Procare Pharmacy LLC
Procare Pharmacy LLC was paid $724.47 by Medicaid between Jan 2018 and Nov 2020, across 3 billing codes. Its largest line is Q0511, Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period — 38% of everything it billed.
BOSTON, MA 02111
Next to other Durable Medical Equipment & Medical Supplies providers in Massachusetts
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 652 | $422.17 | |
| 2019 | 333 | $146.27 | |
| 2020 | 336 | $156.03 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 38% | 220 | 199 | $277.60 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 38% | 570 | 546 | $274.62 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 24% | 531 | 458 | $172.25 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Procare Pharmacy Direct, LLC. | Monroeville, PA | $227.31M |
| Procare Pharmacy, L.L.C. | Honolulu, HI | $41.83M |
| Caremark, L.L.C. | Mt Prospect, IL | $34.08M |
| Caremark, L.L.C. | Redlands, CA | $19.87M |
| Caremark, L.L.C. | Tampa, FL | $7.28M |
| Caremark, L.L.C. | Fairfield, NJ | $3.43M |
| Caremark L.L.C. | Raleigh, NC | $2.69M |
| Caremark L.L.C. | Lenexa, KS | $2.54M |
| Caremark, L.L.C. | Milford, MA | $2.20M |
| Caremark, L.L.C. | Bartlett, TN | $1.96M |
| Procare Pharmacy, LLC. | Birmingham, AL | $623K |
| Procare Pharmacy, L.L.C. | Portland, ME | $109K |
| Caremark, LLC | Mt. Prospec, IL | $76.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.