELLY WINGARD
CORPORATE DIRECTOR · I · since Jun 29, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SKELLY WINGARD
W-2 MANAGING EMPLOYEE · I · since Jun 19, 2023
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SCOTT T SMITH
CORPORATE DIRECTOR · I · since Feb 27, 2014
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
STEVEN Z PANTILAT
CORPORATE DIRECTOR · I · since May 12, 2015
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
KAIJA-LEENA ROMERO
CORPORATE OFFICER · I · since Feb 1, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
KAIJA-LEENA ROMERO
W-2 MANAGING EMPLOYEE · I · since Feb 1, 2020
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
DANIEL E COHN
CORPORATE DIRECTOR · I · since Dec 13, 2012
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MIGUEL RUELAS
CORPORATE OFFICER · I · since Jan 1, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ROBERT J SIMON
CORPORATE DIRECTOR · I · since Mar 1, 2011
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
WENDY GAYE RANZAU
CORPORATE OFFICER · I · since May 19, 2014
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
MICHAEL A KADEL
CORPORATE DIRECTOR · I · since Sep 1, 2009
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JULIE A SMITH
W-2 MANAGING EMPLOYEE · I · since Apr 11, 2021
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 | BY THE BAY HEALTH | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1255381547 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 051508 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 4587638325 | 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 |
| Incorporation date | 1982-06-13 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State of incorporation | CA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 17 E SIR FRANCIS DRAKE BLVD | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | LARKSPUR | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | CA | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 94939-1727 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
What changed
Public research history
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