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Elevated
OpenScore 100

OAKBEND MEDICAL CENTER

Doing business as PARADIGM AT BAY CITY

Flagged provider address

1800 13TH ST, BAY CITY, TX, 77414-3920

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2024 this provider was paid $32,736 per patient, against a typical $18,011 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 Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5

View the records behind this flag →

Info
Owner cluster

Owner is tied to 37 providers

An owner or managing party of this provider (JOSEPH FREUDENBERGER) is listed on 37 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

View the records behind this flag →

Owners and managing parties of record

BAY CITY NURSING & REHABILITATION LLC

OPERATIONAL/MANAGERIAL CONTROL · O · 100% ownership · since Oct 1, 2022

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

AHARON SHKOP

OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Oct 1, 2022

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

OAKBEND MEDICAL CENTER

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Mar 31, 2017

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

NORMA PETROSEWICZ

CORPORATE OFFICER · I · since Jan 1, 2013

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

RUTHANNE MEFFORD

CORPORATE OFFICER · I · since Jan 1, 2015

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

ROBERT DOUDS

CORPORATE OFFICER · I · since Jan 19, 2016

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

EDWARD O UTHMAN

CORPORATE OFFICER · I · since Jan 1, 2008

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JOSEPH FREUDENBERGER

CORPORATE OFFICER · I · since Jun 19, 2007

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JOSEPH FREUDENBERGER

W-2 MANAGING EMPLOYEE · I · since Jun 19, 2007

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JEFF HALEY

CORPORATE OFFICER · I · since Jan 1, 2012

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MELISSA MARTIN

CORPORATE OFFICER · I · since Jan 1, 2015

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JEFF COUNCIL

CORPORATE OFFICER · I · since Jan 1, 2013

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

TOM CRAYTON

CORPORATE OFFICER · I · since Jan 1, 2013

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JOHN M ZERWAS

CORPORATE OFFICER · I · since Jan 1, 2013

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

AMIRALI S POPATIA

CORPORATE OFFICER · I · since Jan 1, 2011

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Source timeline

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Source records

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DetailValuePublished fileRecord as ofPulledVersion
Legal nameOAKBEND MEDICAL CENTERCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Trading namePARADIGM AT BAY CITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
NPI1871614917CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Medicare certification number455582CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CMS associate ID3375593510CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Organisation typeOTHERCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Street address1800 13TH STCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CityBAY CITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
StateTXCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
ZIP77414-3920CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d

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