Providers
All 20 in MA
MOHAMAD R. OCH, M.D.
NPI 1629098496, individual, Worcester, MA, Psychiatry & Neurology, Psychiatry
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since January 1, 2022.
- Medicaid still paid claims in 5 later months, $15,178 in total.
score 94 of 100, rank 259, $15K at stake
Public list actions
Medicare revocation effective January 1, 2022, barred from re-enrolling until December 31, 2026
424.535(a)(13) prescribing authority, Practitioner - Psychiatry, MA
OIG exclusion January 20, 2026 under section 1128a4
Physician (MD, DO), Psychiatry, Worcester, 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.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(13) prescribing authority | Exact NPI, name verified | Jan 1, 2022 | Dec 31, 2026 | 5 | Feb 2022 | Jun 2022 | $15K | $573K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MOHAMAD R. OCH, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | July 21, 2006, last updated January 3, 2020 |
| Practice location | 425 LAKE AVE N STE 101, Worcester, MA 01605-2047, 508-753-3220 |
| Mailing address | 108 GROVE ST, 2ND FLOOR, Worcester, MA 01605-2651 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 53430 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 | |
|---|---|---|---|---|---|---|---|
| H0010 | Alcohol/drug sub-acute detox residential per diem | $608K | 66% | $6K | $3K (top 5% from $6K) | 92nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $302K | 33% | $50 | $44 (top 5% from $110) | 59th percentile | |
| 99404 | Preventive counseling individual 60 min | $9K | 1% | $181 | $98 (top 5% from $181) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $5K | 1% | $46 | $60 (top 5% from $133) | 32nd percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $3K | 0% | $27 | $63 (top 5% from $137) | 10th percentile | |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | $216 | 0% | $0.67 | $21 (top 5% from $104) | 21st 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 13 of them, followed by named in an enforcement record on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 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 |
|
| 3 | OVERLOOK MASONIC HEALTH CENTER INC Charlton, MA, ranked 1411 | $58K |
|
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.