Why this was flagged
Medicare paid far more per patient than peers
In 2023 this provider was paid $28,091 per patient, against a typical $16,354 for the same kind of provider in TX. 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 (JAMES S MAMARY) 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
JUSTIN YARMARK
CONTRACTED MANAGING EMPLOYEE · I · 100% ownership · since Nov 1, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SERENITY HOSPICE ATX TEXAS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 1, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
SERENITY HOSPICE ATX TEXAS LLC
OPERATIONAL/MANAGERIAL CONTROL · O · 100% ownership · since Nov 1, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
ROBERT J DOUGHERTY
CONTRACTED MANAGING EMPLOYEE · I · 100% ownership · since Dec 1, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JUSTIN YARMARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 75% ownership · since Dec 1, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
KARMIC INDUSTRI, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 75% ownership · since Dec 1, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JAMES S MAMARY
5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 25% ownership · since Dec 1, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
JUSTIN YARMARK
CORPORATE DIRECTOR · I · since Dec 1, 2024
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
TABITHA OSBORN
W-2 MANAGING EMPLOYEE · I · since Apr 10, 2024
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 | SERENITY HOSPICE ATX, LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Trading name | SERENITY HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1316374408 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 741645 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 3375767973 | 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 | LLC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 2604 HIGHWAY 71 E, BLDG B | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | BASTROP | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | TX | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 78602-5094 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
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