Sunday, March 6, 2016

Brookline Doctor Pleads Guilty for Running Medicaid Kickback and False Billing Scheme

Brookline Doctor Pleads Guilty for Running Medicaid Kickback and False Billing Scheme


Boston – On April 6, 2015 in Suffolk Superior Court Dr. Punyamurtula Kishore pleaded guilty to running



an intricate Medicaid fraud scheme involving millions of dollars in taxpayer funds. Kishore’s

company Preventive Medicine Associates (PMA) pleaded guilty to eight counts of Medicaid kickbacks,

19 counts of Medicaid false claims and eleven counts of larceny. Kishore pleaded guilty to one

count of larceny. He was sentenced to 360 days in the House of Correction, with 11 months to serve

and the balance suspended for 10 years. As a condition to his sentence, Kishore agreed to surrender

his medical license. Kishore and PMA were ordered to pay, jointly and severally, a total of $9.3 million

in restitution.

Kishore previously owned and managed PMA, a network of 29 medical branches throughout Massachusetts,

including physician office laboratories and one independent clinical laboratory. Based on

the investigation, Kishore used bribes, or kickbacks, to induce sober house owners to send their residents’

urine drug screening business to his laboratories for testing. Residents were typically screened

three times per week. A urine drug screen may be billed to MassHealth by a physician if the screen is

medically necessary. Drug screens generally are billed to the MassHealth program for approximately

$100 to $200. Kishore manipulated his business relationships with sober house owners to illegally obtain

tens of thousands of drug screens paid for by MassHealth for sober house residents who were

never treated by PMA providers. Kishore and PMA billed MassHealth for millions of dollars in drug

screens using the names of PMA physicians and nurse practitioners who were not actually treating

the patients or determining the drug screens to be medically necessary. State regulations require that

the services must be medically necessary and the provider must be physically present and actively

involved in the treatment of the member. The case was prosecuted by Assistant Attorneys General

Angela Neal, David Scheffler and Lee Hettinger of Attorney General Healey’s Medicaid Fraud Division.

The case was investigated by the Attorney General’s Office, Massachusetts State Police, U.S. Department

of Health and Human Services Office of the Inspector General with assistance from the IFB


2 comments:

  1. MAD DOG MILLIONAIRE a.k.a. Punyamurtula Kishore MD ia a QUACK. Patients Die of Improper Medical Treatment and Care Protocols!!!!

    Many of Dr. Punyamurtula Kishore’s patients have died because of improper treatment and care methods. This Quack MD ( Hitler of Medical Genocide ) should not be allowed to practice medicine anywhere. Preventive Medicine Associates, formerly Addiction medicine Associates was a DEATH CAMP (The Holocaust for Drug Addicts and Alcoholics, Auschwitz in Brookline, MA)

    I worked at his Brookline office and witness the death of many patients. Dr. Kishore should be arrested, arraigned and prosecuted for 1st. degree murder or manslaughter. Punyamurtula Kishore M.D. and three other defendants will go on trial for Medical Insurance Fraud. The state Board of Registration in Medicine suspended the license of Dr. Punyamurtula Kishore after finding that he posed “an immediate and serious threat to the public health, safety and welfare.”

    Kishore closed clinics in 2011 without notifying patients in advance. Dr. Punyamurtula Kishore was reprimanded, fined $2,500 and required to perform 50 hours of Board-approved community service and to complete additional continuing professional development credits.

    He was found to have inappropriately filed four Temporary Involuntary Hospitalization Applications for the purpose of drug treatment and drug testing. Dr. Kishore is a 1975 graduate of Andhra Medical College in India. He specializes in Addiction Medicine and has been licensed in Massachusetts since 1978.

    Punyamurtula Kishore, M.D. and three other defendants will go on trial for allegedly bilking MassHealth of almost $20 million, in what Coakley’s office calls an “intricate scheme” involving drug testing, sober homes, and his Preventive Medicine Associates (PMA). According to Coakley, Kishore used various bribes or kickbacks to persuade sober house owners to require residents to submit urine tests at least three times per week. The tests were performed by PMA’s office laboratories, then billed to MassHealth, which pays $100 to $200 for such screens. Also charged in the case were Carl Smith, manager of New Horizon House, John Coughlin, president of Gianna’s House, and Thomas Leonard, part owner and manager of Marshall House—all for receiving kickbacks.

    Punymurtula Kidhore MD and Carl Smith L.M.H.C. are responsible for the death of Eleanor Clark of Weston , Massachusetts. Just look at what happen to James Clark . James Clark was a client at the same address where the Director/Manager Carl Smith resided at ,50 Draper Street in Dorchester MA. Carl Smith is suppose to be a state licensed Mental Health Clinician. If so, than why did he discharge James Clark? James clark never tested postive for illegal or prescription drugs. Why was he discharged? He was discharged for behavioral and attitude problems that were related to his psychiatric and substance abuse diagnosis. Carl Smith L.M.H.C. should have been able to detect that this man had psychological problems and refer him for treatment to MAD DOG aka Punyamurtula Kishore’s Neurological Clinic for treatment.

    Instead, Carl Smith discharged him and the following day, James Clark murdered his 81 year old grandmother Eleanor Clark in Weston Massachusetts.

    Punyamurtula Kishore MD referred James Clark to Carl Smith’s program, New Horizon House after James Clark was Discharged from St.Elizabeths Hospital’s S.E.C.A.P. sdDetoxification unit. Punyamurtula Kishore had a contract with Carl Smith to provide New Horizon clients with medical and mental health treatment. No treatment was provided.

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  2. 30 years of CORRUPTION , LIES, CHEATING AND STEALING is Punyamurtula Kishore MD aka MAD DOG Millionaire’s LEGACY



    30 years of CORRUPTION , LIES, CHEATING AND STEALING is Punyamurtula Kishore MD aka MAD DOG Millionaire’s LEGACY . He was involved in Corruption when he was the assistant Medical Director at the Massachusetts Dept. of Correction , Martha Eliot Health Ctr , Roxbury Comprehensive Health Ctr. and his own Medical Practice , Preventive Medicine Associates.formerly Addiction Medicine Associates. He used two entities he created on paper that never existed called the National library of Addictions and the American College of Addiction to advocate his emergence in the field of addiction medicine. This unscrupulous MD used and exploited his patients and employees for financial wealth. The only thing that MAD DOG MILLIONAIRE aka Punyamurtula Kishore cared about was making money at the expense of Human misery

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