Providers

PLEASANT HILLS APOTHECARY

NPI 1295888345, organization, Clairton, PA, Pharmacy, Community/Retail Pharmacy

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since March 14, 2013.
  • Medicaid still paid claims in 1 later month, $452 in total.
score 93 of 100, rank 420, $452 at stake

Public list actions

Medicare revocation effective March 14, 2013, barred from re-enrolling until February 22, 2033
424.535(a)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies, DME Supplier - Pharmacy, PA

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)(4) false or misleading information and 424.535(a)(9) failure to report and 424.535(a)(3) felonies
Exact NPI, name verifiedMar 14, 2013Feb 22, 20331Jan 2023Jan 2023$452$0

National provider registry

From the CMS NPPES Registry, refreshed daily.

NamePLEASANT HILLS APOTHECARY (also PLEASANT HILLS APOTHECARY)
TypeOrganization
StatusActive
NPI issuedJanuary 20, 2007, last updated January 12, 2021
Practice location25 GILL HALL RD, Clairton, PA 15025-3004, 412-653-7566
Authorized officialKevin Evancic (Pharmacist And Owner)
Specialties
Durable Medical Equipment & Medical Supplies (332B00000X)
Pharmacy (333600000X)
Pharmacy, Compounding Pharmacy (3336C0004X)
Pharmacy, Community/Retail Pharmacy (3336C0003X, primary, license PP413312L PA)

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
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage$452100%$22$2.30 (top 5% from $20)too few months to rank

In this area

6 providers in Allegheny County, PA carry an indicator in the public record, with $1.3M at stake between them. The most common is part of a provider network, on 4 of them, followed by named in an enforcement record on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1MT. LEBANON OPERATIONS LLC
Pittsburgh, PA, ranked 611
$0
  • Adjudicated (sentenced) per a Department of Justice release dated May 20, 2025.
  • No Medicaid payments in the last 12 observed months.
3CELTIC HEALTHCARE OF WESTMORELAND LLC
Warrendale, PA, ranked 1657
$1K
  • Part of provider network D1-00105, ranked 105 nationally.
3AFFINITY CARE OF PITTSBURGH LLC
Pittsburgh, PA, ranked 2244
$0
  • Part of provider network D1-00113, ranked 113 nationally.
3ADVANTAGE HOME HEALTH SERVICES, LLC
Pittsburgh, PA, ranked 3110
$0
  • Part of provider network D1-00107, ranked 107 nationally.
3CELTIC HOSPICE & PALLIATIVE CARE SERVICES, LLC
Warrendale, PA, ranked 6688
$0
  • Part of provider network D1-00105, ranked 105 nationally.
5ZUBAIR QURESHI
Pittsburgh, PA, ranked 10940
$1.3M

Recent enforcement in PA

All releases

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

DOJChargedAug 4, 2026
The Fraud Division Announces Charges Against 19 Defendants for Medicaid Home Health Aid Schemes
Nineteen defendants, including owners and employees of home care companies, home health aides, and Medicaid recipients, were charged with submitting claims for home care services that were not provided, including claims for hours when purported aides were incarcerated, hospitalized, working other jobs, or traveling overseas.
DOJIndictedJun 23, 2026
Two Doctors, Physician’s Assistant Charged With Unlawfully Distributing Controlled Substances Via Voicemail “Refill Line”
From January 2020 through March 2025 the defendants allegedly operated a voicemail refill line that allowed patients to receive refills of Schedule II controlled substance prescriptions, namely oxycodone and amphetamine, without interacting with a licensed prescriber, and submitted prescriptions in another medical professional's name to deceive pharmacies.
DOJChargedJun 23, 2026
Scranton Woman Charged With Conspiracy To Commit Bank Fraud With Funds Derived From Federal Health Care Programs
Beaubrun is alleged to have stolen and appropriated checks intended by Entity #1 for various payees, including funds derived from Medicare and Medicaid, and endorsed them to herself, causing a loss of over $300,000.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize's in-store retail pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid and TRICARE, causing those programs to pay inflated amounts.
DOJCivil settlementJun 10, 2026
Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare Programs
Ahold Delhaize supermarket pharmacies operated prescription savings programs offering discounted prices but failed to report those discounted prices as their "usual and customary" prices on claims to Medicare Part D, Medicaid, and TRICARE, causing those programs to pay inflated amounts.

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.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.