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Criminal and Civil Enforcement

April 2016

April 28, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
California Doctor Pleads Guilty to $2.4 Million Medicare Fraud Scheme
A Valencia, California, doctor pleaded guilty today to submitting more than $2.4 million in fraudulent claims to Medicare.
April 28, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Twenty-Five Miami-Area Defendants Charged with Submitting $26 Million in False Claims to the Medicare Part D Program
Charges were filed today against 25 Miami-area defendants in three separate cases for their alleged participation in various schemes to defraud Medicare of approximately $26 million in false claims through the Medicare Part D program.
April 28, 2016; U.S. Attorney; Eastern District of Pennsylvania
Philadelphia Man Charged In Disability Fraud
PHILADELPHIA - Sheikh Mohammed Khurshan, 55, of Philadelphia, PA, was charged by indictment, unsealed today, in a disability benefits fraud, announced United States Attorney Zane David Memeger. Khurshan is charged with 11 counts of wire fraud, 16 counts of health care fraud, one count of Social Security fraud, one count of false statements, and one count of false statements in connection with an application for a passport. According to the indictment, the defendant applied for and received disability benefits from the Social Security Administration while lying and concealing his work activity.
April 27, 2016; U.S. Department of Justice
Wyeth and Pfizer Agree to Pay $784.6 Million to Resolve Lawsuit Alleging That Wyeth Underpaid Drug Rebates to Medicaid
The Department of Justice announced today that pharmaceutical companies Wyeth and Pfizer Inc. have agreed to pay $784.6 million to resolve allegations that Wyeth knowingly reported to the government false and fraudulent prices on two of its proton pump inhibitor (PPI) drugs, Protonix Oral and Protonix IV. Pfizer, which is headquartered in New York City, acquired New Jersey-based Wyeth in 2009, approximately three years after Wyeth had ended the conduct that gave rise to the settlement.
April 26, 2016; U.S. Attorney; Western District of New York
Local Pain Doctor Named In A 114 Count Indictment; Accused Of Illegally Issuing Hundreds Of Thousands Of Prescriptions For Controlled Substances
BUFFALO, N.Y.-U.S. Attorney William J. Hochul Jr. announced today that a federal grand jury has returned a 114 count indictment charging Dr. Eugene Gosy, 55, of Clarence, NY, with conspiracy to distribute controlled substances, unlawful distribution of narcotics, conspiracy to commit health care fraud, and health care fraud. The charges carry a maximum penalty of 20 years, a $1,000,000 fine or both.
April 27, 2016; U.S. Attorney; Southern District of West Virginia
Beckley doctor sentenced to eight years in prison for Federal drug crime and health care fraud
BECKLEY, W.Va. - Acting United States Attorney Carol Casto announced today that Jose Jorge Abbud Gordinho, M.D., of Beckley, was sentenced to eight years in prison, a $15,000 fine, and ordered to pay over $48,000 in restitution to Medicare and Medicaid for a federal drug crime and health care fraud. Dr. Gordinho previously pleaded guilty in January 2016 to illegally prescribing the pain medication hydrocodone and defrauding Medicare and Medicaid by submitting materially false claims for services that were not medically necessary.
April 22, 2016; U.S. Attorney; District of Virginia
Pair Sentenced For Making False Statements in Regards to Healthcare Programs
HARRISONBURG, VIRGINIA - A pair of Winchester residents, who previously pled guilty to submitting false timesheets for payment to Virginia Medicaid, were sentenced yesterday in the United States District Court for the Western District of Virginia in Harrisonburg, United States Attorney John P. Fishwick Jr. and Virginia Attorney General Mark R. Herring announced today.
April 21, 2016; U.S. Attorney; District of Utah
Kilgore Sentenced to 60 Months in Prison after Pleading Guilty to Three Counts of Conspiracy to Commit Health Care Fraud
SALT LAKE CITY - Jacob J. Kilgore, a former owner of a Salt Lake City durable medical equipment company, will serve 60 months in federal prison after pleading guilty to three counts of conspiracy to commit health care fraud as a part of Medicare fraud scheme involving power wheelchairs. Three company sales representatives were sentenced Thursday, two receiving prison terms, for their role in the fraud
April 21, 2016; U.S. Attorney; Southern District of Texas
Two Former Houston Medical Clinic Owners Convicted of Defrauding Medicare of $5.4 Million
HOUSTON - Two former owners of medical clinics in Houston have entered pleas of guilty to defrauding Medicare of $5.4 million, announced U.S. Attorney Kenneth Magidson.
April 20, 2016; U.S. Attorney; District of New Jersey
Doctor Sentenced To Two Years In Prison For Taking Bribes In Test-Referrals Scheme With New Jersey Clinical Lab
NEWARK, N.J. - A doctor with a medical practice in Randolph, New Jersey was sentenced today to 24 months in prison for accepting bribes in exchange for test referrals as part of a long-running scheme operated by Biodiagnostic Laboratory Services LLC (BLS), of Parsippany, New Jersey, its president and numerous associates, U.S. Attorney Paul J. Fishman announced.
April 20, 2016; U.S. Attorney; Eastern District of Michigan
Detroit Area Doctor Charged with Illegal Distribution of Prescription Drugs and Fraud
An indictment was unsealed today charging a doctor and three other individuals with conspiracy to illegally distribute prescription drugs, U.S. Attorney Barbara L. McQuade announced today.
April 19, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Physician Pleads Guilty for Role in Detroit-Area Medicare Fraud Scheme
A licensed physician who worked for a Detroit-area medical practice pleaded guilty today for his role in a $2.4 million health care fraud scheme.
April 18, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Miami Physician Sentenced to 108 Months in Prison for His Role in $30 Million Health Care Fraud Scheme
A Miami physician was sentenced today to 108 months in prison for his role in a Medicare fraud scheme that caused approximately $30 million in losses.
April 18, 2016; U.S. Attorney; Northern District of Illinois
Federal Jury Convicts Head of Schaumburg Home Health Company in Scheme to Fraudulently Bill Medicare for Unnecessary Care
CHICAGO - A federal jury has convicted the head of a Schaumburg home health company on fraud charges for scheming to bill Medicare for millions of dollars in unnecessary services.
April 18, 2016; U.S. Attorney; Northern District of Georgia
Dermatology Physicians and Practice to Pay $1.9 Million to Settle False Claims Act Investigation into Overbilling Medicare for Evaluation and Management Services
ATLANTA-The U.S. Attorney's Office for the Northern District of Georgia announced that it has reached a settlement with dermatologists Margaret Kopchick, M.D., and Russell Burken, M.D., and their practice group, Toccoa Clinic Medical Associates, who agreed collectively to pay $1.9 million to settle claims that they violated the False Claims Act by billing Medicare for evaluation and management (E&M) services that were not permitted by Medicare rules.
April 18, 2016; U.S. Attorney; District of New Jersey
Blood Lab Owner Sentenced To Nine Months In Prison For Paying Thousands In Cash Bribes For Referrals
NEWARK, N.J. - An owner of a blood diagnostic company located in Essex County, New Jersey, was sentenced today to nine months in prison for paying a doctor cash bribes for patient lab work referrals, U.S. Attorney Paul J. Fishman announced.
April 18, 2016; U.S. Attorney; Eastern District of Virginia
Bon Secours Health System and Doctor Settle False Claims Act Allegations
RICHMOND, Va. -Bon Secours Health System, Inc., located in Marriottsville, Maryland, and one of its surgical oncologists, Dr. Eugene Y. Chang, M.D., of Suffolk, have agreed to pay $400,000 to settle civil fraud allegations that while at Bon Secours Maryview Medical Center in Portsmouth, Dr. Chang billed Medicare and other federal healthcare payors for non-covered breast examinations and ultrasounds.
April 15, 2016; U.S. Attorney; Eastern District of California
Roseville Podiatrist Sentenced to 3 Years in Federal Prison for Health Care Fraud Scheme
SACRAMENTO, Calif. - Neil Van Dyck, 64, of Roseville, was sentenced today by United States District Judge Garland E. Burrell Jr. to three years in prison and a $10,000 fine for committing healthcare fraud, United States Attorney Benjamin B. Wagner announced.
April 15, 2016; U.S. Attorney; District of Massachusetts
Warner Chilcott Sentenced to Pay $125 Million for Health Care Fraud Scheme
BOSTON - Pharmaceutical company Warner Chilcott was sentenced today in U.S. District Court in Boston to pay $125 million to resolve criminal and civil liability arising from the illegal promotion of various drugs.
April 14, 2016; U.S. Attorney; Middle District of Georgia
Valdosta Dentist Indicted For Healthcare Fraud
On Wednesday, April 13, 2016, Dr. Stanley Marable, DDS aged 55, from Valdosta, Georgia was indicted on 12 counts of Healthcare Fraud in the Middle District of Georgia, announced Acting United States Attorney G.F. Peterman, III. The federal charges stem from dental claims submitted to Georgia's Medicaid program with Dr. Marable receiving an alleged overpayment totaling nearly $800,000 as the result of his conduct.
April 14, 2016; District of Massachusetts
Boston Medical Center Agrees to Pay $1.1 Million to Resolve Allegations that it Improperly Billed Medicare and Medicaid
BOSTON - United States Attorney Carmen M. Ortiz announced today that Boston Medical Center (BMC) and two of its physician practice organizations have agreed to pay $1.1 million to resolve allegations that BMC improperly billed Medicare and Medicaid.
April 13, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Former Health Care Clinic Consultant and Biller Sentenced to 135 Months in Miami for Role in $63 Million Medicare Fraud Scheme
A former health care clinic consultant and Medicare biller was sentenced to 135 months in prison and ordered to pay a $100,000 fine for her role in laundering money in connection with a $63 million health care fraud scheme involving a now-defunct Miami health provider.
April 13, 2016; U.S. Attorney; Southern District of Florida
Florida Pain Medicine and its Owners Agree to Pay Over One Million Dollars to Resolve False Claims Act Allegations
Florida Pain Medicine Associates, Inc. (Florida Pain Medicine) and its owners, Drs. Bart Gatz, Alexis Renta, and Albert Rodriguez have agreed to pay $1.1 million to resolve allegations that they violated the False Claims Act by billing Medicare for medically unnecessary nerve conduction studies (NCS).
April 13, 2016; U.S. Attorney; Northern District of Texas
Dallas Doctor and Three Dallas-Area Home Health Agency Owners Convicted for Running Large-Scale, Sophisticated Health Care Fraud Scheme
DALLAS - Following a six-week-long trial before U.S. District Judge Sam A. Lindsay and less than two days of deliberation, this afternoon a federal jury convicted a Dallas physician and three owners of home health agencies on various felony offenses, including conspiracy to commit health care fraud, stemming from their participation in a nearly $375 million health care fraud scheme involving fraudulent claims for home health services, announced U.S. Attorney John Parker of the Northern District of Texas.
April 11, 2016; U.S. Attorney; Middle District of Tennessee
Premiertox Pays U.S. and Tennessee $2.5 Million to Resolve False Claims Act Lawsuit
PremierTox 2.0, Inc. has paid $2.5 million to resolve alleged violations of the False Claims Act, announced David Rivera, United States Attorney for the Middle District of Tennessee. PremierTox previously did business in Tennessee under the name Nexus and is a company that provides drug urine screening services to citizens of Tennessee and Kentucky. The government alleged that PremierTox submitted false claims when billing Medicare, TennCare and Kentucky Medicaid for drug urine screening services.
April 12, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Unlicensed Physician Pleads Guilty to Role in Detroit-Based $6.2 Million Medicare Fraud Scheme
An Ohio man pleaded guilty to fraud charges for his role in a scheme to defraud Medicare out of approximately $6.2 million while he acted as an unlicensed physician at a Detroit in-home physician services company.
April 11, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Husband and Wife Owners of Chicago Physical Therapy Company Indicted in Schemes to Defraud Medicare and Force Labor
A Chicago couple was charged in an indictment with a scheme to use their health care business to defraud Medicare out of millions of dollars, while also conspiring to employ a woman against her will.
April 11, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Home Health Care Agency Owner Pleads Guilty in $4 Million Detroit-Area Medicare Fraud Scheme
The owner and operator of a Detroit-area home health care agency pleaded guilty today for his participation in a $4 million health care fraud scheme.
April 11, 2016; U.S. Attorney; District of Maryland
Doctor Sentenced to Over Nine Years in Prison for $3.1 Million Health Care Fraud Scheme
Greenbelt, Maryland - U.S. District Judge Deborah K. Chasanow sentenced physician Paramjit Singh Ajrawat, age 60, Potomac, Maryland, today to 111 months in prison, followed by three years of supervised release for health care fraud, two counts of making a false statement related to a health care program, one count of obstruction of justice, four counts of wire fraud, and one count of aggravated identity theft related to a health care fraud scheme in connection with the pain clinic he owned and operated with his wife. Judge Chasanow also entered an order requiring Ajrawat to forfeit and pay restitution of $3,103,874.58.
April 8, 2016; U.S. Attorney; Western District of Virginia
Pair Convicted on Health Care Fraud, Conspiracy Charges
ABINGDON, VIRGINIA - A pair of lab professionals who billed Medicaid, Medicare, TennCare, and a variety of other health care providers and insurance companies, were convicted yesterday of federal conspiracy and health care fraud charges following a bench trial, announced United States Attorney John P. Fishwick Jr. and Virginia Attorney General Mark R. Herring.
April 8, 2016; U.S. Attorney; Northern District of Texas
Ellis County Woman Sentenced to 105 Months in Federal Prison for Defrauding Medicaid
DALLAS - An Ellis County woman who pleaded guilty last year to one count of health care fraud arising from her submission of false and fraudulent claims for counseling and psychotherapy services to Medicaid, on behalf of Medicaid beneficiaries, was sentenced this afternoon, announced U.S. Attorney John Parker of the Northern District of Texas.
April 6, 2016; U.S. Attorney; District of Pennsylvania
Health Care Fraud Charge Filed in Fayette County Addiction Specialists Inc. Case
PITTSBURGH - Four southwestern Pennsylvania residents have been indicted by a federal grand jury in Pittsburgh on multiple charges of distribution and dispensing of Schedule III and Schedule IV controlled substances, conspiracy and health care fraud United States Attorney David J. Hickton announced today.
April 5, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner of Detroit Home Health Care Agency Sentenced to 57 Months in Prison for His Role in $3.4 Million Health Care Fraud Scheme
The owner and operator of a Detroit-area home health care agency was sentenced to 57 months in prison today for his participation in a $3.4 million health care fraud scheme.
April 5, 2016; U.S. Department of Justice
Retired Judge, Attorney and Psychologist Indicted in $600 Million Social Security Fraud Scheme
A retired administrative law judge, a lawyer and a psychologist were charged in a federal indictment unsealed today for their roles in a scheme to fraudulently obtain more than $600 million in federal disability payments for thousands of claimants.
April 5, 2016; U.S. Attorney; Southern District of Texas
Two Durable Medical Equipment Company Owners Charged in Similar Health Care Fraud Schemes
McALLEN, Texas - Federal charges have been filed against two individuals in separate cases for defrauding Texas Medicaid and/or Medicare in two separate schemes to defraud through false billings, announced U.S. Attorney Kenneth Magidson.
April 1, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Houston Psychiatrist Sentenced to 144 Months in Prison for Role in $158 Million Medicare Fraud Scheme
A Houston psychiatrist was sentenced today to 144 months in prison for her role in a $158 million Medicare fraud scheme involving false claims for mental health treatment.
April 1, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Patient Recruiter and Staffing Company Employee Convicted of $2 Million Home Health Care Fraud Scheme
A patient recruiter for several Miami-area home health agencies was convicted today for his role in a fraud and kickback scheme that resulted in the submission of millions of dollars in false and fraudulent claims to Medicare.

March 2016

March 31, 2016; U.S. Attorney; District of Maryland
"Pill Mill" Distributor Pleads Guilty to Conspiracy to Distribute Oxycodone
Baltimore, Maryland - Walter Moffett, age 51, of Chestertown, Maryland pleaded guilty today to his participation in a drug conspiracy in connection with the operation of purported pain management clinics that were actually "pill mills." Eight co-conspirators previously pleaded guilty to the same charge.
March 31, 2016; U.S. Attorney; Middle District of Pennsylvania
Middletown Woman Indicted For Health Care Fraud
HARRISBURG - The United States Attorney's Office for the Middle District of Pennsylvania announced today that China Scott, age 45, of Middletown, Pennsylvania was indicted yesterday by a federal grand jury in Harrisburg for Health Care Fraud.
March 25, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
President of Miami-Based Transportation Company Sentenced to 60 Months in Prison for Role in $70 Million Health Care Fraud Scheme
The president of a transportation company based in Miami was sentenced today to 60 months in prison for his role in a health care fraud scheme involving three mental health centers that resulted in the submission of approximately $70 million in false and fraudulent claims to Medicare.
March 25, 2016; U.S. Attorney; Northern District of Georgia
Georgia Doctor Pleads Guilty to False Billing for Surgical Monitoring Performed by Medical Assistant
ATLANTA - Robert E. Windsor, an Atlanta-area physician, has pleaded guilty to health care fraud for filing claims for surgical monitoring services he did not perform.
March 25, 2016; U.S. Attorney; District of Maryland
Former NIH Employee Sentenced to Prison for Using Her Government Credit Card for Unauthorized Purchases
Greenbelt, Maryland - U.S. District Judge Theodore D. Chuang sentenced Francesca Maria Daniele, age 49, of LaPlata, Maryland, today to 21 months in prison followed by three years of supervised release for wire fraud in connection with the misuse of her government credit card. Judge Chuang also ordered Daniele to forfeit and pay restitution of $22,338.67, the amount of loss resulting from her conduct.
March 24, 2016; U.S. Attorney; Southern District of Texas
Houston Physician and Another Sent to Federal Prison in Health Care Fraud Conspiracy
HOUSTON - Dr. Enyibuaku Rita Uzoaga, 43, has been ordered to serve 42 months and pay restitution to Medicare and Medicaid as a result of her six convictions of health care fraud and one count of conspiracy, announced U.S. Attorney Kenneth Magidson. A federal jury sitting in Houston returned guilty verdicts Nov. 3, 2015, against Uzoaga following four hours of deliberation and a six-day trial.
March 24, 2016; U.S. Department of Justice
Last of Five Defendants Pleads Guilty in Multimillion-Dollar Medicare Fraud Scheme involving Detroit-Area Home Health Companies
The last of five defendants pleaded guilty for his role in a $33 million Medicare fraud scheme involving Detroit-area home health care and hospice companies. The other four defendants have all pleaded guilty since March 15, 2016.
March 24, 2016; U.S. Attorney; Middle District of Tennessee
United States and Tennessee File Suit Against Lenoir City Chiropractor and Manchester Physician
The United States and Tennessee filed suit in U.S. District Court in Nashville today, alleging that Matthew Anderson, a Chiropractor from Lenoir City, Tenn., and David Florence, a Doctor of Osteopathy from Manchester, Tenn., made fraudulent claims to Medicare and TennCare in violation of the False Claims Act and the Tennessee Medicaid False Claims Act, announced David Rivera, U.S. Attorney for the Middle District of Tennessee. The suit also names the Cookeville Center for Pain Management; Preferred Pain Center of Grundy County; McMinnville Pain Relief Center; and PMC Management; and claims that the defendants have been unjustly enriched and caused Medicare and TennCare to pay out money through mistake of fact.
March 24, 2016; U.S. Attorney; Western District of Virginia
Former CEO of Karlise In-Home Care Sentenced in Federal Court
CHARLOTTESVILLE, VIRGINIA - The former CEO of a home health care provider that operated in the Western District of Virginia, and who previously pled guilty to a pair of federal criminal charges, was sentenced today in the United States District Court for the Western District of Virginia in Charlottesville, announced United States Attorney John P. Fishwick Jr. and Virginia Attorney General Mark R. Herring.
March 23, 2016; U.S. Department of Justice
Respironics to Pay $34.8 Million for Allegedly Causing False Claims to Medicare, Medicaid and Tricare Related to the Sale of Masks Designed to Treat Sleep Apnea
Respironics Inc., based in Murrysville, Pennsylvania, has agreed to pay $34.8 million to resolve alleged False Claims Act violations for paying kickbacks in the form of free call center services to durable medical equipment (DME) suppliers that bought its masks for patients with sleep apnea, the Department of Justice announced today.
March 23, 2016; U.S. Department of Justice
Detroit-Area Physician Sentenced to 45 Months in Prison for Role in $5.7 Million Medicare Fraud Scheme
A Detroit-area doctor who prescribed medically unnecessary controlled substances and billed for office visits and diagnostic testing that never took place was sentenced to 45 months in prison today for his role in a $5.7 million Medicare fraud scheme.
March 22, 2016; U.S. Attorney; Northern District of Illinois Medicare Fraud Strike Force Case
Chicago Marketer Convicted of Illegally Pocketing Bribes in Exchange for Referring Elderly Patients to Skokie-Based Home Health Company
CHICAGO - A federal judge today convicted a Chicago marketer of taking illegal payments in exchange for referring elderly patients to a Skokie-based home healthcare company.
March 22, 2016; U.S. Attorney; Eastern District of North Carolina
Pitt County Behavioral Health Businessman Sentenced To 20 Years In Federal Prison For Medicaid Fraud
WILMINGTON - The United States Attorney's Office for the Eastern District of North Carolina announced that yesterday in federal court, TERRY LAMONT SPELLER, 38, of Winterville, North Carolina, was sentenced to 240 months in federal prison and 3 years of supervised release following his prior guilty plea to Health Care Fraud, and Engaging in Monetary Transactions in Criminally Derived Property. SPELLER was also ordered to make restitution of $5,962,189.77 to the victims of the offense, which included the North Carolina Medicaid program and a physician, whose name and identification number SPELLER used to commit the fraud.
March 21, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Florida Audiologist Sentenced to 94 Months in Prison in Multimillion-Dollar Health Care Fraud and Money Laundering Scheme
A Florida audiologist was sentenced to 94 months in prison today for her role in a multimillion-dollar health care fraud and money laundering scheme.
March 18, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
New Orleans Jury Convicts Company Owner and Doctor for Roles in $34 Million Fraud Scheme
A federal jury in New Orleans convicted the owner of a health care company and a doctor for their roles in a $34 million Medicare fraud scheme that operated over the course of seven years in New Orleans and surrounding communities.
March 17, 2016; U.S. Department of Justice
Owner of Two Miami Clinics Sentenced to 82 Months for Health Care Fraud Charges
An owner of two fraudulent medical clinics in the Miami area was sentenced to 82 months in prison today for his role in a Medicare fraud scheme that caused more than $3 million in losses.
March 16, 2016; U.S. Attorney; Eastern District of Missouri
Kirksville Owner of Prosthetics Company Sentenced
St. Louis, MO - Theodore Deininger was sentenced to 15 months imprisonment and ordered to pay $150,000 in restitution.
March 15, 2016; U.S. Attorney; Western District of North Carolina
Charlotte Man Sentenced To Three Years In Prison For $2 Million Health Care Fraud Scheme
CHARLOTTE, N.C. - U.S. Attorney Jill Westmoreland Rose announced today that Eric Bernard Mitchell, 44, of Charlotte, was sentenced to 37 months in prison for defrauding Medicaid of over $2 million. U.S. District Judge Max O. Cogburn, Jr. also ordered Mitchell to serve one year under court supervision and to pay $ 2,049,932.12 as restitution to Medicaid. Mitchell pleaded guilty October 2015 to health care fraud and money laundering charges.
March 14, 2016; U.S. Attorney; District of New Jersey
Bergen County, New Jersey, Doctor Who Billed For Bogus Office Visits, Altered Patient Medical Records Sentenced To More Than Three Years In Prison
NEWARK, N.J. - A family physician with offices in Cresskill and Little Falls, New Jersey, was sentenced today to 37 months in prison for defrauding Medicare, Medicaid and private insurance companies out $280,000 by billing them for non-existent office visits, U.S. Attorney Paul J. Fishman announced.
March 11, 2016; U.S. Attorney; Northern District of Illinois
Chicago Psychiatrist Who Took Kickbacks to Prescribe Mental Health Medication Sentenced to Nine Months in Federal Prison
CHICAGO - A Chicago psychiatrist was sentenced today to nine months in federal prison for accepting nearly $600,000 in fees and benefits from pharmaceutical companies in exchange for prescribing a medication to his patients.
March 9, 2016; U.S. Attorney; District of Idaho
Two California Men Plead Guilty to Conspiracy to Distribute Oxycodone and Hydromorphone
BOISE - Michael Kulikoff, 30, and Kenneth Miller, 57, both of California City, California, pleaded guilty yesterday to conspiracy to distribute oxycodone and hydromorphone, U.S. Attorney Wendy J. Olson announced. Co-defendants Diane Miller, 41, and Crystal Clark 43, also of California City, California, previously pleaded guilty to conspiracy to distribute oxycodone and hydromorphone. Diana Miller was sentenced on January 15, 2016, to 15 months in prison, to be followed by five years of supervised release. All four were indicted by a federal grand jury in Boise on May 12, 2015.
March 9, 2016; U.S. Attorney; Eastern District of Pennsylvania
Ambulance Company Employee Sentenced To 37 Months In Prison For Fraud
PHILADELPHIA - Fritzroy Brown, 39, of Philadelphia, PA, was sentenced today to 37 months in prison for a healthcare fraud scheme centering on Brotherly Love Ambulance, Inc. In addition to the prison term, U.S. District Court Judge Gerald J. Pappert ordered three years of supervised release, restitution in the amount of $2,015,712.52 to Medicare, restitution of $14,150 to the Commonwealth of Pennsylvania, and a $300 special assessment.
March 8, 2016; U.S. Attorney; Middle District of Florida
United States Settles False Claims Act Allegations Against 21st Century Oncology For Nearly $34.7 Million
United States Attorney A. Lee Bentley, III announces that the government has formally settled a lawsuit brought by a whistle-blower alleging that one of the nation's largest radiation oncology providers, 21st Century Oncology, has agreed to settle allegations that they performed and billed for procedures that were not medically necessary. Pursuant to the settlement agreement, 21st Century shall pay the United States $34,695,243 to resolve these allegations. Headquartered in Fort Myers, 21st Century has offices in 16 states.
March 8, 2016; U.S. Attorney; District of New Jersey
Bergen County, New Jersey, Doctor Charged With Taking Bribes
NEWARK, N.J. - A family doctor practicing in Bergen County, New Jersey, was charged today with accepting bribes in exchange for test referrals as part of a long-running and elaborate scheme operated by Biodiagnostic Laboratory Services LLC (BLS), of Parsippany, New Jersey, its president and numerous associates, U.S. Attorney Paul J. Fishman announced.
March 7, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Florida Man Sentenced to More than 14 Years in Prison for Multimillion-Dollar Health Care Fraud and Money Laundering Scheme
A Land O' Lakes, Florida, businessman was sentenced by a judge in federal court in Tampa today to 174 months in prison for his role in a multimillion-dollar health care fraud and money laundering scheme.
March 4, 2016; U.S. Attorney; Southern District of Florida
Doctor Who Falsely Diagnosed Hundreds Of Patients As Part of a Medicare Fraud Scheme Pleads Guilty
Dr. Isaac Kojo Anakwah Thompson, 57, of Delray Beach, pled guilty to one count of health care fraud.
March 4, 2016; U.S. Attorney; Northern District of Illinois Medicare Fraud Strike Force Case
Oak Brook Doctor Convicted in Kickback Scheme at Sacred Heart Hospital
CHICAGO - A federal jury today convicted an Oak Brook doctor of illegally receiving benefits in exchange for referring elderly patients to Sacred Heart Hospital on Chicago's West Side.
March 4, 2016; U.S. Attorney; Southern District of Texas
Houstonians Plead Guilty in $13 Million Health Care Fraud Case
HOUSTON - The leader and four others charged in a $13 million Medicare and Medicaid health care fraud case have entered guilty pleas for their respective roles, announced U.S. Attorney Kenneth Magidson.
March 4, 2016; U.S. Attorney; Northern District of Texas
Federal Jury Convicts Dallas Anesthesiologist on Health Care Fraud Offenses Involving Approximately $10 Million in Fraudulent Billings
DALLAS - Following a four-day trial before U.S. District Judge Reed C. O'Connor and approximately three hours of deliberation, a federal jury has convicted Dr. Richard Ferdinand Toussaint, Jr., a licensed anesthesiologist, on all counts of a superseding indictment charging seven counts of health care fraud, announced U.S. Attorney John Parker of the Northern District of Texas.
March 2, 2016; U.S. Department of Justice
Former Owner of Florida Home Health Care Companies Agrees to Pay $1.75 Million to Resolve Kickback and False Claims Act Allegations
Mark T. Conklin, the former owner, operator and sole shareholder of Recovery Home Care Inc. and Recovery Home Care Services Inc. (collectively RHC) has agreed to pay $1.75 million to resolve a lawsuit alleging that he violated the False Claims Act by causing RHC to pay illegal kickbacks to doctors who agreed to refer Medicare patients to RHC for home health care services, the Department of Justice announced today. Conklin sold the RHC companies to National Home Care Holdings LLC, on Oct. 9, 2012.
March 2, 2016; U.S. Attorney; Eastern District of Missouri
Local Chiropractor and Billing Assistant Sentenced on Health Care Fraud Charges
St. Louis, MO - Dr. Donald Havey was sentenced to 51 months in prison and ordered to pay restitution of $2,276,221 on charges involving a scheme to bill Medicare for expensive custom ankle-foot orthotics that were never provided to the patients. His billing assistant, Susan Reno, was sentenced earlier to five years of probation and ordered to pay restitution of $10,571.
March 1, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Former Fugitive Pleads Guilty in Florida Multimillion-Dollar Health Care Fraud Scheme
A Cuban national who fled the United States and had been wanted since 2013 on federal criminal charges relating to a multimillion-dollar health care fraud scheme in the greater Tampa Bay, Florida, area pleaded guilty today for his role in the scheme.
March 1, 2016; U.S. Attorney; District of Connecticut
Stamford Podiatrist Who Submitted False Claims is Sentenced
Deirdre M. Daly, United States Attorney for the District of Connecticut, today announced that AMIRA MANTOURA, 53, of Greenwich, was sentenced yesterday by U.S. District Judge Michael P. Shea in Hartford to three years of probation, and a fine that will result in MANTOURA paying three times the amount of money she stole by submitting false claims to Medicare and other health insurance plans. MANTOURA also will be required to perform 200 hours of community service as part of her sentence.
March 1, 2016; U.S. Department of Justice
Medical Equipment Company Will Pay $646 Million for Making Illegal Payments to Doctors and Hospitals in United States and Latin America
The United States' largest distributor of endoscopes and related equipment will pay $623.2 million to resolve criminal charges and civil claims relating to a scheme to pay kickbacks to doctors and hospitals, U.S. Attorney Paul J. Fishman of the District of New Jersey and Principal Deputy Assistant Attorney General Benjamin C. Mizer of the Justice Department's Civil Division announced today. U.S. Attorney Fishman and Principal Deputy Assistant Attorney General David Bitkower of the Justice Department's Criminal Division also announced that a subsidiary of the distributor will pay $22.8 million to resolve criminal charges relating to the Foreign Corrupt Practices Act (FCPA) in Latin America.

February 2016

February 26, 2016; U.S. Department of Justice
Two Dallas-Area Doctors and Four Others Charged for Roles in $13.4 Million Medicare Fraud Scheme
Six individuals, including two Dallas-area doctors, were charged in a superseding indictment that was unsealed today for their alleged participation in a $13.4 million health care fraud scheme involving fraudulent claims for home health services.
February 25, 2016; U.S. Attorney; District of Columbia
Maryland Woman Pleads Guilty to Conspiring to Taking Part In Scheme Involving Prescription and Health Care Fraud
WASHINGTON - Claire Elizabeth Rice, 68, of Silver Spring, Md., pled guilty today to federal charges of conspiracy to obtain controlled substances by prescription fraud and participating in a health care fraud scheme, announced U.S. Attorney Channing D. Phillips, Paul M. Abbate, Assistant Director in Charge of the FBI's Washington Field Office, and Nicholas DiGiulio, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), for the region that includes Washington, D.C.
February 25, 2016; U.S. Attorney; District of Puerto Rico
Eight Individuals Arrested For Bribery, Conspiracy, Health Care And Mail Fraud
SAN JUAN, P.R. - On February 24, 2016, a Federal grand jury returned a fourteen count indictment against eight individuals for bribery, conspiracy to commit health care fraud, conspiracy to commit an offense against the United States, mail fraud, and aggravated identity theft, announced Rosa Emilia Rodríguez-Vélez, United States Attorney for the District of Puerto Rico. The investigation was led by the U.S. Department of Health and Human Services-Office of Inspector General, with the collaboration of the Federal Bureau of Investigation, United States Secret Service, United States Postal Inspection Service, and the Puerto Rico Department of Health Medicaid Anti-Fraud Unit.
February 25, 2016; U.S. Attorney; District of Maryland
Assisted Living Facility Manager Indicted for Stealing Elderly Residents' Identities to Obtain Credit Cards
Baltimore, Maryland - A federal grand jury indicted Salah Eldean Sood, age 34, of Baltimore, today on charges arising from a scheme to open credit card accounts using the stolen identity information of elderly persons who were in Sood's care at Holland Manor Eldercare, an assisted living facility in Towson, Maryland.
February 24, 2016; U.S. Attorney; Eastern District of New York
Clinic Owner And Four Medical Professionals Sentenced In A $4 Million Medicare Fraud Scheme
Earlier today, Jeffrey Suh, Richelle Munoz, Sophia Lin, Kang Young Chung, and Emily Shim were sentenced in federal court in Brooklyn for conspiring to commit health care fraud in a scheme where they fraudulently billed Medicare for more than $4 million.
February 23, 2016; U.S. Attorney; Western District of Kentucky
Louisville Chiropractor Guilty Of Health Care Fraud
LOUISVILLE, Ky. - A Louisville chiropractor pleaded guilty to numerous charges today, including health care fraud, obstruction of a criminal investigation, and tampering with a witness for his role in billing private insurance companies and government health care agencies for services that were never performed, announced United States Attorney John E. Kuhn, Jr.
February 23, 2016; U.S. Attorney; Eastern District of Pennsylvania
Ambulance Company Employee Sentenced To 37 Months In Prison
PHILADELPHIA - Thael Kuran, 24, of Philadelphia, PA, was sentenced today to 37 months in prison for a health care fraud scheme involving Brotherly Love Ambulance, Inc. In addition to the prison term, U.S. District Court Judge Gerald J. Pappert ordered three years of supervised release, restitution in the amount of $2,015,712.52, and a $200 special assessment.
February 22, 2016; U.S. Attorney; District of Maryland
Paige Industrial Services Agrees to Resolve False Claims Act Allegations
Baltimore, Maryland - Government contractor Paige Industrial Services, Inc. has agreed to pay the United States between $450,000 and $675,000 to resolve allegations under the False Claims Act that the company submitted false claims to the Department of Health and Human Services. In a related parallel criminal proceeding involving a Paige subcontracting company, construction company owner Luis Alonso Valle, age 46, of Silver Spring, Maryland, pleaded guilty on February 11, 2016 to an illegal pattern and practice of hiring unauthorized aliens.
February 19, 2016; U.S. Attorney; District of Idaho
Fruitland Woman Indicted for False Billing at Payette Dental Clinic
BOISE - Cherie R. Dillon, 60, of Fruitland, Idaho, made an initial appearance yesterday on charges of health care fraud and aggravated identity theft, U.S. Attorney Wendy J. Olson announced. Dillon was indicted on February 9, 2016, by a federal grand jury in Boise.
February 19, 2016; U.S. Attorney; Middle District of Florida
Adventist To Pay More Than $2 Million To Resolve False Claims Allegations
Tampa, FL - United States Attorney A. Lee Bentley, III announces that Adventist Health System Sunbelt Healthcare Corporation (Adventist) has agreed to pay the government $2.09 million to resolve allegations that patients were administered portions of single-dose vials of chemotherapy drugs that were left over from administrations to prior patients.
February 17, 2016; U.S. Department of Justice
Fifty-One Hospitals Pay United States More Than $23 Million to Resolve False Claims Act Allegations Related to Implantation of Cardiac Devices
The Department of Justice has reached settlements with 51 hospitals in 15 states for more than $23 million related to cardiac devices that were implanted in Medicare patients in violation of Medicare coverage requirements, the Department of Justice announced today. These settlements represent the final stage of a nationwide investigation into the practices of hundreds of hospitals improperly billing Medicare for these devices. With these additional agreements, the Justice Department's investigation has now yielded settlements with more than 500 hospitals totaling more than $280 million.
February 17, 2016; U.S. Attorney; District of Montana
Billings Hospital One of 51 Hospitals Nationwide to Pay More Than $23 Million to Resolve False Claims Act Allegations Related to Implantation of Cardiac Devices
WASHINGTON - The Department of Justice announced today that it has reached settlements with 51 hospitals in 15 states for more than $23 million related to cardiac devices that were implanted in Medicare patients in violation of Medicare coverage requirements. Saint Vincent Healthcare in Billings is one of the hospitals included in the settlements. St. Vincent is part of the Sisters of Charity of Leavenworth Health System, based in Broomfield, CO, and is one of five Sisters of Charity hospitals that together paid 1.95 million under the settlements.
February 17, 2016; U.S. Attorney; District of Maryland
Maryland Health Care Provider Convicted for Patient Deaths
Baltimore, Maryland - A federal jury today convicted the owner of Alpha Diagnostics, Rafael Chikvashvili, age 67, of Baltimore, Maryland, of health care fraud and wire fraud conspiracy, healthcare fraud, including two counts of health care fraud resulting in death, as well as wire fraud, false statements and aggravated identity theft, related to a scheme to defraud Medicare and Medicaid of more than $7.5 million. Judge Bredar ordered that Mr. Chikvashvili be immediately taken into custody. A detention hearing will be held on Thursday, February 18, 2016 at 2:00 p.m. to determine whether he will remain in custody pending his sentencing.
February 17, 2016; U.S. Attorney; Eastern District of Texas
Physician Pleads Guilty To Illegally Prescribing Pain Medication
TYLER, Texas - U.S. Attorney John M. Bales announced that an East Texas pain management physician has pleaded guilty to illegally dispensing controlled substances.
February 16, 2016; U.S. Attorney; District of Columbia
Chiropractor Sentenced for Obstructing Investigation Of Health Care Fraud Involving D.C. Medicaid Program
WASHINGTON - Rehman Mirza, 43, a chiropractor who practiced in Suitland, Md., was sentenced today to seven months in prison and an additional six months in home confinement after earlier pleading guilty to obstructing a criminal health care fraud investigation, announced U.S. Attorney Channing D. Phillips and Paul M. Abbate, Assistant Director in Charge of the FBI's Washington Field Office.
February 12, 2016; U.S. Attorney; District of New Jersey
New Jersey Doctor, Two Companies Agree To Pay $5.25 Million For Allegedly Submitting Bogus Claims To Federal Health Care Programs
NEWARK, N.J. - Dr. Labib E. Riachi, 47, of Westfield, New Jersey, and two companies that he owns and operates, Riachi, Inc. and Center for Advanced Pelvic Surgery, LLC, both based in Westfield, have agreed to pay $5.25 million to resolve allegations that they falsely billed federal health care programs for tests that were never provided, among other claims, U.S. Attorney Paul J. Fishman announced today.
February 11, 2016; U.S. Attorney; Middle District of Florida
United States Announces Approximately $10 Million Settlement With Four Physicians And Two Compounding Pharmacies
Jacksonville, FL - United States Attorney A. Lee Bentley, III announces that two compounding pharmacies - WELLHealth and Topical Specialists, as well as four physicians - Manish Bansal, Mehul Parekh, Marisol Arcila, and Syed Asad, have agreed to pay the government a total of approximately $10 million to resolve allegations involving TRICARE, the military's healthcare program.
February 11, 2016; U.S. Attorney; District of New Jersey
Doctor Charged With Accepting Thousands Of Dollars In Cash Bribes For Referrals To Lab Companies
NEWARK, N.J. - A doctor with offices in Toms River, New Jersey, was indicted today for accepting thousands of dollars in cash bribes in exchange for referring his patients to two lab companies that performed blood and DNA testing, U.S. Attorney Paul J. Fishman announced.
February 11, 2016; U.S. Attorney; Western District of Missouri
Dentist Pleads Guilty to Medicaid Fraud Scheme
SPRINGFIELD, Mo. - Tammy Dickinson, United States Attorney for the Western District of Missouri, announced that an Independence, Mo., dentist who formerly practiced at clinics in Springfield, Mo., and Mountain Grove, Mo., pleaded guilty in federal court today to his role in a conspiracy to collect more than $167,000 in fraudulent Medicaid payments for child patients of the clinics.
February 11, 2016; U.S. Attorney; Southern District of Illinois
O'Fallon Woman Sentenced for Healthcare Fraud
James L. Porter, Acting United States Attorney for the Southern District of Illinois, announced today, that Ann Marie Sheppard, 55, of O'Fallon, Illinois, was sentenced on February 10, 2016, in the U.S. District Court in East Saint Louis, Illinois, on the charges that she engaged in a scheme to steal from a health care program and that she committed two related mail frauds. The district court sentenced Sheppard to five years of probation with the first six months to be served in home detention. She is also ordered to pay $34,168.33 in restitution to the Home Services Program and a $300.00 special assessment.
February 10, 2016; U.S. Attorney; Eastern District of Kentucky
Lexington Couple Pleads Guilty to Grant Fraud
LEXINGTON - A Lexington couple has admitted in federal court that they submitted false claims related to federal grants from the National Institutes of Health ("NIH") and defrauded the government out of hundreds of thousands of dollars.
February 10, 2016; District of Maryland
Lutherville Man Faces Federal Charges for Bank Fraud and Identity Theft and State Charges for Elder Abuse
Baltimore, Maryland - Salah Sood, age 34, of Lutherville, Maryland, faces federal charges of aggravated identity theft and bank fraud. Sood has also been indicted in Baltimore County with four counts of abuse of vulnerable adults and one count of operating an unlicensed assisted living home. The state and federal charges arise from an investigation of Holland Manor Eldercare where, on December 3, 2015, two elderly residents were found alone when Baltimore County police and the fire department personnel responded to a fire alarm at that location.
February 10, 2016; U.S. Attorney; District of New Jersey
U.S. Attorney’s Office Files Civil Lawsuit Against New Jersey Doctor, Two Companies For Submitting Bogus Claims To Federal Health Care Programs
NEWARK, N.J. - U.S. Attorney Paul J. Fishman announced today that the government has filed a complaint against a Union County, New Jersey, doctor and his medical practice companies for knowingly submitting millions of dollars in false claims to Medicare and Medicaid for thousands of diagnostic tests that were never performed and for physical therapy services performed by unqualified personnel.
February 9, 2016; U.S. Attorney; Southern District of Florida Medicare Fraud Strike Force Case
Miami Physician Pleads Guilty For Role in $20 Million Health Care Fraud Scheme
A Miami physician pleaded guilty today for his role in a Medicare fraud scheme that caused more than $20 million in losses.
February 9, 2016; U.S. Attorney; Southern District of Illinois
Granite City Woman Sentenced For Healthcare Fraud
James L. Porter, Acting United States Attorney for the Southern District of Illinois, announced today, that on February 9, 2016, Jessica A. Teets, 28, of Granite City, Illinois, was sentenced in the U.S. District Court in East Saint Louis on the charge that she engaged in a scheme to defraud a health care program. The district court sentenced Teets to five years of probation. She was also ordered to pay $1,292.62 in restitution to the Home Services Program.
February 9, 2016; U.S. Attorney; Eastern District of Pennsylvania
Nurse Convicted For Role In Multi-Million Dollar Hospice Health Care Fraud
PHILADELPHIA - A federal jury, yesterday, returned guilty verdicts against Patricia McGill, 68, of Philadelphia, a registered nurse who took part in a multi-million dollar fraud on Medicare that involved hospice care. The jury found McGill guilty of four counts of health care fraud. The jury acquitted the defendant of a conspiracy charge and nine counts of health care fraud. U.S. District Court Judge Eduardo C. Robreno scheduled a sentencing hearing for May 24, 2016. McGill faces a potential advisory sentencing guideline range of 33 to 41 months in prison, a possible fine, and a $400 special assessment.
February 1, 2016; U.S. Attorney; Southern District of Illinois
Cottage Hills Woman Sentenced On Healthcare Fraud Charge
James L. Porter, Acting United States Attorney for the Southern District of Illinois, announced today, that on January 29, 2016, Lisa Jorden, 50, of Cottage Hills, Illinois, pled guilty and was sentenced in the U.S. District Court in East Saint Louis, Illinois, on the charge that she engaged in a scheme to steal from a health care program. The district court sentenced Jorden to five years of probation. She is also ordered to pay $16,828.00 in restitution to the Home Services Program and a $100.00 special assessment.

January 2016

January 29, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Former Owner and Operator of California Medical Equipment Supply Company Sentenced for Their Roles in $1.5 Million Medicare Fraud Scheme
The former owner and the former operator of a durable medical equipment supply company based in Long Beach, California, were sentenced today for their roles in a $1.5 million Medicare fraud scheme.
January 29, 2016; U.S. Attorney; Southern District of Illinois
Belleville Woman Pleads Guilty To Healthcare Fraud
James L. Porter, Acting United States Attorney for the Southern District of Illinois, announced today, that Kiara Hopkins, 24, of Belleville, Illinois, pled guilty in federal court to charges that she engaged in a scheme to steal from a health care program. Sentencing has been set for May 5, 2016. Hopkins will face up to 10 years in prison, a fine of up to $250,000, and up to 3 years of supervised release.
January 27, 2016; U.S. Attorney; Southern District of Texas
Area Ambulance Company Owner Sentenced in Health Care Fraud Scheme
McALLEN, Texas - The owner of Vic's Texas Transport, Inc. (dba Victory EMS) has been ordered to federal prison following his conviction of health care fraud and aggravated identity theft, announced U.S. Attorney Kenneth Magidson. Victor Lee Gonzalez, 28, of Mission, pleaded guilty Sept, 22, 2015.
January 27, 2016; U.S. Attorney; Southern District of Texas
Ambulance Company Owners Agree to Pay More Than $245,000 to Resolve Kickback Allegations
HOUSTON - The former owner and operator of Houston-area ambulance company National Care EMS has agreed to settle allegations that he and the company provided kickbacks to various nursing facilities and hospitals in exchange for rights to the institutions' more lucrative Medicare and Medicaid transport referrals, announced U.S. Attorney Kenneth Magidson along with Gregory Demske, Chief Counsel to the Inspector General of the U.S. Department of Health and Human Services - Office of Inspector General (HHS-OIG) and Special Agent in Charge CJ Porter, of HHS-OIG, Office of Investigations - Dallas Regional Office.
January 26, 2016; U.S. Attorney; Eastern District of Pennsylvania
Health Care Agreement Announced Regarding Care Enhancements At Rehab Center
PHILADELPHIA - The Archdiocese of Philadelphia, Catholic Health Care Services has agreed to resolve allegations relating to resident care at St. Monica Center for Rehabilitation and Health Care and St. Monica Manor, announced United States Attorney Zane David Memeger. The Archdiocese of Philadelphia has agreed to improve, or has already improved, care in the following areas: physician orders; wound care and pressure ulcers; medication administration; documentation of care; and transfer and toileting of residents. Pursuant to the agreement, the Archdiocese has also agreed to pay $80,000 in addition to implementing the care enhancements. Although St. Monica Manor has been sold to Center Management Group ("CMG"), CMG has agreed to assume all duties in connection with the settlement agreement.
January 25, 2016; U.S. Attorney; Northern District of Illinois Medicare Fraud Strike Force Case
Federal Jury Convicts Tinley Park Physician in Medicare Fraud Scheme
CHICAGO - A physician at Chicago-based Mobile Doctors was convicted on federal fraud charges today for falsely certifying patients as confined to their homes as part of a scheme to defraud Medicare.
January 22, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner and Manager of Three Miami-Area Home Health Agencies Convicted in $57 Million Health Care Fraud Scheme
The owner and manager of three Miami-area home health agencies was convicted late yesterday for his role in a health care fraud scheme that resulted in the submission of false and fraudulent claims to Medicare.
January 22, 2016; U.S. Attorney; District of New Hampshire
Seabrook Woman Sentenced To Home Confinement For Social Security, Food Stamp, And Medicaid Fraud
CONCORD, N.H. - Beverly Eaton, 57, of Seabrook, who pleaded guilty to one count of Social Security Fraud and four counts of Making False Statements on September 28, 2015, was sentenced today to three years of probation, including six months of home confinement, and was ordered to pay $51,189.70 in restitution to the Social Security Administration and $11,235.36 to the New Hampshire Department of Health and Human Services, announced United States Attorney Emily Gray Rice.
January 20, 2015; U.S. Attorney; District of Nevada
Family Members Convicted In Benefits Fraud Case
LAS VEGAS, Nev. - A brother and sister have been convicted by a federal jury of multiple felony counts for using false identities to steal almost $300,000 in unemployment funds and other federal benefits, announced U.S. Attorney Daniel G. Bogden for the District of Nevada. Two other family members were also convicted of fraud for their part in the scheme to unlawfully obtain unemployment compensation funds.
January 20, 2016; U.S. Attorney; District of Vermont
Paul Hebert Pleads Guilty to Social Security and Medicaid Fraud
Paul Hebert, 50, of Gloucester, Massachusetts, formerly of Barre, Vermont, pleaded guilty today to charges of Social Security fraud and Medicaid fraud.
January 19, 2016; U.S. Attorney; District of New Jersey
Ocean County, New Jersey, Man Admits Bribing Doctor As Part Of Compounding Pharmacy Fraud Scheme
CAMDEN, N.J. - A Manchester, New Jersey, man today admitted paying tens of thousands of dollars in bribes to a sports medicine doctor on behalf of Prescriptions R Us, a compound pharmacy in Lakewood, New Jersey, U.S. Attorney Paul J. Fishman announced.
January 19, 2016; U.S. Attorney; Northern District of Texas
Registered Nurse Co-Owner of Ultimate Care Home Health Services, Inc. Sentenced to 10 Years in Federal Prison for Role in Healthcare Fraud Conspiracy
DALLAS - A 52-year-old registered nurse and home health company owner from Cedar Hill, Texas, was sentenced this morning in federal court in Dallas on a health care fraud conspiracy conviction, announced U.S. Attorney John Parker of the Northern District of Texas.
January 15, 2016; U.S. Department of Justice
California Hospital to Pay More Than $3.2 Million to Settle Allegations That It Violated the Physician Self-Referral Law
Tri-City Medical Center, a hospital located in Oceanside, California, has agreed to pay $3,278,464 to resolve allegations that it violated the Stark Law and the False Claims Act by maintaining financial arrangements with community-based physicians and physician groups that violated the Medicare program's prohibition on financial relationships between hospitals and referring physicians, the Justice Department announced today.
January 15, 2016; U.S. Attorney; Middle District of Pennsylvania
Tioga County Physician And One Other Plead Guilty To Health Care Fraud Charges
WILLIAMSPORT - The United States Attorney's Office for the Middle District of Pennsylvania announced today that Dr. John Terry, age 65, of Wellsboro and Stephen Heffner, Jr., age 46, of Elkland, pleaded guilty today before Chief United States District Court Judge Christopher C. Conner in Williamsport.
January 14, 2016; U.S. Department of Justice  Medicare Fraud Strike Force Case
Health Care Clinic Consultant and Medicare Biller Pleads Guilty in Miami for Role in $63 Million Health Care Fraud Scheme
A former health care clinic consultant and Medicare biller pleaded guilty today in connection with a $63 million health care fraud and money laundering scheme involving a defunct Miami-area health care provider.
January 12, 2016; U.S. Department of Justice
Nation's Largest Nursing Home Therapy Provider, Kindred/Rehabcare, to Pay $125 Million to Resolve False Claims Act Allegations
Contract therapy providers RehabCare Group Inc., RehabCare Group East Inc. and their parent, Kindred Healthcare Inc., have agreed to pay $125 million to resolve a government lawsuit alleging that they violated the False Claims Act by knowingly causing skilled nursing facilities (SNFs) to submit false claims to Medicare for rehabilitation therapy services that were not reasonable, necessary and skilled, or that never occurred, the Department of Justice announced today.
January 12, 2016; U.S. Attorney; District of Connecticut
Connecticut Medical Equipment Company Pays $600,000 to Settle False Claims Act Allegations
United States Attorney Deirdre M. Daly and Connecticut Attorney General George Jepsen today announced that J&L MEDICAL SERVICES, LLC ("J&L MEDICAL") has entered into a civil settlement agreement with the federal and state governments in which it will pay $600,000 to resolve allegations that it violated the federal and state False Claims Acts.
January 12, 2016; U.S. Attorney; Western District of Michigan
Physician Assistant, Kyle D. Gandy, Sentenced To Fourteen Months In Prison For Accepting Illegal Kickbacks
GRAND RAPIDS, MICHIGAN - U.S. Attorney Patrick Miles announced today that Kyle D. Gandy, age 37, a physician assistant who formerly resided in Mt. Pleasant, Michigan, was sentenced to 14 months in prison and two years of supervised release for accepting $1,000.00 in illegal kickbacks for referring patients to medical clinics, physical therapy clinics, and a home health care agency. Gandy is the tenth person, and the fourth physician assistant, convicted of felony charges in connection with a joint federal-state investigation into a kickback scheme initiated by Babubhai Rathod. As part of this felony conviction, Gandy was ordered to pay $18,030.17 in restitution, representing the amount of the referred services paid by Medicare and Medicaid. Gandy will be excluded from participating with the Medicare and Medicaid programs for at least five years.
January 12, 2016; U.S. Attorney; Western District of Tennessee
Local Dermatologist, Cordova-based Medical Practice to Pay $450,000 for Overbilling Medicare
Memphis, TN - A doctor and his Cordova-based medical practice will pay $450,000 to the government to resolve allegations that it billed Medicare for unnecessary dermatological surgical procedures and office visits. Edward L. Stanton III, U.S. Attorney for the Western District of Tennessee, announced the settlement today.
January 12, 2016; U.S. Attorney; Southern District of Ohio
Ambulance Company Owner Pleads Guilty to Health Care Fraud
CINCINNATI - Terry Johnson, 42, of Hamilton Ohio, pleaded guilty in U.S. District Court to one count of health care fraud and one count of money laundering.
January 11, 2016; U.S. Attorney; Southern District of New York
Doctor And Owner Of Bronx Clinics Involved In Illegal Distribution Of More Than Five Million Oxycodone Pills Is Sentenced To 12 Years In Prison
Preet Bharara, the United States Attorney for the Southern District of New York, announced the conviction of KEVIN LOWE, the owner of "Astramed," a purported medical clinic with multiple locations in the Bronx, New York, and from which more than five million tablets of the prescription painkiller oxycodone were unlawfully distributed over a three-year period. On May 4, 2015, LOWE was convicted of a conspiracy to distribute narcotics following a two-week jury trial presided over by U.S. District Judge Lorna G. Schofield. Today, Judge Schofield sentenced LOWE to a term of 144 months in prison.
January 8, 2016; U.S. Department of Justice
Former Owner of Bostwick Laboratories Agrees to Pay Up to $3.75 Million to Resolve Allegations of Unnecessary Testing and Illegal Remuneration to Physicians
Dr. David G. Bostwick has agreed to pay the United States up to $3.75 million to resolve alleged violations of the False Claims Act for billing Medicare and Medicaid for medically unnecessary cancer detection tests and offering incentives to physicians to obtain Medicare and Medicaid business, the Department of Justice announced today. Dr. Bostwick was the founder, owner and chief executive officer of Bostwick Laboratories Inc. from 1999 to 2011. Bostwick Laboratories is a pathology laboratory headquartered in Glen Allen, Virginia.
January 8, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
President of Miami-Based Transportation Company Convicted in $70 Million Health Care Fraud Scheme
The president of a Miami-based transportation company was convicted today for his role in a health care fraud scheme involving three mental health centers based in Miami that resulted in the submission of approximately $70 million in false and fraudulent claims to Medicare.
January 8, 2016; U.S. Attorney; Southern District of Florida Medicare Fraud Strike Force Case
Four Miami-Dade Residents Indicted for Participation in Fraud Schemes
Four Miami-Dade residents have been indicted for their participation in various schemes to defraud the United States government.
January 7, 2016; U.S. Attorney; Northern District of Illinois Medicare Fraud Strike Force Case
West Suburban Doctor Sentenced to Two Years in Federal Prison for Falsely Approving Unnecessary Treatment
CHICAGO - A west suburban physician was sentenced today to two years in prison for fraudulently certifying patients as confined to the home, allowing healthcare agencies to bill Medicare for millions of dollars in unnecessary in-home treatment.
January 7, 2016; U.S. Attorney; Southern District of West Virginia
Beckley physician pleads guilty to Federal drug crime and health care fraud
BECKLEY, W.Va. - Acting United States Attorney Carol Casto announced today that Jose Jorge Abbud Gordinho, M.D., of Beckley, pleaded guilty in federal court to illegally prescribing the pain medication hydrocodone. Dr. Gordinho also pleaded guilty to defrauding Medicare and Medicaid by submitting materially false claims for medical services that were not medically necessary.
January 6, 2016; U.S. Attorney; Central District of California
Doctor Who Pre-Signed Thousands of Prescriptions in $20 Million Health Care Fraud Scheme Sentenced to Nine Years in Prison
LOS ANGELES - The medical doctor at the center of a conspiracy linked to a sham medical clinic in Glendale was sentenced today to nine years in federal prison for his role in a $20 million scheme to defraud the Medicare and Medi-Cal programs.
January 6, 2016; U.S. Attorney; Middle District of Pennsylvania
United States Reaches Agreement With Former York County Chiropractor In Civil False Claims Act Suit
HARRISBURG - The United States Attorney’s Office for the Middle District of Pennsylvania announced today that it has entered into a Consent Decree with former chiropractor Kurt Bauer, age 62, of York, PA, to resolve a suit the United States filed alleging that Bauer remained involved in the management of a Medicare provider’s business despite his exclusion by the U.S. Department of Health and Human Services, in violation of the False Claims Act.
January 5, 2016; U.S. Attorney; District of Maryland
Two Defendants Sentenced to Prison in Conspiracy to Distribute Over $6.6 Million In Contraband Cigarettes
Baltimore, Maryland - U.S. District Judge William D. Quarles, Jr. sentenced Nikolay Zakharyan, age 24, of Owings Mills, Maryland, and Zarakh Yelizarov, age 53, of Pikesville, Maryland, today to a year and a day in prison, and 18 months in prison, respectively, each followed by three years of supervised release, for conspiracy to receive, possess, sell and distribute over $6.6 million in contraband cigarettes, that is, cigarettes on which the applicable state taxes have not been paid. Judge Quarles entered an order requiring Yelizarov to pay restitution of $2.5 million to New York City and the state of New York and to forfeit $56,000, proceeds of the offense. Judge Quarles also entered an order requiring Nikolay Zakharyan to pay restitution of $9,659,880.
January 5, 2016; U.S. Attorney; District of Idaho
Leader of Boise Oxycodone and Heroin Organization Sentenced to Ten Years in Federal Prison
BOISE - Austin Serb, 22, of Boise, Idaho, was sentenced today to 120 months in federal prison for distributing tens of thousands of oxycodone pills and heroin in a large scale drug trafficking conspiracy. Senior U.S. District Judge Edward J. Lodge also ordered Serb to serve three years of supervised release, 200 hours of community service, and to forfeit $1,000,000 in drug proceeds. At his sentencing hearing, Judge Lodge determined that Serb was a manager and supervisor of an extensive criminal organization. Serb pleaded guilty on February 13, 2015, and admitted that he conspired to distribute oxycodone and heroin from September 1, 2012, to March 10, 2014.
January 5, 2016; U.S. Attorney; Middle District of Tennessee
Nashville Pharmacy Services Settles False Claims Act Lawsuit
Nashville Pharmacy Services, LLC, and its majority owner Kevin Hartman have agreed to pay up to $7.8 million to settle allegations that they overbilled Medicare and TennCare for pharmacy services, announced David Rivera, U.S. Attorney for the Middle District of Tennessee. Nashville Pharmacy Services' primary location is at 100 Oaks in Nashville, Tenn. and it specializes in dispensing HIV and AIDS-related medications.
January 5, 2016; U.S. Attorney; Middle District of Pennsylvania
Health Care Fraud Charges And Plea Agreements Filed Against Tioga County Physician And Two Others
SCRANTON - The United States Attorney's Office for the Middle District of Pennsylvania announced today that a criminal information has been filed in U.S. District Court in Scranton against Dr. John Terry, age 65, of Wellsboro, in connection with fraudulent prescriptions he wrote for Oxycodone, a Schedule II controlled substance.
January 4, 2016; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner of Three Los Angeles Clinics Sentenced to 78 Months in Prison for Medicare Fraud
The former owner and operator of three medical clinics located in Los Angeles was sentenced today to 78 months in prison for his role in a scheme that submitted more than $4.5 million in fraudulent claims to Medicare.

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