health care fraud

General

New Jersey News: CAMDEN, Seven People Charged in $50 Million Health Care Fraud Conspiracy Targeting State Health Benefits Programs

CAMDEN, N.J. (STL.News) – A federal grand jury has returned a 50-count indictment charging seven people with defrauding New Jersey state health benefits programs and other insurers out of more than $50 million by submitting fraudulent claims for medically unnecessary prescriptions, U.S. Attorney Craig Carpenito announced today. William Hickman, 42, Sara Hickman, 42, Thomas Schallus, … Continue reading New Jersey News: CAMDEN, Seven People Charged in $50 Million Health Care Fraud Conspiracy Targeting State Health Benefits Programs →

General

Florida News: Florida Helps Secure Multimillion Recovery Following Health Care Fraud Investigation

TALLAHASSEE, FL (STL.News) – Florida Attorney General Ashley Moody’s Office helped secure a multimillion-dollar recovery following an investigation into a multistate health care fraud scheme. Covidien LP, a former global health care products company, allegedly provided free or discounted development and marketing services to Florida health care providers to induce them into purchasing Covidien products.  … Continue reading Florida News: Florida Helps Secure Multimillion Recovery Following Health Care Fraud Investigation →

General

NEW YORK News: ALBANY, Arshad Nazir, Owner of North Country Medical Transportation Company Pleads Guilty to Health Care Fraud, Paying Kickbacks

ALBANY, NEW YORK – Arshad Nazir, age 54, of Ticonderoga, New York, pled guilty today to conspiring to defraud Medicaid, and conspiring to pay bribes and kickbacks to Medicaid beneficiaries who used his medical transportation service. He admitted to causing at least $550,000 in losses, and to paying at least $95,000 in bribes and kickbacks. … Continue reading NEW YORK News: ALBANY, Arshad Nazir, Owner of North Country Medical Transportation Company Pleads Guilty to Health Care Fraud, Paying Kickbacks →

General

New Jersey News: Lakewood Man, Jonas Knopf Charged in $10 Million Health Care Fraud Against Blue Cross Blue Shield

NEWARK, N.J. – A Lakewood, New Jersey, insurance producer was charged today with conspiring to defraud several Blue Cross Blue Shield health care insurance affiliates of more than $10 million, U.S. Attorney Craig Carpenito announced today. Jonas Knopf, 63, of Lakewood, was charged by complaint with one count of conspiring to defraud three health care … Continue reading New Jersey News: Lakewood Man, Jonas Knopf Charged in $10 Million Health Care Fraud Against Blue Cross Blue Shield →

General

New Jersey News: Bergen County Insurance Broker, Lawrence Ackerman Admits Health Care Fraud

TRENTON, N.J. – An insurance broker with an office in Fort Lee, New Jersey, today admitted defrauding Horizon Blue Cross Blue Shield, U.S. Attorney Craig Carpenito announced. Lawrence Ackerman, 54, a resident of Old Tappan, New Jersey, pleaded guilty before U.S. District Judge Anne E. Thompson in Trenton federal court to a superseding information charging … Continue reading New Jersey News: Bergen County Insurance Broker, Lawrence Ackerman Admits Health Care Fraud →

General

New Jersey News: Atlantic County Man, Corey Sutor Admits Health Care Fraud Conspiracy

CAMDEN, N.J. – An Atlantic County, New Jersey, man today admitted defrauding New Jersey state health benefits programs out of millions of dollars by submitting fraudulent claims for medically unnecessary prescriptions, U.S. Attorney Craig Carpenito announced. Corey Sutor, 37, of Egg Harbor Township, New Jersey, a Ventnor firefighter, pleaded guilty before U.S. District Judge Robert … Continue reading New Jersey News: Atlantic County Man, Corey Sutor Admits Health Care Fraud Conspiracy →

General

VIRGINIA News: Charlottesville, Husband and Wife Sentenced on Federal Health Care Fraud Charges

Charlottesville, VIRGINIA – A husband and wife, who enriched themselves by defrauding the Virginia Medicaid program, were sentenced this week in U.S. District Court on federal health care fraud and related charges, United States Thomas T. Cullen and Virginia Attorney General Mark Herring announced. Dennis Gowin, 67, of Dillwyn, Va., was sentenced earlier this week … Continue reading VIRGINIA News: Charlottesville, Husband and Wife Sentenced on Federal Health Care Fraud Charges →

General

South Carolina News: Mount Pleasant Speech Therapist, Gena Randolph Sentenced to Over 9 Years in Federal Prison for Health Care Fraud and Aggravated Identity Theft

Charleston, South Carolina – United States Attorney Sherri A. Lydon announced today that Gena Randolph, 44, of Mount Pleasant, South Carolina, was sentenced to over 9 years in federal prison for executing a health care fraud scheme over the course of almost five years. Randolph’s sentence comes after a four-day trial in July prosecuted jointly … Continue reading South Carolina News: Mount Pleasant Speech Therapist, Gena Randolph Sentenced to Over 9 Years in Federal Prison for Health Care Fraud and Aggravated Identity Theft →

General

Pennsylvania News: TWELVE INDIVIDUALS CHARGED IN EXTENSIVE HEALTH CARE FRAUD CONSPIRACY TO DEFRAUD MEDICAID HOME CARE PROGRAM

Sixteen Defendants Have Been Charged to Date in Connection with the Conspiracy PITTSBURGH, Pa. – Ten residents of Western Pennsylvania, a resident of Georgia, and a resident of South Carolina were charged by a federal grand jury in a 22-count indictment related to a years-long conspiracy to defraud the Pennsylvania Medicaid program, United States Attorney … Continue reading Pennsylvania News: TWELVE INDIVIDUALS CHARGED IN EXTENSIVE HEALTH CARE FRAUD CONSPIRACY TO DEFRAUD MEDICAID HOME CARE PROGRAM →

General

Texas News: Katy Woman, Joy Aneke Sentenced in Health Care Fraud and Kickback Schemes

HOUSTON, Ts. – The owner of three Houston area clinics has been ordered to federal prison following her conviction of conspiracy to commit health care fraud, announced U.S. Attorney Ryan K. Patrick. Joy Aneke, 51, of Katy, entered her plea on May 16, 2018. Today, U.S. District Judge Kenneth M. Hoyt handed Aneke a 36-month sentence … Continue reading Texas News: Katy Woman, Joy Aneke Sentenced in Health Care Fraud and Kickback Schemes →

General

New York News: Manhattan U.S. Attorney Announces $2 Million Settlement Of Health Care Fraud Claims Against Metropolitan Retina Associates, Inc., And Dr. Kenneth Felder

Metropolitan Retina Associates and Dr. Felder Admit to Billing Medicare and Medicaid for Worthless and Unsubstantiated Imaging Studies of the Eye New York – Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and Scott J. Lampert, Special Agent in Charge for the New York Office of Inspector General of … Continue reading New York News: Manhattan U.S. Attorney Announces $2 Million Settlement Of Health Care Fraud Claims Against Metropolitan Retina Associates, Inc., And Dr. Kenneth Felder →

General

Ohio News: COLUMBUS, Bernard Oppong, Doctor Practicing in Dublin Charged with Health Care Fraud, Distributing Controlled Substance Through Pain Cream Scheme and Suboxone Clinic

COLUMBUS, Ohio – A federal grand jury has charged a Central Ohio doctor with charges related to a health care fraud scheme that included marketing prescription creams in Sav-a-Lot and low-income neighborhoods and persistently mailing those creams to Medicaid customers, as well as prescribing and distributing Suboxone without medical necessity. Bernard Oppong, 60, of Blacklick, … Continue reading Ohio News: COLUMBUS, Bernard Oppong, Doctor Practicing in Dublin Charged with Health Care Fraud, Distributing Controlled Substance Through Pain Cream Scheme and Suboxone Clinic →

General

Pennsylvania News: Four Pittsburgh Residents Charged with Conspiracy to Commit Health Care Fraud

PITTSBURGH, Pa. – Four residents of Pittsburgh, Pennsylvania, were charged in federal court with conspiracy to defraud the Pennsylvania Medicaid program, United States Attorney Scott W. Brady announced today. Travis Moriarty, 37, Tiffhany Covington, 41, Autumn Brown, 31, and Brenda Lowry Horton, 48, all of Pittsburgh, Pennsylvania, were charged in separate but related criminal Informations … Continue reading Pennsylvania News: Four Pittsburgh Residents Charged with Conspiracy to Commit Health Care Fraud →

General

New Jersey News: South Jersey Woman, Kristie Masucci Admits Health Care Fraud Conspiracy Targeting State Health Benefits Programs

CAMDEN, N.J. – An Ocean County, New Jersey, woman today admitted defrauding New Jersey state health benefits programs and other insurers by submitting fraudulent claims for medically unnecessary prescriptions, U.S. Attorney Craig Carpenito announced. Kristie Masucci, 36, of Cedar Run, New Jersey, pleaded guilty before U.S. District Judge Robert B. Kugler in Camden federal court … Continue reading New Jersey News: South Jersey Woman, Kristie Masucci Admits Health Care Fraud Conspiracy Targeting State Health Benefits Programs →

General

Pennsylvania News: Greensburg Doctor, Milad Shaker Charged with Illegally Distributing Controlled Substances and Health Care Fraud

PITTSBURGH, PA – A family practice physician has been indicted by a federal grand jury in Pittsburgh on charges of unlawfully dispensing controlled substances and health care fraud, United States Attorney Scott W. Brady announced today. The 54-count indictment, returned on October 2, 2018 and unsealed today, named Milad Shaker, 49, of Greensburg, PA, as … Continue reading Pennsylvania News: Greensburg Doctor, Milad Shaker Charged with Illegally Distributing Controlled Substances and Health Care Fraud →

General

Pennsylvania News: Greensburg Physician, Nabil Jabbour Charged with Illegally Distributing Suboxone, Health Care Fraud

PITTSBURGH, Pa. – A Greensburg physician has been indicted by a federal grand jury in Pittsburgh on charges of distribution of buprenorphine, a Schedule III controlled substance, outside the usual course of professional practice; using and maintaining a drug-involved premises; health care fraud; and money laundering, United States Attorney Scott W. Brady announced today. The … Continue reading Pennsylvania News: Greensburg Physician, Nabil Jabbour Charged with Illegally Distributing Suboxone, Health Care Fraud →

General

New York News: Central Islip, Most Wanted Fugitive Arraigned on Multi-Million Dollar Health Care Fraud

Former Co-Owner of a Long Island Medical Supply Company Expelled from Haiti to Face Charges After a Decade on the Run Central Islip, N.Y. – Etienne Allonce is scheduled to be arraigned today before United States District Judge Joseph F. Bianco at the federal courthouse in Central Islip on charges of health care fraud and … Continue reading New York News: Central Islip, Most Wanted Fugitive Arraigned on Multi-Million Dollar Health Care Fraud →

General

New York News: Long Island Chiropractor, Raymond R. Pellegrino Arrested for Multi-Million Dollar Health Care Fraud

Defendant Paid More Than $2 Million for Fraudulent Claims Filed with Insurance Company New York – An indictment was unsealed today in federal court in Central Islip charging chiropractor Raymond R. Pellegrino with health care fraud. The indictment alleges that Pellegrino billed Anthem Blue Cross Blue Shield over $2 million for health care services that … Continue reading New York News: Long Island Chiropractor, Raymond R. Pellegrino Arrested for Multi-Million Dollar Health Care Fraud →

General

Florida News: Three Individuals and a Corporation Plead Guilty in Multi-Million Health Care Fraud and Money Laundering Scheme Involving Alcohol and Drug Addiction Treatment Centers and Clinical Laboratories Scheme Involving Alcohol and Drug Addiction Treatment Centers

Florida – Smart Lab LLC, the corporation’s Chief Executive and Chief Operating Officers, as well as the top sales representative pled guilty for their participation in a multi-million health care fraud scheme that involved the filing of fraudulent insurance claim forms, defrauding health care benefit programs, and money laundering. Benjamin G. Greenberg, United States Attorney … Continue reading Florida News: Three Individuals and a Corporation Plead Guilty in Multi-Million Health Care Fraud and Money Laundering Scheme Involving Alcohol and Drug Addiction Treatment Centers and Clinical Laboratories Scheme Involving Alcohol and Drug Addiction Treatment Centers →

General

Pennsylvania News: Suboxone Clinic Doctor, Michael Bummer Pleads Guilty to Unlawfully Distributing Controlled Substances and Health Care Fraud

PITTSBURGH, PA. – A resident of Sewickley, PA, pleaded guilty in federal court to charges of unlawfully distributing controlled substances, conspiracy to distribute controlled substances and health care fraud, United States Attorney Scott W. Brady announced today. Michael Bummer, 39, pleaded guilty to three counts before United States District Judge Arthur J. Schwab. In connection … Continue reading Pennsylvania News: Suboxone Clinic Doctor, Michael Bummer Pleads Guilty to Unlawfully Distributing Controlled Substances and Health Care Fraud →

General

Alabama News: Montgomery “Pill Mill” Doctor, Gilberto Sanchez Receives a 145- Month Sentence for Drug Distribution, Health Care Fraud, and Money Laundering Offenses; “Pill Mill” Mental Health Counselor Pleads Guilty in Related Case

Montgomery, Alabama – On Thursday, August 23, 2018, Dr. Gilberto Sanchez, 56, of Montgomery, Alabama, was sentenced to serve 12 years and 1 month in prison for prescribing unnecessary controlled substances to his patients, committing health care fraud, and laundering money, announced United States Attorney Louis V. Franklin, Sr. For years, Dr. Sanchez operated a … Continue reading Alabama News: Montgomery “Pill Mill” Doctor, Gilberto Sanchez Receives a 145- Month Sentence for Drug Distribution, Health Care Fraud, and Money Laundering Offenses; “Pill Mill” Mental Health Counselor Pleads Guilty in Related Case →

General

Pennsylvania News: PITTSBURGH, Andrzej Kazimierz Zielke, Grand Jury Returns Superseding Indictment Charging Former Pittsburgh-area Doctor with Unlawfully Distributing Opioids, Health Care Fraud and Money Laundering

PITTSBURGH, Pa. – A former suburban Pittsburgh physician has been indicted by a federal grand jury in Pittsburgh on charges of unlawfully distributing controlled substances, conspiracy to unlawfully distribute controlled substances, health care fraud and money laundering, United States Attorney Scott W. Brady announced today. The 121-count superseding indictment, returned on July 31, named Andrzej … Continue reading Pennsylvania News: PITTSBURGH, Andrzej Kazimierz Zielke, Grand Jury Returns Superseding Indictment Charging Former Pittsburgh-area Doctor with Unlawfully Distributing Opioids, Health Care Fraud and Money Laundering →

General

South Carolina News: Mount Pleasant Speech Therapist, Gena Randolph Convicted of Health Care Fraud and Aggravated Identity Theft

Charleston, South Carolina – Following a four-day trial before U.S. District Judge Richard Gergel, a federal jury convicted Gena Randolph, 44, of Mount Pleasant, of committing a $2 million health care fraud scheme, announced United States Attorney Sherri A. Lydon. Randolph was convicted of one count of Health Care Fraud, one count of Aggravated Identity … Continue reading South Carolina News: Mount Pleasant Speech Therapist, Gena Randolph Convicted of Health Care Fraud and Aggravated Identity Theft →

General

WASHINGTON News: CREATOR OF “FITWALL” EXERCISE EQUIPMENT PLEADS GUILTY TO FAILING TO FILE INCOME TAX RETURNS AND HEALTH CARE BENEFITS FRAUD

WASHINGTON – A resident of Cheyenne, Wyoming and creator of “Fitwall” exercise equipment pleaded guilty today to two counts of willfully failing to file his income tax returns and one count of making a fraudulent application for health care benefits.  The change of plea was announced by Principal Deputy Assistant Attorney General Richard E. Zuckerman … Continue reading WASHINGTON News: CREATOR OF “FITWALL” EXERCISE EQUIPMENT PLEADS GUILTY TO FAILING TO FILE INCOME TAX RETURNS AND HEALTH CARE BENEFITS FRAUD →

General

Alabama News: Montgomery,Johnnie Chaisson Sanders,Mental Health Counselor Indicted for Health Care Fraud and Perjury Offenses Stemming from Montgomery “Pill Mill”

Montgomery, Alabama – On Tuesday, May 29, 2018, a licensed professional counselor was arrested after being indicted by a federal grand jury for her role in working at a Montgomery “pill mill,” announced United States Attorney Louis V. Franklin, Sr. The defendant arrested was Johnnie Chaisson Sanders, 48, of Wetumpka. According to court documents, Sanders … Continue reading Alabama News: Montgomery,Johnnie Chaisson Sanders,Mental Health Counselor Indicted for Health Care Fraud and Perjury Offenses Stemming from Montgomery “Pill Mill” →

General

West Virginia News: Harrison County man, Kenneth Boyles sentenced for health care fraud

CLARKSBURG, WEST VIRGINIA – Kenneth Boyles, of Clarksburg, West Virginia, was sentenced Friday, May 18th to six months incarceration and ordered to pay back more than $240,000 for health care fraud, United States Attorney Bill Powell announced. Boyles, age 52, pled guilty to one count of “Health Care Fraud” in January 2018.  Boyles admitted to … Continue reading West Virginia News: Harrison County man, Kenneth Boyles sentenced for health care fraud →