Providers

APOTHECARE PHARMACY LLC

NPI 1104868983, organization, Brockton, MA, Pharmacy, Long Term Care Pharmacy

5
Evidence tier
informational
  • Medicaid dollars per patient on code V2025 ($173 per patient-month) sit in the top 5% of every provider billing that code.
score 34 of 100, rank 10476, $73K at stake

Public list actions

Medicare revocation effective December 31, 2022, barred from re-enrolling until October 10, 2026
424.535(a)(1) noncompliance (dme standards not met), DME Supplier - Pharmacy, MA

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(1) noncompliance (dme standards not met)
Exact NPI, name verifiedDec 31, 2022Oct 10, 202612Jan 2023Dec 2023$73K$142K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameAPOTHECARE PHARMACY LLC (also APOTHECARE SOUTH SHORE)
TypeOrganization
StatusActive
NPI issuedJune 13, 2006, last updated April 10, 2023
Practice location629 CENTRE ST, Brockton, MA 02302-3307, 508-588-6800
Mailing address623 CENTRE ST, Brockton, MA 02302-3307
Authorized officialThomas Mckinney (Ceo)
Specialties
Pharmacy, Long Term Care Pharmacy (3336L0003X, primary, license ds89820 MA)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
A4927Medicaid service code$303K21%$21$15 (top 5% from $35)76th percentile
B4150Medicaid service code$216K15%$69$109 (top 5% from $212)18th percentile
T4527Medicaid service code$143K10%$94$101 (top 5% from $179)40th percentile
V2025Medicaid service code$132K9%$173$36 (top 5% from $104)100th percentile
B4100Medicaid service code$121K9%$39$78 (top 5% from $217)13th percentile
T4523Medicaid service code$110K8%$100$102 (top 5% from $171)48th percentile
T4528Medicaid service code$95K7%$123$109 (top 5% from $190)64th percentile
T4526Medicaid service code$81K6%$82$92 (top 5% from $160)38th percentile

In this area

8 providers in Plymouth County, MA carry an indicator in the public record, with $6.9M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by part of a provider network on 3. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1DANA BEHAVIORAL HEALTH INC
Hanover, MA, ranked 77
$6K
  • Listed on the Medicare revocation list since September 26, 2024.
  • Medicaid still paid claims in 1 later month, $6,083 in total.
  • and 1 more
2CENTRUS PREMIER HOME CARE INC
Plymouth, MA, ranked 706
$456K
  • Billed more hands-on hours than a day holds in 2 months, peaking at 27.7 hours per day across 1 billing organization.
  • Medicaid dollars per patient on code T1002 ($8745 per patient-month) sit in the top 5% of every provider billing that code.
3ROYAL NORWELL NURSING & REHABILITATION CENTER LLC
Norwell, MA, ranked 1200
$366K
  • Part of provider network D1-00123, ranked 123 nationally.
3ALLIANCE HEALTH OF BROCKTON, INC.
Brockton, MA, ranked 2616
$0
  • Part of provider network D1-00137, ranked 137 nationally.
3M&O HEALTH SERVICES LLC
Brockton, MA, ranked 2942
$0
  • Part of provider network D1-00055, ranked 55 nationally.
4SARAH REGO
Norwell, MA, ranked 9244
$443K
  • Hours beyond a day in 2 months, but with up to 1593 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5KIMBERLY CESARIO
Hingham, MA, ranked 9893
$5.4M
  • Medicaid dollars per patient on code H2019 ($3618 per patient-month) sit in the top 5% of every provider billing that code.
5NANCY SALERNO
Hingham, MA, ranked 11438
$227K

Recent enforcement in MA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedSep 4, 2026
Illegal Alien from Georgia Charged for Conspiracy to Launder Proceeds of $1.3B Health Care Fraud Scheme
Gugava purportedly owned ND Medical Solutions LLC, a durable medical equipment company that submitted at least $1.3 billion in fraudulent DME claims to Medicare and other insurers using stolen identities, and he opened bank accounts to deposit and transfer the fraud proceeds to overseas accounts.
DOJIndictedSep 4, 2026
Georgian National Charged for Conspiracy to Launder Proceeds of $1.3 Billion Health Care Fraud Scheme
Gugava allegedly served as purported owner of ND Medical Solutions, LLC, which submitted at least $1.3 billion in fraudulent durable medical equipment claims to Medicare and private insurers using stolen identities, and he opened bank accounts to deposit and transfer the proceeds overseas.
DOJSentencedAug 20, 2026
Former Owner of Telemedicine Companies Sentenced to Two Years in Prison for $110 Million Medicare Fraud Scheme
Through his telemedicine companies, Richardson generated prepopulated durable medical equipment orders signed by doctors and nurses without beneficiary contact and sold them to telemarketers who resold them to DME suppliers that billed Medicare for medically unnecessary equipment.
DOJCivil settlementAug 10, 2026
Veloxis Pharmaceuticals Agrees to Pay $46 Million to Resolve Criminal and Civil Liability for Kickback Scheme
Veloxis paid kickbacks in the form of lavish meals, alcohol, luxury resort stays, personal gifts and sham consulting payments to transplant health care professionals, and per-patient and per-month payments to specialty pharmacies, to induce prescriptions and purchases of Envarsus XR, causing false claims to federal health care programs and underreporting payments under the Open Payments Program.
DOJCivil settlementAug 10, 2026
Veloxis Pharmaceuticals Agrees to Pay Over $46M to Resolve Criminal and Civil Liability for Kickback Schemes
Veloxis paid kickbacks in the form of lavish meals, alcohol, gifts, trips and resort stays, and purported consulting fees to health care providers, and per-patient and per-month payments to specialty pharmacies, to induce prescriptions and purchases of Envarsus XR, and concealed those payments through falsified expense reports that resulted in underreporting to CMS's Open Payments Program.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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