Providers
KIMBERLY T CESARIO, M.Ed, BCBA, LABA
NPI 1770894594, individual, Hingham, MA, Behavior Analyst
5
Evidence tier
informational
- Medicaid dollars per patient on code H2019 ($3618 per patient-month) sit in the top 5% of every provider billing that code.
score 36 of 100, rank 9893, $5.4M at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | KIMBERLY T CESARIO, M.Ed, BCBA, LABA |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 25, 2010, last updated August 31, 2020 |
| Practice location | 105 HMS STAYNER DR, Hingham, MA 02043-1664, 617-957-6451 |
| Specialties | Behavior Analyst (103K00000X, primary, license 92 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 | |
|---|---|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services per 15 min | $20.9M | 55% | $4K | $226 (top 5% from $1K) | 99th percentile | |
| 97153 | Adaptive behavior treatment by protocol by technicianhistory of abuse | $11.2M | 30% | $4K | $2K (top 5% from $6K) | 83rd percentile | |
| H0031 | Medicaid service code | $2.5M | 7% | $507 | $100 (top 5% from $540) | 94th percentile | |
| H0032 | Medicaid service code | $1.3M | 4% | $546 | $98 (top 5% from $675) | 92nd percentile | |
| 97156 | Family adaptive behavior treatment guidance | $826K | 2% | $525 | $210 (top 5% from $547) | 94th percentile | |
| 97155 | Adaptive behavior treatment with protocol modification by QHPhistory of abuse | $659K | 2% | $675 | $512 (top 5% from $1K) | 70th percentile | |
| H2012 | Behavioral health day treatment per hour | $468K | 1% | $375 | $677 (top 5% from $3K) | 35th percentile | |
| 97151 | Behavior identification assessment by professional, each 15 minutes | $19K | 0% | $240 | $389 (top 5% from $1K) | too few months to rank |
In this area
8 providers in Plymouth County, MA carry an indicator in the public record, with $1.6M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DANA BEHAVIORAL HEALTH INC Hanover, MA, ranked 77 | $6K |
|
| 2 | CENTRUS PREMIER HOME CARE INC Plymouth, MA, ranked 706 | $456K |
|
| 3 | ROYAL NORWELL NURSING & REHABILITATION CENTER LLC Norwell, MA, ranked 1200 | $366K |
|
| 3 | ALLIANCE HEALTH OF BROCKTON, INC. Brockton, MA, ranked 2616 | $0 |
|
| 3 | M&O HEALTH SERVICES LLC Brockton, MA, ranked 2942 | $0 |
|
| 4 | SARAH REGO Norwell, MA, ranked 9244 | $443K |
|
| 5 | APOTHECARE PHARMACY LLC Brockton, MA, ranked 10476 | $73K |
|
| 5 | NANCY SALERNO Hingham, MA, ranked 11438 | $227K |
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.