Providers
All 20 in MA
NOTRE DAME HEALTH CARE CENTER,INC
NPI 1396736930, organization, Worcester, MA, Skilled Nursing Facility
3
Evidence tier
network structure with a list link
- Part of provider network D1-00137, ranked 137 nationally.
- Medicaid dollars per patient on code 94760 ($110 per patient-month) sit in the top 5% of every provider billing that code.
score 64 of 100, rank 1541, $0 at stake
Provider networks
D1-00137 ranked 13758 providers around Worcester, MA: 31 hospices, 5 home health agencies, 22 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | NOTRE DAME HEALTH CARE CENTER,INC |
| Type | Organization |
| Status | Active |
| NPI issued | November 2, 2005, last updated April 1, 2026 |
| Practice location | 559 PLANTATION ST, Worcester, MA 01605-2350, 508-852-3101 |
| Authorized official | PHILIP HICKEY (CEO & President) |
| Specialties | Skilled Nursing Facility (314000000X, primary, license 0948 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
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 94760 | Test to measure oxygen level in blood using ear or finger device | $31K | 100% | $110 | $0.61 (top 5% from $9.24) | 100th percentile |
In this area
20 providers in Worcester County, MA carry an indicator in the public record, with $22.3M at stake between them. The most common is part of a provider network, on 12 of them, followed by named in an enforcement record on 4. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MOHAMAD OCH Worcester, MA, ranked 259 | $15K |
|
| 1 | UNION HOME HEALTH CARE SERVICES,LLC Worcester, MA, ranked 569 | $0 |
|
| 3 | RMG HOME CARE, INC Southbridge, MA, ranked 1008 | $1.4M |
|
| 3 | SERENITY HOSPICE LLC Southborough, MA, ranked 1013 | $1.3M |
|
| 3 | NOTRE DAME HEALTH CARE CENTER, INC. Worcester, MA, ranked 1056 | $909K |
|
| 3 | HOUGHTON CORPORATION Worcester, MA, ranked 1132 | $547K |
|
| 3 | WEST SIDE CORPORATION Worcester, MA, ranked 1394 | $67K |
|
| 3 | BENTLEY SAINT FRANCIS, LLC Worcester, MA, ranked 1408 | $59K |
|
Recent enforcement in MA
All releasesDepartment 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.