Why this was flagged
Medicare paid this provider far more than its peers
In 2024 Medicare paid this provider $37,517,637, 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 18 Sept 2026 · version 2026-09-18 · 5f1f87
Owners and managing parties of record
HOSPICE OF WAKE COUNTY, INC
OTHER · O · 0% ownership · since May 18, 2015
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
STEVEN R SHELTON
CORPORATE OFFICER · I · since Jan 2, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
STEVEN R SHELTON
W-2 MANAGING EMPLOYEE · I · since Jan 2, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
STEVEN R SHELTON
OPERATIONAL/MANAGERIAL CONTROL · I · since Jan 2, 2022
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ANTOINETTE MESSLER
CORPORATE DIRECTOR · I · since Jun 1, 1993
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
ANTOINETTE MESSLER
W-2 MANAGING EMPLOYEE · I · since Nov 15, 2009
Source CMS Hospice All Owners · record as of 19 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · ed1513
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 this provider far more than its peers
Weekly refreshes
- 18 Sept 2026 (in use)6,134 recordspublisher data as of 11 Aug 2026
- 18 Sept 20261,000 recordspublisher data as of 11 Aug 2026(running)
Records read from this file
- Transitions Lifecare — 2024$37,517,637 paid · 2,980 patients
CMS Hospice All Owners
Weekly refreshes
- 18 Sept 2026 (in use)70,444 recordspublisher data as of 19 Aug 2026
Records read from this file
- HOSPICE OF WAKE COUNTY, INCOTHER · 0% share · since 2015-05-18
- STEVEN R SHELTONCORPORATE OFFICER · since 2022-01-02
- STEVEN R SHELTONW-2 MANAGING EMPLOYEE · since 2022-01-02
- STEVEN R SHELTONOPERATIONAL/MANAGERIAL CONTROL · since 2022-01-02
- ANTOINETTE MESSLERCORPORATE DIRECTOR · since 1993-06-01
- ANTOINETTE MESSLERW-2 MANAGING EMPLOYEE · since 2009-11-15
CMS Hospice Enrollments
Weekly refreshes
- 18 Sept 2026 (in use)5,802 records5,000 added · 1 changed · 0 removedpublisher data as of 27 Jul 2026
Records read from this file
- HOSPICE OF WAKE COUNTY, INCNPI 1518974609 · certification 341523 · 250 HOSPICE CIRCLE, RALEIGH, NC
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 | HOSPICE OF WAKE COUNTY, INC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Trading name | TRANSITIONS LIFECARE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| NPI | 1518974609 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Medicare certification number | 341523 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| CMS associate ID | 5294760427 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Organisation type | CORPORATION | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Incorporation date | 1979-02-06 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State of incorporation | NC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| Street address | 250 HOSPICE CIRCLE | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| City | RALEIGH | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| State | NC | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
| ZIP | 276076372 | CMS Hospice Enrollments | Jul 27, 2026 | Sep 18, 2026 | 2026-09-18 · 641824 |
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.
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