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Criminal and Civil Enforcement

December 2019

December 12, 2019; U.S. Attorney; Southern District of New York
Doctor And Occupational Therapist Sentenced To Prison For Participating In $30 Million Scheme To Defraud Medicare And Medicaid
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced that physician PAUL J. MATHIEU was sentenced yesterday evening by U.S. District Judge Lorna G. Schofield to 48 months in prison for his participation in a $30 million scheme to defraud Medicare and the New York State Medicaid Program. Between 2007 and 2013, MATHIEU falsely posed as the owner of three medical clinics, which were actually owned a by corrupt businessman, and falsely claimed that he had examined and treated thousands of patients whom he had not in fact seen. In addition, occupational therapist LINA ZHITNIK was sentenced by Judge Schofield on December 3, 2019, to 14 months in prison for her role in the same scheme, which included falsifying medical records in order to claim that she had provided therapy services that she had not in fact provided. MATHIEU was convicted in May 2019, following a six-week trial, on charges of health care fraud, wire fraud, mail fraud, conspiracy to commit those offenses, and conspiracy to make false statements in connection with a federal health care program. ZHITNIK pled guilty to health care fraud and conspiracy to commit health care fraud, mail fraud and wire fraud in April 2019, during jury selection for trial.
December 9, 2019; U.S. Attorney; Eastern District of California
San Joaquin County Doctor Indicted for Prescribing Opioids to Patients Without a Medical Need
SACRAMENTO, Calif. - On Dec. 5, a federal grand jury brought a 14-count indictment against a physician, Edmund Kemprud, of Dublin, charging him with prescribing opioids to patients outside the usual course of professional practice and not for legitimate medical purpose, U.S. Attorney McGregor W. Scott announced.
December 9, 2019; U.S. Attorney; Eastern District of California
Laboratory to Pay $26.67 Million to Settle Allegations of Kickbacks to Physicians
SACRAMENTO, Calif. - Laboratory Boston Heart Diagnostics Corporation (Boston Heart), of Framingham, Massachusetts, has agreed to pay $26.67 million to resolve False Claims Act allegations involving payments for patient referrals in violation of the Anti-Kickback Statute and the Stark Law and claims otherwise improperly billed to federal health care programs for laboratory testing, U.S. Attorney McGregor W. Scott announced today.
December 5, 2019; U.S. Attorney; District of Maryland
Cambridge Internist Pays More Than $176,000 to the United States to Resolve False Claims Act Allegations that He Administered Medically Unnecessary Procedures
Baltimore, Maryland - Noman Thanwy, M.D., an internist in Cambridge, Maryland, associated with the medical practice known as M.S. Shariff, M.D., P.A., has paid the United States $176,686.00 to settle allegations that he submitted false claims to the United States for medically unnecessary autonomic nervous function tests and vestibular function tests.
December 5, 2019; U.S. Attorney; Eastern District of Louisiana
Mandeville Nurse Pleads Guilty To Conspiracy to Alter or Falsify Records In A Federal Investigation
NEW ORLEANS - U.S. Attorney Peter G. Strasser announced that SUZANNE C. MAY, age 61, of Mandeville, pled guilty on December 3, 2019 to conspiracy to alter or falsify records in connection with a federal investigation, namely, a Medicare audit of a hospice facility located in New Orleans, identified in court documents as Company 1.
December 5, 2019; U.S. Attorney; Southern District of New York
Manhattan Doctor Convicted In Manhattan Federal Court Of Accepting Bribes And Kickbacks From A Pharmaceutical Company In Exchange For Prescribing Fentanyl Drug
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced the conviction in Manhattan federal court of GORDON FREEDMAN for participating in a scheme to receive bribes and kickbacks in the form of fees for sham educational programs ("Speaker Programs") from Insys Therapeutics, Inc. ("Insys") in exchange for prescribing millions of dollars' worth of Subsys, a potent fentanyl-based spray manufactured by Insys, among other offenses. The jury convicted FREEDMAN today on three counts, following a three-week trial before the U.S. District Judge Kimba M. Wood.
December 4, 2019; U.S. Attorney; Western District of Pennsylvania
Suspended Pharmacist Charged with Health Care Fraud Conspiracy, Fraudulently Obtaining Controlled Substances and Misbranding Drugs
PITTSBURGH, PA - A suspended pharmacist has been indicted by a federal grand jury in Pittsburgh, PA, on charges of obtaining controlled substances by fraud, misbranding of drugs, and health care fraud conspiracy, United States Attorney Scott W. Brady announced today.
December 3, 2019; U.S. Department of Justice
Second Pharmaceutical Company Admits to Price Fixing, Resolves Related False Claims Act Violations
Rising Pharmaceuticals Inc. (Rising), a generic pharmaceutical company headquartered in New Jersey, was charged for conspiring to fix prices and allocate customers for a generic hypertension drug, the Department of Justice announced today.
December 2, 2019; U.S. Department of Justice
Former Tennessee Medical Doctor Pleads Guilty to Unlawfully Distributing Controlled Substances
A medical doctor who formerly practiced in Tennessee pleaded guilty today for his role in unlawfully distributing controlled substances.
December 2, 2019; U.S. Attorney; Central District of Illinois
Peoria Woman Sentenced to 15 Months in Federal Prison for Healthcare Fraud
SPRINGFIELD, Ill. - Erica Miller, 47, of Peoria, Ill., has been ordered to serve 15 months in prison for healthcare fraud. U.S. District Judge Sue Myerscough further ordered that Miller pay restitution in the amount of $101,960. Miller was immediately taken into custody following the sentencing hearing on November 22, 2019.

November 2019

November 27, 2019; U.S. Attorney; Eastern District of Michigan
Michigan Doctor And Two Co-Conspirators Plead Guilty to Fraud, Kickback Violations Involving UAW Health Care Fund
Dr. April Tyler, a Fenton, Michigan area doctor, pleaded guilty to violating the anti-kickback statute on November 6, 2019. Dr. Tyler's conspirators, Patrick Wittbrodt, 44, of Grand Blanc, Michigan and Jeffrey Fillmore, 31, of Clio, Michigan pleaded guilty to healthcare fraud on March 6, 2019 and November 19, 2019 respectively.
November 27, 2019; U.S. Attorney; Southern District of Ohio
Husband and Wife Sentenced to Prison for Health Care Fraud
COLUMBUS, Ohio - A Hilliard couple were sentenced in U.S. District Court for conspiring to commit and committing health care fraud. The husband and wife owned and managed a pharmacy and Suboxone clinic in Dublin.
November 26, 2019; U.S. Department of Justice
Laboratory to Pay $26.67 Million to Settle False Claims Act Allegations of Illegal Inducements to Referring Physicians
Laboratory Boston Heart Diagnostics Corporation (Boston Heart), of Framingham, Massachusetts, has agreed to pay $26.67 million to resolve False Claims Act allegations involving payments for patient referrals in violation of the Anti-Kickback Statute and the Stark Law, as well as claims otherwise improperly billed to federal healthcare programs for laboratory testing, the Department of Justice announced today.
November 26, 2019; U.S. Attorney; Northern District of Oklahoma
Texas Orthopedic Surgeon to Pay $300,000 to Settle False Claims Act Allegations
Dr. Ian Reynolds, 71, of Friendswood, Texas, agreed to pay the United States $300,000 to resolve False Claims Act allegations that he accepted illegal kickback payments from OK Compounding, LLC, announced U.S. Attorney Trent Shores. This is the twelfth kickback settlement involving OK Compounding, LLC, since November 2018.
November 26, 2019; U.S. Attorney; Western District of Pennsylvania
Pittsburgh-area Lab Owner Charged with Paying Kickbacks in Connection with Almost $130 Million in Medicare Claims for Genetic Testing
PITTSBURGH, Pa. - A resident of Monroeville, Pennsylvania, was charged in federal court with three conspiracy counts and one substantive count related to the payment of unlawful kickbacks, United States Attorney Scott W. Brady announced today.
November 26, 2019; U.S. Attorney; District of Connecticut
APRN Who Received Kickbacks from Insys Therapeutics for Prescribing Fentanyl Spray is Sentenced
John H. Durham, United States Attorney for the District of Connecticut, announced that HEATHER ALFONSO, 46, of South Carolina, was sentenced today by U.S. District Judge Janet Bond Arterton in New Haven to three years of probation for engaging in a kickback scheme related to fentanyl spray prescriptions.
November 25, 2019; U.S. Department of Justice
Tennessee Emergency Medical Doctor Pleads Guilty to Unlawfully Distributing Controlled Substances
A Tennessee emergency medical doctor pleaded guilty today for his role in unlawfully distributing controlled substances.
November 25, 2019; U.S. Attorney; District of New Jersey
Owner Of Empire Pharmacy In Hudson County Admits Role In Multi-Million Dollar Conspiracies To Commit Health Care Fraud And Pay Illegal Bribes To Doctor
TRENTON, N.J. - A Bergen County, New Jersey, man today admitted participating in conspiracies to commit health care fraud and to bribe a doctor, U.S. Attorney Craig Carpenito announced.
November 22, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
New Jersey/Pennsylvania Doctor Pleads Guilty to Accepting Bribes and Kickbacks In Exchange for Prescribing Powerful Fentanyl Drug
A doctor who practiced in New Jersey and Pennsylvania pleaded guilty today for his participation in a scheme to receive over $140,000 in bribes and kickbacks from a pharmaceutical company in exchange for prescribing large volumes of a powerful fentanyl narcotic.
November 22, 2019; U.S. Attorney; District of Columbia
Former Personal Care Aide Pleads Guilty to Health Care Fraud
WASHINGTON - Hope Falowo, 53, of Bowie, Maryland, pled guilty today to a federal charge of health care fraud stemming from a scheme in which she caused the District of Columbia's Medicaid program to be defrauded out of approximately $400,000.
November 22, 2019; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Announces Indictment And Arrest Of Ophthalmologist For Healthcare Fraud
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, William F. Sweeney Jr., Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation ("FBI"), and Scott Lampert, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General's ("HHS-OIG") New York Region, announced today that AMEET GOYAL, M.D. ("GOYAL"), an ophthalmologist with practices in Rye, Mt. Kisco, and Wappingers Falls, New York, and Greenwich, Connecticut, has been indicted for healthcare fraud. Mr. Berman's Office also today filed a civil fraud complaint against GOYAL and the entity that owns his medical practice, AMEET GOYAL, M.D, P.C. d/b/a/ THE EYE ASSOCIATES GROUP (the "Practice"), under the False Claims Act.
November 21, 2019; U.S. Attorney; Southern District of Texas
McAllen doctor imprisoned for health care fraud scam
McALLEN - A 46-year-old local man has been ordered to federal prison following his conviction of health care fraud and aggravated identity theft, announced U.S. Attorney Ryan K. Patrick. Eduardo Carrillo, of McAllen, pleaded guilty Nov. 20, 2015.
November 20, 2019; U.S. Department of Justice
Kentucky Hospital to Pay over $10 Million to Resolve False Claims Act Allegations
Jewish Hospital & St. Mary's Healthcare Inc., doing business as Pharmacy Plus and Pharmacy Plus Specialty (collectively, Jewish Hospital), of Louisville, Kentucky, have agreed to pay $10,101,132 to resolve False Claims Act allegations that they knowingly submitted false claims to the Medicare program, the Department of Justice has announced.
November 20, 2019; U.s. Attorney; District of Massachusetts
Third Foundation Resolves Allegations that it Conspired with Pharmaceutical Companies to Pay Kickbacks to Medicare Patients
BOSTON - The U.S. Attorney's Office announced today that The Assistance Fund ("TAF"), a foundation based in Orlando, Fla., has agreed to pay $4 million to resolve allegations that it violated the False Claims Act by enabling certain pharmaceutical companies to pay kickbacks to Medicare patients taking the companies' drugs.
November 19, 2019; U.S. Department of Justice
General Manager of Columbus Home Health Care Agency Pleads Guilty to Tax Fraud
A Columbus businessman pleaded guilty today to aiding and assisting in the preparation of a false tax return, announced Principal Deputy Assistant Attorney General Richard E. Zuckerman of the Justice Department's Tax Division and U.S. Attorney David M. DeVillers of the Southern District of Ohio.
November 19, 2019; U.S. Attorney; Eastern District of Kentucky
Lexington Laboratory Agrees to Pay $2.1 Million to Resolve Allegations of False Claims for Urine Drug Testing Services
LEXINGTON, Ky. - LabTox, LLC, a clinical laboratory in Lexington, has agreed to pay $2,101,335 to resolve civil allegations that it violated the False Claims Act, a federal law that prohibits submitting false or fraudulent claims to the federal government.
November 18, 2019; U.S. Attorney; Eastern District of Missouri
Mental Health Clinic Owner Pleads Guilty to Making a False Claim to Medicaid
St. Louis, MO - Naim Muhammad, 56, of St. Charles, MO, pled guilty to one count of making a false claim to Medicaid. Mr. Muhammad appeared today before U.S. District Judge Audrey G. Fleissig who accepted his plea and set sentencing for February 28, 2020.
November 15, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Head of New York Medical Clinics Found Guilty in Nearly $100 Million Money Laundering and Health Care Kickback Scheme
The manager in control of multiple medical clinics in Brooklyn and Queens, New York, was found guilty today for his role in a nearly $100 million health care kickback and money laundering scheme.
November 15, 2019; U.S. Department of Justice
California Health System and Surgical Group Agree to Settle Claims Arising from Improper Compensation Arrangements
Several hospitals owned and operated by Sutter Health (Sutter), a California-based healthcare services provider, and Sacramento Cardiovascular Surgeons Medical Group Inc. (Sac Cardio), a practice group of three cardiovascular surgeons, have agreed to pay the United States a total of $46,123,516 to resolve allegations arising from claims they submitted to the Medicare program, the Department of Justice announced today.
November 15, 2019; U.S. Attorney; District of Connecticut
Owner of California Substance Abuse Treatment Facilities Charged in Scheme to Defraud ACA Programs
U.S. Attorney John H. Durham of the District of Connecticut, Special Agent in Charge Phillip Coyne of the Boston Regional Office of the Office of the Inspector General of the Department of Health and Human Services, Special Agent in Charge Brian C. Turner of the FBI's New Haven Division, and Special Agent in Charge Kristina O'Connell of IRS Criminal Investigation in New England, today announced that a federal grand jury in Connecticut has returned an indictment charging R. JEFFREY YATES, 52, of Santa Ana, California, with conspiracy and fraud offenses related to a scheme to defraud several state Affordable Care Act programs of millions of dollars.
November 15, 2019; U.S. Attorney; Eastern District of New York
Manager of Medical Clinics in Brooklyn and Queens Convicted of Multimillion-Dollar Money Laundering and Health Care Kickback Schemes
BROOKLYN, NY - A federal jury in Brooklyn returned a guilty verdict on all counts today against Aleksandr Pikus, the manager of medical clinics in Brooklyn and Queens, New York, for his role in multimillion-dollar health care kickback and money laundering schemes. Specifically, Pikus was convicted of conspiracy to commit money laundering, money laundering, conspiracy to receive and pay health care kickbacks and conspiracy to defraud the United States by obstructing the Internal Revenue Service (IRS). The verdict followed a two-week trial before United States District Judge Ann M. Donnelly. When sentenced, Pikus faces a maximum sentence of up to 70 years' imprisonment.
November 14, 2019; U.S. Department of Justice
United States Files False Claims Act Complaint against South Dakota Neurosurgeon and Physician-Owned Distributorships
The United States has filed a complaint against Sioux Falls, South Dakota, neurosurgeon Wilson Asfora M.D., Medical Designs LLC, and Sicage LLC alleging False Claims Act violations arising from the alleged payment of kickbacks to Asfora tied to the devices he used in spinal surgeries, the Justice Department announced today. Medical Designs and Sicage are medical device distributorships in South Dakota owned and operated by Asfora.
November 14, 2019; U.S. Attorney; District of Idaho
Doctor Sentenced to 7 Months in Federal Prison for Receipt and Delivery of Misbranded Devices
POCATELLO - Temp Ray Patterson, MD, 55, formerly of Burley, Idaho, was sentenced to seven months in prison for receipt and delivery of misbranded devices, U.S. Attorney Bart M. Davis announced today. U.S. District Judge B. Lynn Winmill also sentenced Patterson to serve one year of supervised release following his incarceration, and to pay restitution of $8,200 and a fine of $10,000.
November 14, 2019; U.S. Attorney; Eastern District of California
Former CEO of Central Valley Health Clinics to Sell 13 Properties to Resolve False Claims Act Allegations
SACRAMENTO, Calif. - The founder and former CEO of a chain of Central Valley rural health clinics will sell 13 properties, remitting proceeds to the United States and the state of California, to resolve allegations that she submitted millions of dollars in false claims to Medi Cal, U.S. Attorney McGregor W. Scott announced today.
November 13, 2019; U.S. Department of Justice
Louisiana Department of Health to Pay $13.42 Million to Settle Alleged False Medicaid Claims for Nursing Home and Hospice Care
The Louisiana Department of Health has agreed to resolve allegations that it submitted false and inflated Medicaid claims for long-term nursing home and hospice care, the Department of Justice announced today. Under the settlement agreement, the state agency has agreed to pay $13,422,550.
November 13, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner of Detroit-Area Health Care Clinics Pleads Guilty to Drug Diversion Scheme
The owner of a Detroit, Michigan-area physical therapy clinic pleaded guilty today for his role in a drug diversion scheme.
November 13, 2019; U.S. Attorney; Western District of Texas
Justice Department Reaches Settlement Agreement with Vibra Healthcare and El Paso Rehabilitation Hospital over Allegations of Violating the False Claims Act
U.S. Attorney John F. Bash of the Western District of Texas announced today that Vibra Healthcare, LLC, Vibra Healthcare II, LLC, Vibra Rehab Holdings, LP, Vibra Rehabilitation Hospital of El Paso, LLC d/b/a Highlands Rehabilitation Hospital, and Vibra IRFM Company, LLC, (collectively referred to as "Vibra") will pay $6,250,000.00 to settle allegations that they defrauded the U.S. through its Medicare healthcare programs. Vibra Healthcare, based in Pennsylvania, operates freestanding acute medical rehabilitation hospitals and long term acute care hospitals nationwide, including Highlands Rehabilitation Hospital in El Paso, Texas.
November 12, 2019; U.S. Attorney; Eastern District of North Carolina
Wilmington Doctor and Medical Practice Settle Civil Fraud Claims for More Than $244,000
RALEIGH - United States Attorney Robert J. Higdon, Jr. announced today that Dr. Damien Brezinski and his practice group, Wilmington Health, agreed to pay more than $244,000 to settle civil claims under the False Claims Act for improper payments made under the Medicare and Tricare programs.
November 8, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Insurance Broker Found Guilty of 22 Counts in $2 Million Scheme to Defraud Carefirst Bluecross Blueshield
A federal jury found a District of Columbia insurance broker guilty today for his role in a scheme to defraud CareFirst BlueCross BlueShield of more than $2 million.
November 8, 2019; U.S. Attorney; Northern District of Oklahoma
Kentucky Doctor Agrees to Pay $65,404 for Allegedly Engaging in Illegal Kickback Scheme with OK Compounding Pharmacy
A Kentucky doctor joined a growing list of medical professionals implicated in an illegal kickback scheme involving OK Compounding. This is the eleventh kickback settlement since November 2018.
November 8, 2019; U.S. Attorney; Southern District of Georgia
Health care fraud indictment charges man and his company in scheme to bilk Medicare, Medicaid
AUGUSTA, GA: A man and his "marketing company" have been named in a five-count federal indictment for a scheme that paid workers to solicit elderly residents for information used to fraudulently bill government medical programs.
November 8, 2019; U.S. Attorney; Southern District of New York
Defendants Admit Practices Resulted in Submission of Several Million Dollars of Inappropriate Claims to Medicare
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and Scott J. Lampert, Special Agent in Charge of the U.S. Department of Health and Human Services Office of Inspector General ("HHS-OIG") New York Regional Office, announced today that the United States filed and settled a civil fraud lawsuit against LENOX HILL HOSPITAL ("Lenox Hill") and its corporate parent NORTHWELL HEALTH, INC. ("Northwell") (together, "Defendants"). The Government's Complaint-in-Intervention (the "Complaint") alleges that Defendants violated the False Claims Act by fraudulently billing Medicare for healthcare services that did not comply with Medicare law. The Complaint specifically alleges that in conjunction with Defendants' employment of Lenox Hill's former chair of the Department of Urology, David B. Samadi ("Samadi"), Defendants submitted claims for: (1) endoscopic procedures that were performed, at least in part, by insufficiently supervised medical residents; (2) robotic surgeries for which, at some point during the surgery, Samadi left the patient improperly unattended in order to supervise a different surgery; (3) medically unnecessary hospital services; and (4) designated health services referred to Lenox Hill by Samadi when his compensation arrangement violated the federal Stark Law.
November 7, 2019; U.S. Attorney; Western District of Washington
Bellevue, Washington, lab and three executives indicted in kickback scheme
Seattle - One defendant has pleaded guilty, and three others and a physician- owned testing lab have been indicted following the investigation of kickbacks in connection with laboratory testing services. The grand jury returned indictments on November 6, 2019, against JAE LEE, 48, of Bellevue, RICHARD REID, 50, of Astoria, Oregon, KEVIN PULS, 54, of Bellevue, and Northwest Physicians Laboratory of Bellevue, Washington. Both the company and the individual defendants are scheduled to make their first appearance in U.S. District Court in Seattle on December 5, 2019.
November 7, 2019; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Announces Settlement Of Lawsuit Against Spinal Implant Company, Its CEO, And Another Executive For Paying Millions Of Dollars In Kickbacks To Surgeons
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, William F. Sweeney Jr., Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation ("FBI"), and Scott J. Lampert, Special Agent in Charge of the New York Regional Office of the U.S. Department of Health and Human Services, Office of the Inspector General ("HHS-OIG"), announced today that the United States has settled a civil healthcare fraud lawsuit against LIFE SPINE INC. ("LIFE SPINE"), MICHAEL BUTLER ("BUTLER"), the founder, president, and chief executive officer of LIFE SPINE, and RICHARD GREIBER ("GREIBER"), the vice president of business development of LIFE SPINE, alleging that LIFE SPINE paid kickbacks in the form of millions of dollars of consulting fees, royalties, and intellectual property acquisition fees to surgeons to induce them to use LIFE SPINE's spinal implants, devices, and equipment.
November 7, 2019; U.S. Attorney; Eastern District of New York
Long Island Doctor Indicted for Illegal Distribution of Oxycodone
An indictment was unsealed today in federal court in Central Islip charging Tameshwar Ammar, a medical doctor in Roslyn, New York, with writing prescriptions for oxycodone, a Schedule II controlled substance, without a legitimate medical purpose. Ammar was arrested this morning, and is scheduled to be arraigned this afternoon before United States Magistrate Judge Steven I. Locke.
November 6, 2019; U.S. Department of Justice
Three Individuals, Including A Former Texas Mayor, CEO and Owner, Found Guilty in a $154 Million Money Laundering and Health Care Fraud Scheme
A federal jury found three individuals associated with dozens of hospice and home health companies guilty today for their roles in a $154 million health care fraud scheme, one of which was a mayor in Texas at the time.
November 6, 2019; U.S. Attorney; District of Montana
Former Blackfeet Tribe's chairman admits wire fraud in Head Start overtime scheme
GREAT FALLS - The former chairman of the Blackfeet Tribe today admitted charges in an overtime pay scheme in which persons who worked in the tribe's Head Start program, including his wife, defrauded the child assistance program of $174,000, U.S. Attorney Kurt Alme said.
November 5, 2019; U.S. Attorney; Eastern District of California
Former Merced Health Care Provider CEO and Licensed Nurse Practitioner Sentenced to 5 Years in Prison for Health Care Fraud
FRESNO, Calif. - Sandra Haar, 59, of Merced, was sentenced on Monday by U.S. District Judge Lawrence J. O'Neil to five years in prison and ordered to pay $6,107,846 in restitution for health care fraud and conspiracy to receive kickbacks, U.S. Attorney McGregor W. Scott announced. Haar was ordered to self-surrender on Jan. 15, 2020, to begin serving her sentence.
November 5, 2019; U.S. Attorney; Middle District of Louisiana
Home Health Companies to Pay $2.5 Million to Settle Federal False Claims Act Lawsuit
United States Attorney Brandon J. Fremin announced today that Louisiana-based home health companies Health Care Options, Inc. and Health Care Options of Lafayette, Inc.; Texas-based Home Care Options Houston, Inc.; and Howard D. Austin, II, have agreed to settle a civil fraud complaint filed under the federal False Claims Act by paying $2.5 million to the United States.
November 1, 2019; U.S. Attorney; Eastern District of Pennsylvania
Montgomery County Doctor Agrees to Pay $1.4 Million to Resolve Allegations of Improper Opioid Prescribing After Pleading Guilty to Related Criminal Charges
PHILADELPHIA - U.S. Attorney William M. McSwain announced that Montgomery County physician Spiro Y. Kassis, M.D., of Plymouth Township, PA, has agreed to pay $1.4 million, has committed to never obtaining a controlled substance registration, and has consented to a 15-year exclusion from Medicare and Medicaid in order to resolve allegations that he improperly prescribed Schedule II controlled substances to patients between July 1, 2014 and February 14, 2017. This civil settlement is announced after Kassis already pled guilty to criminal charges for illegal distribution of controlled substances and awaits sentencing.

October 2019

October 31, 2019; U.S. Attorney; District of Massachusetts
Dominican National Pleads Guilty to Identity Theft and Stealing MassHealth Benefits
BOSTON - A Dominican national formerly residing in Lawrence pleaded guilty yesterday in federal court in Boston to Social Security and benefit fraud.
October 31, 2019; U.S. Attorney; District of Florida
Gainesville Physician And Ex-Wife Convicted Of Health Care Fraud Conspiracy, Health Care Fraud, And Money Laundering
GAINESVILLE, FLORIDA -Lawrence Keefe, U.S. Attorney for the Northern District of Florida, today announced the convictions of Erik M. Schabert, 48, a physician, and his ex-wife, Mika Kamissa Harris, 49, both of Gainesville, Florida, on health care fraud and money laundering charges involving more than $8 million. The convictions came after a three-week federal jury trial that involved more than 45 witnesses and over 850 exhibits introduced into evidence.
October 30, 2019; U.S. Attorney; District of Connecticut
Connecticut Rheumatologist Sentenced to More Than 3 Years in Federal Prison for Defrauding Medicaid
John H. Durham, United States Attorney for the District of Connecticut, announced that CRISPIN ABARIENTOS, M.D., 45, of Middletown, was sentenced today by U.S. District Judge Vanessa L. Bryant in Hartford to 37 months of imprisonment, followed by two years of supervised release, for defrauding Connecticut's Medicaid program.
October 30, 2019; U.S. Attorney; Southern District of Texas
Final Defendant Convicted in $189 Million Health Care Fraud Scam
HOUSTON - With the plea of an 80-year-old Houston man, all 14 charged in the scam involving Continuum Healthcare and its various health centers have been convicted, announced U.S. Attorney Ryan K. Patrick.
October 30, 2019; U.S. Attorney; Southern District of Georgia
Georgia pharmacist admits lying about filling prescriptions for high-volume opioid doctors
BRUNSWICK, GA: A Darien pharmacist is facing up to five years in prison after admitting that she lied about filling prescriptions for prescribers of high volumes of opioids and other controlled substances.
October 29, 2019; U.S. Department of Justice
Tennessee Medical Doctor and Advanced Practice Registered Nurse Charged in Scheme to Unlawfully Distribute Controlled Substances
A Tennessee medical doctor and an advanced practice registered nurse were charged in an indictment unsealed today for their roles in unlawfully distributing controlled substances.
October 29, 2019; U.S. Department of Justice
Guam Ambulance Company Executives Plead Guilty to Medicare and TRICARE Fraud and Money Laundering Scheme
Two former owners and an employee of an ambulance services provider headquartered in Guam pleaded guilty yesterday for their roles in a health care fraud and money laundering scheme that resulted in a loss to the United States of approximately $10.8 million. This is one of the largest single Medicare ambulance fraud cases prosecuted nationwide.
October 29, 2019; Middle District of Pennsylvania
Marysville Woman Sentenced To One Year And A Day Of Imprisonment For Forging 164 Opioid Prescriptions
HARRISBURG-The United States Attorney's Office for the Middle District of Pennsylvania announced that Belinda Dietrich, age 63, of Marysville, Pennsylvania, was sentenced on October 28, 2019, by Senior U.S. District Court Judge Sylvia H. Rambo to one year and a day in prison followed by three years of supervised release, for forging the signature of a dentist on 164 prescriptions for opioid drugs.
October 29, 2019; U.S. Attorney; Western District of Pennsylvania
Ex-Doctor Sentenced to More Than 11 Years' Imprisonment for His Role in Illegal Oxycodone Prescribing, Health Care Fraud, and Money Laundering Scheme and for Committing Social Security Fraud
PITTSBURGH - A former Pennsylvania-licensed physician has been sentenced in federal court to a total of 11 years and four months (136 months) in prison on his conviction for conspiracy to illegally distribute oxycodone, conspiracy to commit health care fraud, conspiracy to commit money laundering, and Social Security fraud, United States Attorney Scott W. Brady announced today.
October 29, 2019; U.S. Attorney; District of Nevada
Encompass Health Corporation Agrees To Pay $4 Million To Resolve Allegations Of Improperly Billing Medicare
LAS VEGAS, Nev. - Encompass Health Corp. (EHC), formerly known as HealthSouth Corporation, has agreed to pay the United States $4 million to settle allegations that an inpatient rehabilitation facility the company owned and operated in Nevada was improperly billing Medicare.
October 28, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Detroit Home Health Owner Sentenced to Prison for Role in $1.5 Million Medicare Kickback Scheme
The owner of a Michigan home health agency was sentenced today to 60 months in prison for his role in a scheme involving approximately $1.5 million in Medicare claims for home health services that were procured through the payment of illegal kickbacks.
October 28, 2019; U.S. Department of Justice
Sanford Health Entities to Pay $20.25 Million to Settle False Claims Act Allegations Regarding Kickbacks and Unnecessary Spinal Surgeries
The Department of Justice announced today that hospital entities Sanford Health, Sanford Medical Center, and Sanford Clinic (collectively, Sanford), of Sioux Falls, South Dakota, have agreed to pay $20.25 million to resolve False Claims Act allegations that they knowingly submitted false claims to federal healthcare programs resulting from violations of the Anti-Kickback Statute and medically unnecessary spinal surgeries. The Anti-Kickback Statute prohibits offering, paying, soliciting, or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid, and other federally-funded programs.
October 28, 2019; U.S. Attorney; Western District of Pennsylvania
Greensburg Physician Pleads Guilty to Drug Distribution, Health Care Fraud and Money Laundering
PITTSBURGH - A Greensburg physician pleaded guilty in federal to three counts of distribution of buprenorphine, a Schedule III controlled substance, outside the usual course of professional practice; one count of health care fraud; and one count of money laundering, United States Attorney Scott W. Brady announced today.
October 25, 2019; U.S. Attorney; District of Massachusetts
Foundations Resolve Allegations of Enabling Pharmaceutical Companies to Pay Kickbacks to Medicare Patients
BOSTON - The U.S. Attorney's Office announced today that two foundations, Chronic Disease Fund, Inc. d/b/a Good Days from CDF ("CDF"), and Patient Access Network Foundation ("PANF"), have agreed to pay $2 million and $4 million, respectively, to resolve allegations that they violated the False Claims Act by enabling pharmaceutical companies to pay kickbacks to Medicare patients taking the companies' drugs.
October 25, 2019; U.S. Attorney; District of Columbia
Former Personal Care Aide Pleads Guilty to Health Care Fraud
Rose Asang Gana, also known as Rose Nebangu, 40, of Greenbelt, Maryland, pled guilty on Wednesday, to a federal charge of health care fraud stemming from a scheme in which she caused the District of Columbia's Medicaid program to be defrauded out of more than $400,000.
October 25, 2019; U.S. Attorney; District of Columbia
Former Personal Care Aide Sentenced 13 Months in Prison for Health Care Fraud
WASHINGTON - Mobolaji Tina Stewart, 58, of Laurel, Maryland, was sentenced yesterday to 13 months in prison for engaging in a scheme to defraud the District of Columbia's Medicaid program.
October 25, 2019; U.S. Attorney; Eastern District of North Carolina
Ambulance Company Manager and Biller Plead Guilty to $4.7 Million Fraud upon Medicare and Humana, Inc., and to Aggravated Identity Theft
RALEIGH - United States Attorney Robert J. Higdon, Jr. announced that today in federal court, PAMELA DEWITT BABB, 49, of Mt. Olive, and DAVON TERRELL HENDERSON, 32, of Greenville, NC, pleaded guilty to a Criminal Information charging BABB and HENDERSON with Conspiracy to Commit Health Care Fraud, and Aggravated Identity Theft.
October 24, 2019; U.S. Attorney; Southern District of Texas
13 Convicted in $189 Million Medicare Kickback Scheme
HOUSTON - With the plea of a 46-year-old Houston man, 13 people now stand convicted in the healthcare scam involving Continuum Healthcare and its various health centers in the Houston area, announced U.S. Attorney Ryan K. Patrick.
October 24, 2019; U.S. Attorney; Eastern District of Louisiana
Mandeville Nurse Charged With Conspiracy to Alter or Falsify Records in a Federal Investigation
NEW ORLEANS - U.S. Attorney Peter G. Strasser announced that SUZANNE C. MAY, age 61, of Mandeville was charged October 22, 2019 by a Bill of Information with conspiracy to alter or falsify records in connection with a federal investigation, namely, a Medicare audit of a hospice facility located in New Orleans, identified in court documents as Company 1.
October 22, 2019; U.S. Attorney; Western District of Arkansas
Rogers Physician Arrested For Over-Prescribing Opiates And For Making A False Statement
Fayetteville, Arkansas � Duane (DAK) Kees, United States Attorney for the Western District of Arkansas and Justin King, Assistant Special Agent in Charge of the Drug Enforcement Administration, announced today that Dr. Robin Ann Cox was arrested today on federal charges. A federal grand jury in the Western District of Arkansas indicted Dr. Cox on one count of Prescribing Without a Legitimate Medical Purpose Outside the Scope of a Professional Practice and one count of Willfully and Knowingly Making a Material False Statement to Federal Investigators.
October 21, 2019; U.S. Attorney; Northern District of California
South Bay Doctor Sentenced To Two Years In Prison For Unlawfully Distributing Hydrocodone And Committing Health Care Fraud
SAN JOSE - South Bay doctor Venkat Aachi was sentenced today to 24 months in prison for health care fraud and for distributing hydrocodone outside the scope of his professional practice and without a legitimate medical need, announced United States Attorney David L. Anderson, Drug Enforcement Administration (DEA) Special Agent in Charge Chris Nielsen, Federal Bureau of Investigation Special Agent in Charge John F. Bennett, U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) Special Agent in Charge Steven J. Ryan, and the California Department of Justice Bureau of Medi-Cal Fraud and Elder Abuse (BMFEA). The sentence was handed down by the Honorable Edward J. Davila, U.S. District Judge.
October 21, 2019; U.S. Attorney; Southern District of New York
Staten Island Doctor Pleads Guilty To Illegally Distributing Oxycodone
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced today that NKANGA NKANGA, a Staten Island physician, pled guilty to illegally distributing oxycodone and other controlled substances. NKANGA pled guilty before United States Magistrate Judge Debra Freeman to narcotics conspiracy and distribution charges. NKANGA will be sentenced by United States District Judge Jesse M. Furman, to whom the case is assigned.
October 18, 2019; U.S. Department of Justice
Former Osteo Relief Institutes and Their Owners to Pay Over $7.1 Million to Resolve Allegations of Unnecessary Knee Injections and Braces
Seven former Osteo Relief Institutes (ORIs) and their owners have agreed to pay the United States collectively more than $7.1 million to resolve False Claims Act allegations that they knowingly billed Medicare for medically unnecessary viscosupplementation injections and medically unnecessary knee braces, the Justice Department announced today.
October 18, 2019; U.S. Department of Justice
Two East Tennessee Doctors Plead Guilty to Opioid Offenses
Two Tennessee doctors each pleaded guilty yesterday to one count of unlawful distribution of a controlled substance.
October 18, 2019; U.S. Attorney; Eastern District of New York
Long Island Chiropractor Sentenced to 18 Months' Imprisonment for Multi-Million Dollar Health Care Fraud Scheme
Earlier today, at the federal courthouse in Central Islip, Raymond R. Pellegrino, a chiropractor with offices in West Hempstead and Hicksville, New York, was sentenced by United States District Judge Joanna Seybert to 18 months' imprisonment for committing health care fraud. The Court also ordered Pellegrino to forfeit $504,444 and to pay restitution of $2,427,101.13 to Anthem Blue Cross/Blue Shield (BC/BS).
October 18, 2019; U.S. Attorney; Eastern District of Kentucky
Kentucky Physician Pleads Guilty To Unlawfully Distributing Opioids
LEXINGTON, Ky. - A Floyd County, Kentucky-based physician pleaded guilty Thursday for his role in unlawfully distributing opioids by pre-signing blank prescriptions that were ultimately completed by others and delivered to patients not seen by him.
October 18, 2019; U.S. Attorney; Western District of Pennsylvania
Greensburg Doctor Convicted at Trial of Illegally Dispensing Opioid Prescriptions
PITTSBURGH - After deliberating for eight hours, a federal jury late yesterday found Dr. Milad Shaker guilty of 14 counts of illegal dispensing of opioids, United States Attorney Scott W. Brady announced today.
October 17, 2019; U.S. Department of Justice
Kentucky Physician Pleads Guilty to Unlawfully Distributing Opioids
A Floyd County, Kentucky-based physician pleaded guilty today for his role in unlawfully distributing opioids by pre-signing blank prescriptions that were ultimately completed by others and delivered to patients not seen by him.
October 17, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Southern California Doctor Found Guilty in $12 Million Medicare Fraud and Device Adulteration Scheme
A federal jury found a southern California doctor guilty yesterday for his role in a $12 million scheme to provide medically unnecessary procedures to Medicare beneficiaries, upcode claims submitted to Medicare, and re-package single-use catheters for reuse on patients.
October 17, 2019; U.S. Attorney; Northern District of Iowa
$3.1 Million Judgment Entered Against Five Rural Home Health Providers in Iowa and South Dakota
On October 16, 2019, a federal court in Cedar Rapids entered a consent judgment for a total of $3,133,282.95 against five home health providers located in Iowa and South Dakota. The providers - Sergeant Bluff Healthcare, LLC (Iowa); Red Oak Healthcare, LLC (Iowa); Logan Healthcare, LLC (Iowa); Elk Point Health Care #1 LLC (South Dakota); and Flandreau Healthcare 2, LLC (South Dakota) - provided home health services to Medicare beneficiaries.
October 16, 2019; U.S. Attorney; Southern District of California
Overprescribing Opioids Costs La Jolla Doctor $125,000
SAN DIEGO - Dr. Roger A. Kasendorf, an osteopathic physician practicing in La Jolla, agreed to pay $125,000 to resolve allegations that he illegally prescribed opioids to his patients. The highly addictive and frequently abused opioids he prescribed included fentanyl, hydromorphone, oxymorphone, and oxycodone.
October 16, 2019; U.S. Attorney; Western District of Pennsylvania
Former Suboxone Clinic Doctor Sentenced for Illegal Prescribing and Health Care Fraud
PITTSBURGH - A former resident of Sewickley, Pennsylvania, has been sentenced in federal court to 180 days of home confinement; three years' probation; fined a total of $20,000.00; and ordered to pay $156,902.89 in restitution on his conviction of unlawfully prescribing buprenorphine and committing health care fraud, United States Attorney Scott W. Brady announced today.
October 15, 2019; U.S. Department of Justice
Ohio Doctor Pleads Guilty to Unlawful Distribution of Opioids
The owner of a Cincinnati-area medical practice pleaded guilty today for illegally distributing opioids.
October 15, 2019; U.S. Attorney; Middle District of Tennessee
16-Count Superseding Indictment Charges Owner Of Pain MD And Three Medical Professionals In Healthcare Fraud Conspiracy
NASHVILLE, Tenn. - October 15, 2019 -A 16-count superseding indictment unsealed today charged Michael Kestner, 67, of Nashville, Tennessee, Brian Richey, 37, of Cookeville, Tennessee, Daniel Seeley, 58, of Batesville, Mississippi, and Jonathan White, 49, of Tullahoma, Tennessee, with conspiracy to commit health care fraud and multiple counts of healthcare fraud, announced U.S. Attorney Don Cochran for the Middle District of Tennessee and Assistant Attorney General Brian Benczkowski of the Justice Department's Criminal Division.
October 15, 2019; U.S. Attorney; Northern District of Iowa
Northwest Iowa Otolaryngologist Agrees To Pay $1,000,000 To Resolve Medicaid False Claims Allegations
Dr. Tracey Wellendorf, an otolaryngologist with a clinic in Carroll, Iowa, agreed to pay $1,000,000 to resolve False Claims Act allegations relating to as many as 115 procedures performed on Iowa Medicaid beneficiaries between October 13, 2014, and November 27, 2015.
October 10, 2019; U.S. Attorney; Eastern District of California
Registered Nurse Pleads Guilty to Medicare Kickback Scheme
SACRAMENTO, Calif. - John Eby, 46, of Fair Oaks, pleaded guilty today to conspiring with the owners of home health agencies to pay and receive illegal kickbacks in exchange for Medicare beneficiary referrals, U.S. Attorney McGregor W. Scott announced.
October 10, 2019; U.S. Attorney; Western District of Michigan
Traverse City Practice Pays Over $600,000 To Resolve False Claims Act Allegations Regarding Anesthesia Billing
GRAND RAPIDS, MICHIGAN - U.S. Attorney Andrew Birge announced today that Traverse Anesthesia Associates, P.C. ("TAA"), and six of its anesthesiologists, agreed to pay the United States $607,966 to resolve allegations, under the federal False Claims Act, that they falsely submitted certain anesthesia claims to Medicare. TAA is a medical professional corporation that provides anesthesiology and pain management services at a number of hospitals and outpatient sites in the Traverse City region. The United States specifically contended that, for certain claims billed as medically directed anesthesia services, TAA and its anesthesiologists did not meet the regulatory requirements and conditions of payment for billing those services as medically directed.
October 10, 2019; U.S. Attorney; Western District of Missouri
Former Dental Clinic Owner Sentenced for $1 Million Health Care, Payroll Tax Fraud
SPRINGFIELD, Mo. - A Marshfield, Missouri, woman has been sentenced in federal court for multiple fraud schemes totaling more than $1 million that involved Medicaid payments to her dental clinics, failing to pay over payroll taxes and collecting unemployment benefits she wasn't entitled to receive.
October 9, 2019; U.S. Department of Justice
Genetic Testing Company and Three Principals Agree to Pay $42.6 Million to Resolve Kickback and Medical Necessity Claims
The Justice Department announced today that UTC Laboratories Inc. (RenRX) has agreed to pay $41.6 million, and its three principals, Tarun Jolly M.D., Patrick Ridgeway, and Barry Griffith, have agreed to pay $1 million to resolve allegations that they violated the False Claims Act by paying kickbacks in exchange for laboratory referrals for pharmacogenetic testing and for furnishing and billing for tests that were not medically necessary. RenRX, a laboratory company headquartered in New Orleans, Louisiana, also agreed to a twenty-five year period of exclusion from participation in any federal health care program.
October 9, 2019; U.S. Attorney; District of Massachusetts
Fresenius Agrees to Pay $5.2 Million to Resolve Allegations that it Overbilled Medicare for Hepatitis B Tests
BOSTON - The United States Attorney's Office announced today that Fresenius Medical Care Holdings, Inc., d/b/a Fresenius Medical Care North America, Inc., the largest operator of kidney dialysis clinics in the United States, has agreed to pay $5.2 million to resolve allegations that the company tested dialysis patients for Hepatitis B surface antigen more frequently than medically necessary and then billed Medicare for the unnecessary tests.
October 8, 2019; U.S. Attorney; Western District of Arkansas
Texarkana Physician Arrested For Over-Prescribing Opiates And Other Controlled Substances
Texarkana, Arkansas - Duane (DAK) Kees, United States Attorney for the Western District of Arkansas and Justin King, Assistant Special Agent in Charge of the Drug Enforcement Administration, announced today that Dr. Lonnie Joseph Parker was arrested today on federal charges. A federal grand jury in the Western District of Arkansas indicted Dr. Parker on nine counts of Prescribing Without a Legitimate Medical Purpose Outside the Scope of a Professional Practice.
October 7, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Texas Physician Convicted in $16 Million Medicare Fraud Scheme
A federal jury in Texas found a physician who was the owner and operator of a medical clinic in Houston, Texas, guilty today of participating in a $16 million Medicare fraud scheme in which she signed false and fraudulent "plans of care" and other medical documents for purported home health services.
October 7, 2019; U.S. Attorney; Northern District of Ohio
Six people pleaded guilty to crimes related to a health care fraud conspiracy in which Medicaid was billed $48 million for drug and alcohol recovery services, many of which were not provided, not medically necessary, lacked proper documentation
Six people from Ohio pleaded guilty in federal court to crimes related to a health care fraud conspiracy in which Medicaid was billed $48 million for drug and alcohol recovery services, many of which were not provided, not medically necessary, lacked proper documentation, or had other issues that made them ineligible for reimbursement.
October 4, 2019; U.S. Department of Justice
Owner of Tampa-Area Medical Marketing Company Sentenced to Prison for DNA Testing Fraud Scheme
The owner of a Tampa, Florida-area medical marketing company was sentenced to 70 months in prison today for his role in a $2.2 million Medicare fraud scheme involving the payment of kickbacks and bribes to fraudulent medical clinics in Miami in exchange for the referral of Medicare beneficiaries for expensive genetic tests that were medically unnecessary, and for his role in the illegal structuring of cash withdrawal transactions.
October 4, 2019; U.S. Attorney; Central District of California
Eye Doctor Group, Physicians Pay $6.65 Million to Settle Allegations They Submitted Fraudulent Bills to Medicare and Medicaid
LOS ANGELES - A Southern California-based ophthalmology group, its former CEO and several of its physicians have paid the United States and California $6.65 million to settle False Claims Act allegations that they defrauded public health care programs by billing for unnecessary eye exams, improperly waiving Medicare co-payments, and violating other regulations, the Justice Department announced today.
October 3, 2019; U.S. Attorney; Southern District of West Virginia
Former Parkersburg Physician Pleads Guilty for His Role in Hope Clinic Conspiracy
CHARLESTON, W.Va. - A former Parkersburg physician pled guilty to a drug conspiracy, announced United States Attorney Mike Stuart. Paul W. Burke, 68, pled guilty to conspiracy to distribute controlled substances not for legitimate medical purposes in the usual course of professional medical practice and beyond the bounds of medical practice.
October 3, 2019; U.S. Attorney; Eastern District of Pennsylvania
Lancaster Surgeon to Pay $4.25 Million to Resolve False Billing and Kickback Claims
PHILADELPHIA - First Assistant United States Attorney Jennifer Arbittier Williams announced a $4.25 million civil settlement with Glenn A. Kline, D.O. and Community Surgical Associates to resolve civil allegations relating to kickbacks received from two hospitals formerly operated by Health Management Associates (HMA) in Lancaster, Pennsylvania, in violation of the False Claims Act and Anti-Kickback Statute. Dr. Kline's case is related to a larger investigation under which HMA agreed to pay $260 million to the United States to settle claims arising from HMA's fraudulent billing practices in multiple healthcare institutions across the United States.
October 3, 2019; U.S. Attorney; District of Connecticut
Hartford Licensed Professional Counselor Pays $45K to Settle False Claims Allegations
John H. Durham, United States Attorney for the District of Connecticut, today announced that VALERIE WILLIAMS, LPC, and her business, CIRCLE OF LIFE TRANSITION CENTER, LLC, have entered into a civil settlement agreement with the federal and state governments and will pay more than $45,000 to resolve allegations that they violated the federal and state False Claims Acts.
October 1, 2019; U.S. Attorney; District of South Dakota
Former Pine Ridge Indian Health Services Pediatrician Convicted of Multiple Sex Offenses Against Children
RAPID CITY, SD � United States Attorney Ron Parsons announced that Stanley Patrick Weber, age 70, of Spearfish, South Dakota, was found guilty by a federal jury of 5 counts of Aggravated Sexual Abuse and 3 counts of Sexual Abuse of a Minor following a week-long jury trial in Rapid City, South Dakota.

September 2019

September 27, 2019; U.S. Department of Justice
Federal Law Enforcement Action Involving Fraudulent Genetic Testing Results in Charges Against 35 Individuals Responsible for Over $2.1 Billion in Losses in One of the Largest Health Care Fraud Schemes Ever Charged
A federal law enforcement action involving fraudulent genetic cancer testing has resulted in charges in five federal districts against 35 defendants associated with dozens of telemedicine companies and cancer genetic testing laboratories (CGx) for their alleged participation in one of the largest health care fraud schemes ever charged. According to the charges, these defendants fraudulently billed Medicare more than $2.1 billion for these CGx tests. Among those charged today are 10 medical professionals, including nine doctors.
September 27, 2019; U.S. Department of Justice
Midwest Health Care Fraud Law Enforcement Action Results in Charges Against 53 Individuals Alleging $250 Million in Loss
Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division announced today a health care fraud law enforcement action in Detroit, Chicago and Minnesota. Charges were filed against 20 individuals in the Eastern District of Michigan for their alleged involvement in Medicare fraud schemes resulting in $144.8 million in illegitimate billings. In the Northern District of Illinois, charges were filed against 12 individuals for their alleged involvement in Medicare fraud schemes resulting in over $103 million in illegitimate billings. Of those charged in the two federal districts, seven were doctors or licensed medical professionals. In addition, in the state of Minnesota, 21 defendants, including two licensed medical professionals, have been charged with defrauding Medicaid for almost $3 million. Minnesota's Medicaid Fraud Control Unit (MFCU) investigated these cases.
September 27, 2019; U.S. Attorney; District of Maine
Bangor Ambulance Company Settles False Claims Act Allegations
PORTLAND, Maine: United States Attorney Halsey B. Frank today announced that a Bangor ambulance company has agreed to pay $138,285.30 to settle allegations that it violated the federal False Claims Act ("FCA").
September 27, 2019; U.S. Attorney; Eastern District of Virginia
Former Pharmacy Owner Sentenced for Prescription Medication Fraud
ALEXANDRIA, Va. - A former pharmacy owner was sentenced today to four years in prison for fraudulently filling and dispensing thousands of prescription medications, including opioids, outside the usual course of professional practice.
September 27, 2019; U.S. Attorney; Southern District of Georgia
Nineteen defendants charged in largest healthcare fraud scheme in Southern District history
SAVANNAH, GA: More than a dozen defendants, including 10 physicians and other medical professionals, have been charged for their alleged participation in a massive healthcare fraud scheme responsible for - in the Southern District of Georgia alone - more than $400 million in losses to Medicare.
September 26, 2019; U.S. Department of Justice
Pharmaceutical Company Targeting Elderly Victims Admits to Paying Kickbacks, Resolves Related False Claims Act Violations
Avanir Pharmaceuticals (Avanir), a pharmaceutical manufacturer based in Aliso Viejo, California, was charged for paying kickbacks to a physician to induce prescriptions of its drug Nuedexta, the Department of Justice announced today. The Northern District of Ohio also announced indictments of four individuals, including former Avanir employees and one of the top prescribers of Nuedexta in the country, who were involved in the kickback scheme. Avanir has also agreed to pay over $95 million to resolve civil False Claims Act allegations of kickbacks as well as its false and misleading marketing of Nuedexta to providers in long term care facilities to induce them to prescribe it for behaviors commonly associated with dementia patients, which is not an approved use of the drug.
September 26, 2019; U.S. Department of Justice
Federal Health Care Fraud Takedown in Northeastern U.S. Results in Charges Against 48 Individuals
The Justice Department today announced a coordinated health care fraud enforcement action across seven federal districts in the Northeastern United States, involving more than $800 million in loss and the distribution of over 3.25 million pills of opioids in "pill mill" clinics. The takedown includes new charges against 48 defendants for their roles in submitting over $160 million in fraudulent claims, including charges against 15 doctors or medical professionals, and 24 who were charged for their roles in diverting opioids.
September 26, 2019; U.S. Attorney; Western District of Louisiana
Qui Tam Lawsuit and Federal Investigation Results in Half a Million Dollar Settlement to Resolve False Claims Act Liabilities
SHREVEPORT, La. - United States Attorney David C. Joseph of the Western District of Louisiana announces that Biomedical Research Foundation of Northwest Louisiana and its related companies, and the Board of Supervisors of Louisiana State University and Agricultural and Mechanical College have agreed to pay $531,241.74 in damages and/or civil penalties to resolve claims that they violated the False Claims Act and other laws while operating University Health Hospital in Shreveport.
September 26, 2019; U.S. Attorney; District of New Jersey
Additional New Jersey Case Announced As Part Of Federal Health Care Fraud Takedown In Northeastern U.S.
NEWARK, N.J. - The Justice Department today announced a coordinated health care fraud enforcement action across seven federal districts in the Northeastern United States, involving more than $800 million in losses and the distribution of over 3.25 million pills of opioids in "pill mill" clinics and doctors' offices. The takedown includes new charges and convictions by guilty plea against 54 defendants for their roles in submitting nearly $800 million in fraudulent claims made to federal payers, including 15 doctors or medical professionals, and 24 defendants are charged for their roles in diverting opioids.
September 26, 2019; U.S. Attorney; Southern District of Florida
Southern District of Florida Charges 30 Individuals Responsible for $86 Million in Fraudulent Billing as Part of Healthcare Fraud Takedown
Ariana Fajardo Orshan, U.S. Attorney for the Southern District of Florida; Brian A. Benczkowski, Assistant Attorney General for the Justice Department's Criminal Division; George L. Piro, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office; and Derrick L. Jackson, Special Agent in Charge, U.S. Department of Health & Human Services, Office of Inspector General (HHS-OIG), Atlanta Regional Office, announced that a total of 30 defendants were charged with offenses relating to their alleged participation in various schemes to defraud Medicare, Medicaid and private insurance. The conduct allegedly resulted in more than $86 million in fraudulent billings. Those charged included physicians as well as other medical and business professionals.
September 26, 2019; U.S. Attorney; Northern District of Ohio
Physicians and pharmacy sales reps indicted for kickback conspiracy in which doctors allegedly received money in exchange for writing unnecessary prescriptions of Nuedexta
Two doctors from Northeast Ohio and two drug company salesmen were indicted in federal court for their roles in a kickback conspiracy in which the doctors allegedly received money and other things of value in exchange for writing prescriptions of Nuedexta for patients that did not have the condition.
September 26, 2019; U.S. Attorney; Middle District of Florida
Health Care Fraud And Opioid Enforcement Action Brings Multiple Charges Across The Middle District Of Florida
Tampa, Florida - United States Attorney Maria Chapa Lopez announces a significant health care fraud and opioid enforcement operation across the Middle District of Florida, involving charges against seven individuals for their alleged involvement in various schemes to defraud Medicare, Medicaid, and other federal health care benefit programs, and in various conspiracies to illicitly obtain and distribute oxycodone and other controlled substances.
September 25, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Florida and Georgia Health Care Fraud Law Enforcement Action Results in Charges against 67 Individuals
The Justice Department announced today a significant health care fraud enforcement operation across Florida and Georgia, involving charges against a total of 67 individuals across four federal districts for their alleged involvement in various schemes to defraud Medicare and Medicaid. The conduct allegedly resulted in more than $160 million in fraudulent billings. Those charged included physicians as well as other medical and business professionals. In addition, in the state of Florida, 16 defendants, including one licensed mental health professionals, have been charged with defrauding the Medicaid program out of over $1.2 million. Florida's Medicaid Fraud Control Unit (MFCU) investigated these cases.
September 25, 2019; U.S. Department of Justice
Gulf Coast Health Care Fraud Law Enforcement Action Results in Charges Against 33 Individuals
Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division announced today an expansive health care fraud enforcement operation across the Gulf Coast, involving charges against a total of 11 individuals across four federal districts for their alleged involvement in various schemes to defraud Medicare, Medicaid and TRICARE and to obtain oxycodone and other controlled substances by fraud. The conduct allegedly resulted in more than $515 million in fraudulent billings. Those charged included physicians, licensed social workers, as well as other medical and business professionals. In addition, in the state of Louisiana, 22 defendants, including 19 certified mental and home health professionals, have been charged with defrauding Medicaid out of approximately $300,000. These cases were investigated by Louisiana's Medicaid Fraud Control Unit (MFCU).
September 25, 2019; U.S. Attorney; Eastern District of Pennsylvania
Trident USA Health Services LLC to Pay $8.5 Million to Resolve False Claims Act Liability for Alleged Kickback Scheme
PHILADELPHIA, PA - First Assistant U.S. Attorney Jennifer Arbittier Williams announced today an $8.5 million civil settlement to resolve two False Claims Act cases, United States et al. ex rel. Ravi Srivastava v. Trident USA Health Services LLC, Symphony Diagnostic Services No. 1, Inc. dba MobilexUSA, Civil Action No. 16-2956 (E.D. Pa.), and United States ex rel. Peter Goldman v. Symphony Diagnostic Services No. 1, LLC, d/b/a MobilexUSA, Civil Action No. 19-cv-01603 (E.D. Pa.). The lawsuits were filed by whistleblowers Ravi Srivastava and Peter Goldman, respectively, on behalf of the United States. The defendant is MobilexUSA, also known as Trident USA Health Services, LLC (Trident).
September 25, 2019; U.S. Attorney; Eastern District of Pennsylvania
Pharmacy Owners Agree to Pay $1.1 Million and Abide by 10-Year Federal Healthcare Exclusion to Resolve False Claims Act Liability
PHILADELPHIA, PA - United States Attorney William M. McSwain announced that the owners of E-Z Pharmacy in Philadelphia have agreed to pay $1,100,000 to resolve liability under the False Claims Act.
September 23, 2019; U.S. Attorney; Western District of Pennsylvania
Fayette County Family Practitioner Charged in 29-Count Indictment with Dispensing Opioids in Exchange for Sex and Health Care Fraud
PITTSBURGH - A physician who operates a private family practice in Perryopolis, Pennsylvania, 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.
September 23, 2019; U.S. Attorney; Eastern District of Pennsylvania
United States Files Suit Against Pharmacy, Pharmacy Owner, and Pharmacist-in-Charge for Alleged False Billing
PHILADELPHIA, PA - First Assistant U.S. Attorney Jennifer Arbittier Williams announced that the United States has filed a civil lawsuit against G & A Somerton Pharmacy LLC ("Somerton"), its owner Polina Khodak, and its pharmacist-in-charge, Inessa Lerner, alleging that they violated the False Claims Act when they knowingly billed Medicare for over $1 million worth of prescription drugs that were never actually dispensed to beneficiaries, during the period January 1, 2009 through December 31, 2015. These medications included but were not limited to Lidoderm, Advair Diskus, Omeprazole, Solaraze, Nexium, Donepezil, Novolog, Meclizine, Lidocaine, and Januvia.
September 19, 2019; U.S. Attorney; Northern District of Florida
Florida Licensed Mental Health Counselor And Counseling Center Owner Indicted For Medicaid Fraud, Conspiracy, False Statements, And Aggravated Identity Theft
TALLAHASSEE, FLORIDA - Stephanie Lynn Fleming, 42, and Helen Elizabeth Storey, 37, both of Waldorf, Maryland (and formerly of Tallahassee, Florida), were arrested in Maryland after a federal grand jury in Tallahassee returned an indictment charging them with conspiracy to commit health care fraud, 75 counts of health care fraud, false statements in connection with a health care matter, and two counts of aggravated identity theft. The offenses are alleged to have been committed in the Northern District of Florida. The indictment was announced by Lawrence Keefe, United States Attorney for the Northern District of Florida.
September 19, 2019; U.S. Attorney; Eastern District of Texas
North Texans Charged with Health Care Fraud Violations
SHERMAN, Texas - Three North Texas residents have been indicted on health care fraud violations in the Eastern District of Texas, announced U.S. Attorney Joseph D. Brown today.
September 18, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Charges Brought Against 34 Individuals for Alleged West Coast Medicare and Medicaid Fraud Schemes Totaling $258 Million
Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division announced today a health care fraud enforcement action in the state of California, involving charges brought against a total of 26 individuals in the Central District of California for their alleged involvement in Medicare and Medicaid fraud schemes resulting in $257 million in billings. Of those charged, 14 were doctors or medical professionals. In addition, in the states of Arizona and Oregon, eight defendants, including three licensed medical professionals, have been charged with defrauding the Medicaid program out of over $1 million. These cases were investigated by each state's respective Medicaid Fraud Control Units.
September 18, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner of Detroit-Area Health Care Clinics Pleads Guilty to Drug Diversion Scheme
The owner of a Detroit-area pain clinic and physical therapy clinic pleaded guilty today for her role in a drug diversion scheme.
September 18, 2019; U.S. Attorney; Central District of
California Medicare Fraud Strike Force Case
25 Southern California Defendants Face Federal Charges Alleging Fraud Schemes that Cost Health Care Programs Millions of Dollars
LOS ANGELES - A local health care fraud enforcement action has resulted in federal charges against of 25 Southern California defendants for their alleged involvement in healthcare fraud schemes that fraudulently sought over $150 million from the Medicare and Medicaid programs, as well as private insurers and union health benefit plans. Fourteen of those charged in federal court in Los Angeles and Santa Ana are doctors or medical professionals.
September 18, 2019; U.S. Department of Justice
Texas Health Care Fraud and Opioid Takedown Results in Charges Against 58 Individuals
The Justice Department announced today a coordinated health care fraud enforcement operation across the state of Texas, involving charges against a total of 58 individuals across all four federal districts in Texas for their alleged involvement in Medicare fraud schemes and networks of "pill mill" clinics resulting in $66 million in losses and 6.2 million pills. Of those charged, 16 were doctors or medical professionals, and 20 were charged for their role in diverting opioids.
September 18, 2019; U.S. Attorney; Eastern District of Texas
Longview Ambulance Operator Guilty of Health Care Fraud
TYLER, Texas - A 62-year-old Longview, Texas man has pleaded guilty to federal violations in the Eastern District of Texas, announced U.S. Attorney Joseph D. Brown.
September 18, 2019; U.S. Attorney; Northern District of Texas
Texas Healthcare Fraud Takedown Results in Charges Against 58 Individuals
The Justice Department announced today a coordinated health care fraud enforcement operation across the state of Texas, involving charges against a total of 58 individuals across all four federal districts in Texas for their alleged involvement in Medicare fraud schemes and networks of "pill mill" clinics resulting in $66 million in loss and 6.2 million pills. Of those charged, 16 were doctors or medical professionals, and 20 were charged for their role in diverting opioids.
September 17, 2019; U.S. Attorney; District of Massachusetts
Haverhill Nurse Pleads Guilty to Drug Tampering
BOSTON - A Haverhill licensed practical nurse pleaded guilty yesterday in federal court in Boston to drug tampering.
September 17, 2019; U.S. Attorney; Eastern District of Pennsylvania
Doctor and Physician Practice to Pay $178,000 to Resolve False Claims Act Liability Arising from Billing of "P-Stim" Devices
PHILADELPHIA, PA - First Assistant U.S. Attorney Jennifer Arbittier Williams announced that Richard P. Frey, D.O., and Physicians Alliance Ltd. ("PAL") have agreed to pay $178,398.35 to resolve liability under the False Claims Act for the alleged improper billing of "P-Stim" devices.
September 16, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Texas Hospital Administrator Sentenced to 10 Years in Prison for Role in $16 Million Health Care Fraud Scheme
A Houston, Texas-area hospital administrator was sentenced today for his role in a $16 million Medicare fraud scheme involving partial hospitalization programs.
September 16, 2019; U.S. Attorney; District of New Jersey
Four People Charged In $99 Million Scheme To Commit Health Care Fraud And Wire Fraud And Pay Kickbacks To Doctors And Their Employees
TRENTON, N.J. - Four people have been charged for their roles in conspiracies to commit health care fraud and wire fraud and to pay kickbacks to doctors and doctors' employees, U.S. Attorney Craig Carpenito announced today.
September 13, 2019; U.S. Attorney; Southern District of
Florida Medicare Fraud Strike Force Case
South Florida Health Care Facility Owner Sentenced To 20 Years in Prison for Role in Largest Health Care Fraud Scheme Ever Charged By the Department Of Justice
A federal district judge sentenced a south Florida health care facility owner to 20 years in prison today after being found guilty in the largest health care fraud scheme charged by the U.S. Justice Department. The case involves a decades-long scheme of kickbacks and money laundering in connection with fraudulent claims to Medicare and Medicaid for services deemed medically unnecessary.
September 13, 2019; U.S. Attorney; District of Columbia
Former Dentist Pleads Guilty to Health Care Fraud
WASHINGTON - Bilal Ahmed, 47, of Potomac, Maryland, pled guilty on September 6, 2019, to a federal charge of health care fraud stemming from a scheme in which he and others caused the District of Columbia's Medicaid program to be defrauded out of more than $5 million.
September 13, 2019; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Settles Civil Fraud Claims Against Medical Device Manufacturer For Selling Products Not Cleared By The FDA
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and Mark S. McCormack, Special Agent in Charge of the U.S. Food and Drug Administration's Office of Criminal Investigations Metro Washington Field Office ("FDA"), announced today that the United States has simultaneously filed and settled a civil fraud lawsuit under the False Claims Act against AVALIGN TECHNOLOGIES, INC. ("Avalign"), and its subsidiary INSTRUMED INTERNATIONAL, INC. ("Instrumed," and together with Avalign, "Defendants"), for manufacturing and selling medical devices that were not cleared by the FDA. These uncleared devices were used by medical providers in spinal surgeries, circumcisions, and other medical procedures. The providers submitted claims for reimbursement to Medicare and Medicaid for those procedures. As part of the settlement, approved in Manhattan federal court by U.S. District Judge Edgardo Ramos, Defendants agreed to pay the Government $9,500,000 and admitted to conduct alleged in the United States' complaint.
September 12, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
South Florida Health Care Facility Owner Sentenced to 20 Years in Prison for Role in Largest Health Care Fraud Scheme Ever Charged by The Department of Justice
A federal district judge sentenced a south Florida health care facility owner to 20 years in prison today after being found guilty in the largest health care fraud scheme charged by the U.S. Justice Department. The case involves a decades-long scheme of kickbacks and money laundering in connection with fraudulent claims to Medicare and Medicaid for services deemed medically unnecessary.
September 12, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
New Jersey Doctor Pleads Guilty to $13 Million Conspiracy to Defraud Medicare with Telemedicine Orders of Orthotic Braces
A Toms River, New Jersey physician pleaded guilty today for his role in a $13 million health care fraud scheme, which previously resulted in charges in April 2019 against 23 other defendants in one of the largest health care fraud cases investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of Justice.
September 12, 2019; U.S. Attorney; Southern District of New York
Pharmacy Owner Charged With Illegally Distributing Oxycodone And Operating A Health Care Fraud And Kickback Scheme
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, Raymond P. Donovan, Special Agent in Charge of the New York Field Division of the Drug Enforcement Administration ("DEA"), Scott J. Lampert, Special Agent in Charge of the New York Office of the U.S. Department of Health and Human Services, Office of Inspector General ("HHS-OIG"), and James P. O'Neill, Commissioner of the New York City Police Department ("NYPD"), announced today the arrest of MICHAEL PAULSEN, the owner and operator of a pharmacy located in Staten Island. The Indictment unsealed today charges PAULSEN with conspiring to illegally distribute oxycodone, committing health care fraud, and providing "kickbacks" to customers from Medicare and Medicaid reimbursements to induce them to obtain substances from his pharmacy. PAULSEN will be presented before U.S. Magistrate Judge James L. Cott later today. The case is assigned to U.S. District Judge Paul A. Crotty.
September 10, 2019; U.S. Attorney; Northern District of Iowa
Occupational Therapist Sentenced to Federal Prison for Illegally Accessing Private Health Data and Stealing Opioids
A licensed occupational therapist who improperly accessed the private health and residence information of at least 1,900 patients, and then entered or burglarized thirteen homes across North Central Iowa in repeated attempts to steal prescription opioids from vulnerable and elderly persons, was sentenced September 9, 2019, to more than one year in federal prison.
September 10, 2019; U.S. Attorney; Middle District of Florida
Owners Of Pasco County Marketing Firm Plead Guilty For Conspiring To Pay Healthcare Kickbacks
Tampa, Florida - Frank Monte (40, Valrico) and Kimberley Anderson (52, New Port Richey) today pleaded guilty to conspiracy to pay healthcare kickbacks. Each faces up to five years in federal prison and each has also agreed to forfeit $1,717,925.50 in assets.
September 9, 2019; U.S. Department of Justice
Caddo Parish mental health counseling firm owner and supervisor indicted for billing nearly $8 million for services not provided, paying kickbacks
SHREVEPORT, La. - United States Attorney David C. Joseph announced that two Northwest Louisiana residents who owned and ran the Positive Change Counseling Agency LLC were indicted for improperly billing Medicaid for almost $8 million, in addition to paying kickbacks in violation of the law.
September 9, 2019; U.S. Attorney; Southern District of Texas
Mission Family Practitioner Pays $2 Million to Resolve Allegations
McALLEN, Texas - A South Texas doctor has agreed to pay the United States $2,133,959.30 to resolve allegations he fraudulently submitted claims to the Medicare program for medically unnecessary diagnostic tests, announced U.S. Attorney Ryan K. Patrick.
September 6, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner and Chief Executive Officer of Telemedicine Company Pleads Guilty to $424 Million Conspiracy to Defraud Medicare and Receive Illegal Kickbacks in Exchange for Orders of Durable Medical Equipment
The owner and chief executive officer (CEO) of a telemedicine company pleaded guilty today for his role in one of the largest health care fraud schemes ever investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of Justice, which resulted in charges in April 2019 against 24 defendants.
September 5, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
New York Ambulette Company Owners Plead Guilty in More than $8.6 Million Health Care Kickback Scheme
Two New York ambulette company owners pleaded guilty today for their roles in a more than $8.6 million health care kickback scheme.
September 5, 2019; U.S. Attorney; Northern District of Oklahoma
Doctor Agrees to Pay More Than $471,000 to Resolve Alleged False Claims Act Liability for Accepting Kickback Payments
In a civil settlement agreement with the U.S. Government, an orthopedic surgeon has agreed to pay $471,221.46 to resolve allegations that he knowingly accepted illegal kickback payments in exchange for prescribing pain creams compounded and produced by OK Compounding, LLC, announced U.S. Attorney Trent Shores.
September 5, 2019; U.S. Attorney; Northern District of California
Bay Area's Largest Home Health Care Agency And 28 Health Care Industry Workers Charged In Patients-For-Cash Kickback Scheme
SAN FRANCISCO - Federal complaints have been filed against 30 defendants charged in a patients-for-cash kickback scheme, announced United States Attorney David L. Anderson, Federal Bureau of Investigation Special Agent in Charge John F. Bennett, and Special Agent in Charge for the Office of Inspector General of the U.S. Department of Health and Human Services (HHS-OIG), Steven J. Ryan.
September 4, 2019; U.S. Department of Justice
Drug Maker Mallinckrodt Agrees to Pay Over $15 Million to Resolve Alleged False Claims Act Liability for "Wining and Dining" Doctors
Pharmaceutical company Mallinckrodt ARD LLC (formerly known as Mallinckrodt ARD Inc. and previously Questcor Pharmaceuticals Inc. "Questcor"), has agreed to pay $15.4 million to resolve claims that Questcor paid illegal kickbacks to doctors, in the form of lavish dinners and entertainment, to induce prescriptions of the company's drug, H.P. Acthar Gel (Acthar) from 2009 through 2013.
September 3, 2019; U.S. Attorney; Northern District of West Virginia
West Virginia physician sentenced for illegal opioid distribution to patients
CLARKSBURG, WEST VIRGINIA- Dr. Felix Brizuela, Jr., of Harrison City, Pennsylvania, was sentenced today to 48 months incarceration for illegally distributing opioids, United States Attorney Bill Powell announced.
September 3, 2019; U.S. Attorney; Northern District of West Virginia
Pennsylvania physician admits to drug charge
CLARKSBURG, WEST VIRGINIA - Dr. Parth Bharill, a Pittsburgh and Morgantown physician, has admitted to a drug charge, United States Attorney Bill Powell announced.
September 3, 2019; U.S. Attorney; Northern District of Georgia
Home health care owner pleads guilty to defrauding Georgia Medicaid
ATLANTA - Diandra Bankhead, the owner and operator of Elite Homecare ("Elite"), an Atlanta-based home healthcare provider, has pleaded guilty to defrauding Medicaid by submitting thousands of fraudulent claims for services that were never provided to medically fragile children under the Georgia Pediatric Program ("GAPP").

August 2019

August 29, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Louisiana Physician's Assistant Sentenced to Prison for Scheme to Unlawfully Distribute Controlled Substances
A Baton Rouge, Louisiana-based physician's assistant was sentenced to seven years in prison today for his role in a scheme to unlawfully distribute prescriptions for thousands of oxycodone pills.
August 29, 2019; U.S. Department of Justice
Tennessee Health Care Executive Sentenced to Prison for Role In $4.6 Million Kickback Scheme
A Tennessee health care executive was sentenced to 42 months in prison yesterday for her role in a $4.6 million kickback scheme.
August 28, 2019; U.S. Attorney; Northern District of Illinois
Owners of Suburban Youth Counseling Center Indicted on Fraud Charges for Allegedly Defrauding Illinois Medicaid out of $4 Million
CHICAGO - The owners of a suburban Chicago youth counseling center defrauded Illinois Medicaid out of approximately $4 million through a fraudulent billing scheme, according to an indictment returned in federal court.
August 26, 2019; U.S. Attorney; District of Nevada
Northern Nevada Doctor Sentenced To Prison For Illegally Writing Opioid Prescriptions
RENO, Nev. - A northern Nevada doctor specializing in family medicine was sentenced today to one year and one day in federal prison and ordered to pay a $125,000 fine for overprescribing highly addictive pain pills Oxycodone and Hydrocodone not for a legitimate medical purpose, announced United States Attorney Nicholas A. Trutanich for the District of Nevada, Special Agent in Charge Aaron C. Rouse for the FBI's Las Vegas Field Office, and Special Agent in Charge Timothy B. DeFrancesca for the Office of Inspector General of the United States Department of Health and Human Services.
August 24, 2019; U.S. Attorney; Southern District of West Virginia
Charleston Doctor Pleads Guilty to Illegal Distribution of Methadone
CHARLESTON, W.Va. - A Charleston doctor who practiced at Neurology & Pain Center, PLLC pled guilty to illegal distribution of controlled substances that were not for legitimate medical purposes, announced United States Attorney Mike Stuart. Muhammed Samer Nasher-Alneam admitted to writing prescriptions in July 2014 for oxycodone and methadone pills that were not within the bounds of professional medical practice or for legitimate medical purposes. Pursuant to his guilty plea, Nasher agreed to permanently surrender both his medical license and DEA registration. He further agreed to never seek reinstatement of a license to practice as a medical doctor in any other state.
August 23, 2019; U.S. Attorney; Southern District of Illinois
Metro East Dentist Charged with Health Care Fraud
A St. Louis-area dentist has been charged with executing a wide-ranging health care fraud scheme over several years. Dr. Yun Sup Kim, 48, of St. Louis, is under federal indictment for allegedly defrauding Illinois Medicaid out of hundreds of thousands of dollars from his dental office in Swansea, Illinois. The 20-page indictment charges Kim with 12 counts of health care fraud and one count of wire fraud in connection with his dental practice.
August 21, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Two Los Angeles Pharmacy Owners Found Guilty in Multimillion-Dollar Health Care Fraud and Money Laundering Scheme
A federal jury found two Los Angeles pharmacy owners guilty yesterday for their participation in a $35 million health care fraud and money laundering scheme to bill Medicare for medications that were never provided and to launder the proceeds of the fraud.
August 21, 2019; U.S. Attorney; Western District of Pennsylvania
New Castle Doctor Pleads Guilty to Illegally Prescribing and Distributing Oxycodone, Fentanyl, and Opana ER
PITTSBURGH - A resident of New Castle, Pennsylvania pleaded guilty in federal court to charges of unlawfully prescribing and distributing controlled substances, United States Attorney Scott W. Brady announced today.
August 21, 2019; U.S. Attorney; Northern District of Ohio
Port Clinton physician indicted for prescribing thousands of doses of powerful painkillers, such as fentanyl and oxycodone, without regard to medical necessity
A Port Clinton physician was indicted in federal court for allegedly prescribing thousands of doses powerful painkillers such as fentanyl, oxycodone, hydrocodone, morphine, and other drugs, without regard to medical necessity, as well as healthcare fraud.
August 20, 2019; U.S. Attorney; Eastern District of Missouri
Pharmacy Owner Sentenced for Health Care Fraud and Filing False Tax Returns
St. Louis, MO - Rehan A. Rana, 46, of Ellisville, MO, was sentenced on Friday, August 16, 2019 to 24 months in prison and three years of supervised release. He was also ordered to pay a $100.000 fine, restitution in the amount of $751,787 to the Internal Revenue Service, and $526,285 to the Medicare Program. Rana appeared before U.S. District Judge Audrey G. Fleissig.
August 20, 2019; U.S. Attorney; Eastern District of Missouri
Festus Doctor and His Company Plead Guilty to Health Care Fraud
St. Louis, MO - Antoine Adem, M.D., 49, of Festus, MO, and his company, Midwest Cardiovascular, Inc., plead guilty to their involvement in a healthcare fraud scheme. Adem appeared in federal court before U.S. District Judge Audrey G. Fleissig who accepted the guilty pleas and set sentencing for November 19, 2019.
August 19, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Nigerian Man Sentenced to Prison for Role in $8.3 Million Medicare Fraud Scheme and Related Money Laundering
A Nigerian man was sentenced to 46 months in prison today for his role in a durable medical equipment (DME) scheme in which more than $8 million was fraudulently billed to Medicare for DME that was not medically necessary.
August 16, 2019; U.S. Attorney; Eastern District of Kentucky
Ashland Physician and Substance Abuse Treatment Center Agree To Pay $1.4 Million to Resolve Civil Claims
ASHLAND, Ky. - An Ashland addiction treatment specialist, Dr. Rose O. Uradu, and her substance abuse treatment center, Ultimate Care Medical Services, LLC d/b/a Ultimate Treatment Center, have agreed to pay $1.4 million to resolve civil allegations that they violated the Controlled Substances Act, and defrauded the Medicare and Kentucky Medicaid programs.
August 15, 2019; U.S. Attorney; Northern District of Alabama
Birmingham Psychologist Agrees to Plead Guilty to Defrauding State Medicaid Agency of $1.5 Million by Filing False Claims for Counseling
BIRMINGHAM- A one-count information filed yesterday in U.S. District Court charges a Birmingham psychologist with defrauding the Alabama Medicaid Agency by filing false claims for counseling services that were not provided, announced U.S. Attorney Jay E. Town, U.S. Department of Health and Human Services-OIG Special Agent in Charge Derrick L. Jackson, and Alabama Attorney General Steve Marshall.
August 15, 2019; U.S. Attorney; Southern District of Alabama
Qui Tam Lawsuit and Federal Investigation Results in Settlement and $1.2 Million Payment by Baldwin Bone & Joint, P.C.
United States Attorney Richard W. Moore of the Southern District of Alabama announces that Baldwin Bone & Joint, P.C. (BB&J), an orthopedic surgery and physical therapy practice located in Daphne, Alabama, has agreed to pay a total of $1.2 million to resolve a lawsuit alleging that it violated the False Claims Act. The settlement also resolves an allegation that BB&J violated the Physician Self-Referral Law, commonly referred to as the Stark Law.
August 12, 2019; U.S. Attorney; Central District of California
High Desert Pharmacist Sentenced to over 5 Years in Federal Prison for Illegally Distributing Prescription Opioids and Money Laundering
LOS ANGELES - A High Desert pharmacist who illegally distributed oxycodone by filling hundreds of counterfeit prescriptions was ordered today to serve 63 months in federal prison.
August 8, 2019; U.S. Department of Justice
Medicare Advantage Provider and Physician to Pay $5 Million to Settle False Claims Act Allegations
Beaver Medical Group L.P. (Beaver) and one of its physicians, Dr. Sherif Khalil, have agreed to pay a total of $5,039,180 to resolve allegations that they reported invalid diagnoses to Medicare Advantage plans and thereby caused those plans to receive inflated payments from Medicare, the Justice Department announced. Beaver is headquartered in Redlands, California.
August 8, 2019; U.S. Attorney; District of Columbia
Former Personal Care Aide Pleads Guilty to Health Care Fraud
WASHINGTON - Mobolaji Tina Stewart, 58, of Laurel, Maryland, pled guilty today to a federal charge of health care fraud stemming from a scheme in which she caused the District of Columbia's Medicaid program to be defrauded out of more than $500,000.
August 7, 2019; U.S. Attorney; Eastern District of Pennsylvania
United States Files Suit Against Montgomery County Psychiatrist for Alleged Improper Opioid Prescribing
PHILADELPHIA - United States Attorney William M. McSwain announced that the United States filed a civil lawsuit against Elizabeth N. Kuh, a psychiatrist practicing in Montgomery County, alleging that she wrote improper opioid and benzodiazepine prescriptions for two of her patients. According to the complaint, Kuh wrote 30 opioid and benzodiazepine prescriptions to a husband and wife couple which lacked a legitimate medical purpose, were issued outside the usual course of professional practice, and many of which resulted in false claims to Medicare.
August 6, 2019; U.S. Attorney; Northern District of Georgia
Man Pleads Guilty to Stealing More Than $300,000 in Healthcare Fraud Scheme
ATLANTA - Michael Bang has pleaded guilty to healthcare fraud charges related to a fraudulent reimbursement scheme targeting the Colorado Public Employees Retirement Association ("COPERA").
August 2, 2019; U.S. Department of Justice
District of Columbia Physician Indicted for Alleged Role in $12.7 Million Health Care Fraud Scheme
A physician with a practice in the District of Columbia was charged in an indictment unsealed today for his role in an alleged $12.7 million health care fraud scheme to submit fraudulent claims to Medicare for complicated medical procedures he never provided.
August 2, 2019; U.S. Attorney; District of Puerto Rico
Doctor Indicted and Arrested For Health Care Fraud
SAN JUAN, Puerto Rico - On July 31, 2019, a Federal Grand Jury in the District of Puerto Rico returned an indictment charging Dr. Antonio REYES-VIZCARRONDO with one count of conspiracy to commit health care fraud and one count of health care fraud. The defendant was arrested today, announced U.S. Attorney Rosa Emilia Rodr�guez-V�lez of the District of Puerto Rico. The Office of Inspector General for the United States Department of Health and Human Services (HHS-OIG) and the Federal Bureau of Investigation (FBI) are in charge of the investigation.
August 2, 2019; U.S. Attorney; District of Connecticut
Three Individuals Charged in Oxycodone Prescription Fraud Scheme
John H. Durham, United States Attorney for the District of Connecticut, Brian D. Boyle, Special Agent in Charge of the Drug Enforcement Administration for New England, Phillip Coyne, Special Agent in Charge of the U.S. Department of Health and Human Services, and Vernon Police Chief James Kenny today announced that a federal grand jury in Hartford returned an indictment yesterday charging three individuals with offenses related to the illegal acquisition and distribution of oxycodone obtained through fraudulent prescriptions. JAYSON KEMP, 42, of East Windsor, ORAL WELBORN, 58, of Columbia, South Carolina, and MARIA PIRULLI, 42, of New Haven, were arrested this morning.
August 2, 2019; U.S. Attorney; Southern District of New York
Manhattan Doctor Pleads Guilty To Accepting Bribes And Kickbacks From Pharmaceutical Company In Exchange For Prescribing Fentanyl Drug
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced that DIALECTI VOUDOURIS, a doctor who practiced in Manhattan, pled guilty today to conspiracy to violate the Anti-Kickback Statute, in connection with a scheme to prescribe Subsys, a potent fentanyl-based spray, in exchange for bribes and kickbacks from Subsys's manufacturer, Insys Therapeutics. VOUDOURIS pled guilty before U.S. Magistrate Judge Ona T. Wang. The case is assigned to U.S. District Judge Kimba M. Wood.
August 1, 2019; U.S. Attorney; Middle District of Florida
Telemarketer And His Companies Agree To Pay $2.5 Million To Settle Allegations That They Operated Telemedicine Schemes Involving Illegal Kickbacks And Unnecessary Prescriptions
United States Attorney Maria Chapa Lopez and U.S. Attorney J. Douglas Overbey for the Eastern District of Tennessee announce that Scott Roix, together with several entities through which he ran his telemarketing business, including HealthRight, LLC; Health Savings Solutions, LLC; Vici Marketing, LLC; and Vici Marketing Group, LLC (hereinafter collectively referred to as "marketing companies"), have agreed to pay $2.5 million to resolve allegations that Roix and these marketing companies violated the False Claims Act by causing the submission of false claims to federal healthcare programs in connection with telemedicine health care fraud schemes.

July 2019

July 31, 2019; U.S. Attorney; District of Massachusetts
Fitchburg Woman Indicted For Social Security, MassHealth And Food Stamp Fraud
BOSTON - A Fitchburg woman was arrested yesterday and charged in federal court in Boston with fraudulently receiving Social Security disability benefits, MassHealth, and Supplemental Nutrition Assistance Program (SNAP) benefits.
July 30, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Patient Recruiter Found Guilty in $1.3 Million Medicare Kickback Scheme
A federal jury in Detroit, Michigan found a patient recruiter guilty today for his role in a scheme involving approximately $1.3 million in fraudulent Medicare claims for home health care that were procured through the payment of kickbacks.
July 30, 2019; U.S. Attorney; Southern District of Georgia
Medical Business Owner Sentenced to More Than 10 Years in Federal Prison for Medicare Fraud
AUGUSTA, GA: The owner of a Thomson, Ga., medical equipment company was sentenced to more than 10 years in federal prison Tuesday, July 30, for a wide-ranging Medicare fraud scheme.
July 30, 2019; U.S. Attorney; Middle District of Alabama
Psychiatrist with Office in Opelika Indicted on Drug Distribution Charges
Montgomery, AL - On Tuesday, July 30, 2019, Dr. James Henry Edwards, III, 72, of Fairhope, Alabama, appeared in court for an arraignment after being charged with drug distribution offenses, announced United States Attorney Louis v. Franklin, Sr. Until his arrest on July 11, 2019, Dr. Edwards was a practicing psychiatrist with offices in Opelika and Gulf Shores, Alabama.
July 25, 2019; U.S. Attorney; Eastern District of Missouri
Missouri Pain Medicine Doctor and Wife Indicted for Purchasing Illegal Medical Devices and Healthcare Fraud
St. Louis, MO -Dr. Abdul Naushad, 55, and his wife, Wajiha Naushad, 44, both of Town and Country, MO, were indicted today in a 21-count indictment for purchasing non-FDA approved medical devices, Orthovisc, from Canada and England and smuggling the same devices into the United States. The couple was also charged with health care fraud related to billing for the same devices, when they knew Medicare and Medicaid would not reimburse for the non-FDA approved devices. Orthovisc, in a pre-filled syringe, is injected into the knee to relieve osteoarthritis pain and is available only by prescription. Dr. Naushad did not disclose to his patients that they were receiving non-FDA approved Orthovisc.
July 24, 2019; U.S. Attorney; Eastern District of Virginia
Woman Pleads Guilty to Making False Statements to Medicaid
NORFOLK, Va. - A Virginia Beach woman pleaded guilty today to making a false statement to the Medicaid Program.
July 24, 2019; U.S. Attorney; Eastern District of Pennsylvania
Eagleville Hospital Pays $2.85 Million to Resolve Allegations of Improper Billing for Detox Treatment
PHILADELPHIA - United States Attorney William McSwain announced today that Eagleville Hospital, which provides substance use disorder treatment in Eagleville, Pennsylvania, has agreed to pay $2.85 million to the federal government to resolve allegations that the hospital violated the False Claims Act by submitting claims to Medicare, Medicaid, and the Federal Employees Health Benefits Program ("FEHBP") for hospital-level detoxification treatment services when the patients were ineligible for admission to receive such services or lacked documentation to support the claims.
July 23, 2019; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Files Lawsuit Against Spinal Implant Company, Its CEO, And Another Executive For Illegally Paying Millions Of Dollars In Kickbacks To Surgeons In Exchange For Using Its Products
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, William F. Sweeney Jr., Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation ("FBI"), and Scott J. Lampert, Special Agent in Charge of the New York Regional Office of the U.S. Department of Health and Human Services, Office of the Inspector General ("HHS-OIG"), announced today that the United States has filed a civil healthcare fraud lawsuit against LIFE SPINE INC. ("LIFE SPINE"), MICHAEL BUTLER, the founder, president, and chief executive officer of LIFE SPINE, and RICHARD GREIBER, the vice president of business development of LIFE SPINE. The Government's complaint seeks damages and civil penalties under the False Claims Act for paying kickbacks in the form of millions of dollars of consulting fees, royalties, and intellectual property acquisition fees to surgeons to induce them to use LIFE SPINE's spinal implants, devices, and equipment. The lawsuit alleges that the surgeons who received these payments accounted for approximately half of LIFE SPINE's total domestic sales of spinal products from 2012 through 2018. As set forth in the complaint, these payments violated the Anti-Kickback Statute and, as a result of this unlawful conduct, LIFE SPINE, BUTLER, and GREIBER caused hospitals and surgeons to submit false claims for payment to Medicare and Medicaid.
July 23, 2019; U.S. Attorney; Eastern District of Pennsylvania
Philadelphia-Based Pharmacy Owners Agree to Pay $400,000 to Resolve False Claims Act Liability
PHILADELPHIA, PA - United States Attorney William McSwain announced that the owners of E-Z Pharmacy II in Philadelphia have agreed to pay $400,000 to resolve liability under the False Claims Act.
July 22, 2019; U.S. Attorney; District of Nevada
67-Year-Old Las Vegas Doctor Sentenced To Prison For Unlawfully Prescribing Opioids
LAS VEGAS, Nev. - A pain management doctor who practiced in Las Vegas was sentenced to 41 months in federal prison today to be followed by 3 years of supervised release for unlawfully prescribing addictive opioids Fentanyl, Hydrocodone, and Oxycodone outside the usual course of professional practice and not for a legitimate medical purpose.
July 19, 2019; U.S. Attorney; Eastern District of New York
Doctor Sentenced to Prison for Health Care Fraud
Earlier today, in federal court in Central Islip, Hal Abrahamson, a podiatrist with offices in Plainview, Long Island, and Rego Park, Queens, was sentenced by United States District Judge Denis R. Hurley to one year and a day in prison for his role in a health care fraud scheme. The Court also ordered Abrahamson to pay restitution of $869,651, a $50,000 fine and forfeit $177,000. On June 26, 2018, Abrahamson pleaded guilty to health care fraud in connection with the operation of his podiatry practice.
July 18, 2019; U.S. Attorney; Southern District of Ohio
Pharmaceutical Distributor & Executives, Pharmacists Charged With Unlawfully Distributing Painkillers
CINCINNATI - A federal grand jury has charged a pharmaceutical distributor, two of its former officials and two pharmacists with conspiring to distribute controlled substances in an indictment returned here yesterday.
July 18, 2019; U.S. Attorney; District of Connecticut
Connecticut Pain Management Doctor and His Practice Pay Over $425K to Settle Improper Billing Allegations
U.S. Attorney John H. Durham, Special Agent in Charge Phillip Coyne of the U.S. Department of Health and Human Services, Office of Inspector General, and Connecticut Attorney General William Tong today announced that COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC ("CPHTC") and its owner, MARK THIMINEUR, M.D., have entered into a civil settlement agreement with the federal and state governments in which they will pay more than $425,000 to resolve allegations that they improperly billed the Medicare and Connecticut Medicaid programs.
July 17, 2019; U.S. Attorney; Western District of Pennsylvania
Contracted Physician, Operations Manager of Redirections Treatment Advocates Sentenced for Suboxone Distribution Scheme
PITTSBURGH, Pa. - Two former employees of Redirections Treatment Advocates - a contracted physician and the clinic's operations manager - have been sentenced in federal court for offenses related to the unlawful distribution of controlled substances and health care fraud, United States Attorney Scott W. Brady announced today.
July 16, 2019; U.S. Attorney; Southern District of Ohio
Medical Billing Company Owner Sentenced to Prison for Health Care Fraud
COLUMBUS, Ohio - The owner of a medical and dental billing company was sentenced in U.S. District Court today for her role in committing more than $2 million in health care fraud.
July 15, 2019; U.S. Attorney; Eastern District of Kentucky
Owensboro Man Pleads Guilty to Health Care Fraud Conspiracy
LEXINGTON, Ky. - Today, an Owensboro man admitted in federal court that he participated in a conspiracy to defraud health insurance programs of more than $1.3 million.
July 15, 2019; U.S. Attorney; Western District of Pennsylvania
Millcreek Community Hospital Will Pay $2,451,000 to Settle Claims for Medically Unnecessary Inpatient Rehabilitation Services
PITTSBURGH - Millcreek Community Hospital, located in Erie, Pennsylvania, has agreed to pay $2,451,000 to resolve claims that the hospital violated the False Claims Act by billing Medicare and Medicaid for medically unnecessary inpatient rehabilitation services, Scott W. Brady announced today.
July 15, 2019; U.S. Attorney; Southern District of Georgia
Pharmacists charged in fraud, diversion investigations
SAVANNAH, GA: Two Georgia pharmacists have been charged after separate federal investigations involving fraud and diversion of drugs to non-patients.
July 12, 2019; U.S. Attorney; District of Connecticut
Bridgeport Woman Sentenced to Prison for Identity Theft, Health Care Fraud Offenses
John H. Durham, United States Attorney for the District of Connecticut, announced that NIKKITA CHESNEY, 46, of Bridgeport, was sentenced today by U.S. District Judge Victor A. Bolden in Bridgeport to seven months of imprisonment, followed by three years of supervised release, for her role in a Medicaid fraud scheme.
July 12, 2019; U.S. Attorney; District of Maryland
Physician Assistant Pleads Guilty To Federal Drug Charge For Conspiring To Distribute And Dispense Oxycodone, Fentanyl, Methadone, And Alprazaolam At A Pain Management Practice With Offices In Towson And Owings Mills
Baltimore, Maryland - William Soyke, age 66, of Hanover, Pennsylvania, pleaded guilty today to conspiracy to distribute and dispense oxycodone, fentanyl, methadone, and alprazolam outside the scope of professional practice and not for a legitimate medical purpose.
July 11, 2019; U.S. Department of Justice
Justice Department Obtains $1.4 Billion from Reckitt Benckiser Group in Largest Recovery in a Case Concerning an Opioid Drug in United States History
Global consumer goods conglomerate Reckitt Benckiser Group plc (RB Group) has agreed to pay $1.4 billion to resolve its potential criminal and civil liability related to a federal investigation of the marketing of the opioid addiction treatment drug Suboxone. The resolution - the largest recovery by the United States in a case concerning an opioid drug - includes the forfeiture of proceeds totaling $647 million, civil settlements with the federal government and the states totaling $700 million, and an administrative resolution with the Federal Trade Commission for $50 million.
July 10, 2019; U.S. Attorney; Eastern District of Michigan
Bay City Vascular Surgeon Charged In Connection With $60 Million Health Care Fraud & Laundering More Than $49 Million Government Seeks Forfeiture Of Approximately $39.9 Million Seized From Defendant
An indictment unsealed today charges Dr. Vasso Godiali, age 56, vascular surgeon, with orchestrating a $60 million health care fraud scheme. Dr. Godiali is also charged with money laundering, for financial transactions involving approximately $49 million in proceeds he derived from the scheme. The indictment was announced by United States Attorney Matthew Schneider.
July 10, 2019; U.S. Attorney; Eastern District of Virginia
Former Pharmacy Owner Pleads Guilty to Fraudulently Dispensing Opioids
ALEXANDRIA, Va. - A former pharmacy owner pleaded guilty today to fraudulently filling and dispensing thousands of prescription medications, including opioids, outside the usual course of professional practice.
July 10, 2019; U.S. Attorney; Northern District of New York
Owner of Essex County-Based Medical Transportation Company Pleads Guilty to Health Care Fraud
ALBANY, NEW YORK - Qaiser Gondal, age 47, of Watervliet, New York, pled guilty today to conspiring to defraud Medicaid.
July 10, 2019; U.S. Attorney; Eastern District of Kentucky
Rural Metro of Southern Ohio, Inc. Agrees to Pay $275,116 to Resolve Allegations of False Claims to Medicare
LEXINGTON, Ky. - Rural Metro of Southern Ohio, Inc. ("Rural Metro") has agreed to resolve civil allegations that it violated the False Claims Act, a federal law that prohibits the submission of false or fraudulent claims to the federal government, agreeing to pay $275,116.22.
July 9, 2019; U.S. Attorney; Northern District of Iowa
Webster City Doctor Pleads Guilty to Making False Statements about Medicare Claims
A Webster City doctor who made false statements to the United States Attorney's Office about Medicare claims that the doctor had billed for his nursing home patients pled guilty today in federal court in Cedar Rapids.
July 9, 2019; U.S. Attorney; Eastern District of Pennsylvania
Bucks County Ambulance Companies and their Owners Agree to $450K+ Judgment for Defrauding Medicare
PHILADELPHIA - United States Attorney William M. McSwain announced that ambulance companies Unicare Ambulance LLC and PA Paramedics LLC, d/b/a EasternCare Ambulance based in Bensalem, PA, their owners, Damon Wade, and Wade's ex-wife, Amy Wade, also of Bensalem, have agreed to a judgment against them jointly and severally in the amount of $459,907.42 to resolve allegations made by the United States that they made repeated false statements to state and federal officials. As part of the settlement, each defendant has also agreed to a term of exclusion of not less than five years from all federal health care programs.
July 9, 2019; U.S. Attorney; Eastern District of New York
Anesthesiologist Indicted for Alleged Role in $7 Million Telemedicine Health Care Fraud Conspiracy
Earlier today, in federal court in Brooklyn, Anna Steiner, an anesthesiologist, was arraigned on an indictment charging her with conspiracy to commit health care fraud for her alleged role in a telemedicine scheme to submit fraudulent claims to Medicare, Medicare Part D plans and private insurance plans. Steiner was previously arrested on a complaint in April 2019, and was arraigned this morning before United States District Judge I. Leo Glasser.
July 9, 2019; U.S. Attorney; District of Kansas
Kansas Chiropractors Pay $350,000 To Settle False Claim Allegations
KANSAS CITY, KAN. - Two Kansas City area chiropractors have paid $350,000 to settle allegations that they submitted false claims to Medicare, U.S. Attorney Steven McAllister said today.
July 9, 2019; U.S. Attorney; Middle District of Florida
Substance Abuse Treatment Center Owner Pleads Guilty To $57 Million Money Laundering Conspiracy In Connection With Hospital Pass-Through Billing Scheme
Jacksonville, FL - The owner of a Jacksonville, Florida-area substance abuse treatment center pleaded guilty today for his role in a $57 million money laundering conspiracy associated with a pass-through billing scheme involving laboratory testing services.
July 8, 2019; U.S. Attorney; Eastern District of Missouri
Illinois Man Sentenced for Health Care Fraud - Participated in Kickback Scheme Involving Medical Laboratory
St. Louis, MO - Anthony B. Camillo, 62, of Madison County, Illinois, was sentenced today to 30 months in prison for participating in a conspiracy to commit health care fraud and to pay illegal kickbacks for health care services. He appeared in federal court today before U.S. District Court Judge Audrey G. Fleissig and ordered Camillo to pay $3,469,810 in restitution.
July 5,2019; U.S. Attorney; Northern District of Oklahoma
New York Doctor Will Pay Nearly $130,000 for Allegedly Engaging in an Illegal Kickback Scheme
A New York doctor has agreed to pay the government $127,072.34 for allegedly accepting illegal kickback payments from OK Compounding, L.L.C., announced U.S. Attorney Trent Shores.
July 3, 2019; U.S. Attorney; Western District of Virginia
Norton Doctor Arrested on Federal Criminal Complaint
Abingdon, VIRGINIA - Dr. Raymond Michael Moore, a Norton-based, licensed, medical doctor, was arrested this morning and charged via federal criminal complaint with obtaining schedule II and schedule IV controlled substances by fraud or misrepresentation, failing to maintain proper records for schedule II and schedule IV controlled substances, and making false statements. United States Attorney Thomas T. Cullen and Virginia Attorney General Mark Herring made the announcement.
July 2, 2019; U.S. Attorney; District of South Carolina
Sumter Women Sentenced to Federal Prison in Healthcare Fraud Scheme
Columbia, South Carolina - United States Attorney Sherri A. Lydon announced today that Angela Breitweiser Keith, age 53, and Ann Davis Eldridge, age 58, both of Sumter, were sentenced after pleading guilty to one count of making false statements to defraud Medicaid. United States Magistrate Judge Paige J. Gossett of Columbia sentenced Keith to 12 months in federal prison and Eldridge to 6 months.
July 2, 2019; U.S. Attorney; District of Massachusetts
Registered Nurse Indicted on Drug Diversion Charge
BOSTON - A Haverhill nurse was charged in federal court in Boston with tampering with patients' morphine.
July 2, 2019; U.S. Attorney; Eastern District of Wisconsin
Wisconsin Community Services, Inc. Voluntarily Discloses and Agrees to Pay over $500,000 To Resolve False Billings To Medicare and Medicaid
United States Attorney Matthew D. Krueger announced today that Wisconsin Community Services, Inc. ("WCS") agreed to pay $537, 904.33 to the United States and the State of Wisconsin to resolve false claims for prescription medications submitted by WCS to Medicare and Medicaid in violation of the False Claims Act, 31 U.S.C. §3729-3733.

June 2019

June 28, 2019; U.S. Department of Justice
Encompass Health Agrees to Pay $48 Million to Resolve False Claims Act Allegations Relating to its Inpatient Rehabilitation Facilities
Encompass Health Corporation (formerly known as HealthSouth Corporation), the nation's largest operator of inpatient rehabilitation facilities (IRFs), has agreed to pay $48 million to resolve allegations that some of its IRFs provided inaccurate information to Medicare to maintain their status as an IRF and to earn a higher rate of reimbursement, and that some admissions to its IRFs were not medically necessary.
June 28, 2019; U.S. Attorney; Middle District of Pennsylvania
York Man Sentenced On Health Care Fraud Charges
HARRISBURG - The United States Attorney's Office for the Middle District of Pennsylvania announced that Nagy Mohamed Abdelhamed, age 68, of York, Pennsylvania, was sentenced on June 27, 2019, by U.S. District Court Judge John E. Jones, III, to two years' probation on Health Care Fraud charges stemming from his fraudulent receipt of Medicaid and SNAP (Supplemental Nutritional Assistance Program) benefits, formerly known as Food Stamp benefits.
June 27, 2019; U.S. Department of Justice
Owner of Tampa-Area Medical Marketing Company Found Guilty in $2 Million Medicare Fraud Scheme
A federal jury found the owner of a Tampa, Florida-area medical marketing company guilty today for his role in an over $2.2 million Medicare fraud scheme involving the payment of kickbacks and bribes to medical clinics in Miami in exchange for the referral of DNA swabs that were obtained from Medicare beneficiaries.
June 27, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner of Tampa-Area Medical Marketing Company Found Guilty in $2 Million Medicare Fraud Scheme
A federal jury found the owner of a Tampa, Florida-area medical marketing company guilty today for his role in an over $2.2 million Medicare fraud scheme involving the payment of kickbacks and bribes to medical clinics in Miami in exchange for the referral of DNA swabs that were obtained from Medicare beneficiaries.
June 27, 2019; U.S. Attorney; Eastern District of Pennsylvania
"Goodie Bag" Doctor Charged with Health Care Fraud and Oxycodone Distribution
PHILADELPHIA - United States Attorney William M. McSwain announced that Andrew M. Berkowitz, M.D., 60, of Huntington Valley, PA, was charged by Indictment with 19 counts of health care fraud, and 23 counts of distributing oxycodone outside the course of professional practice and without a legitimate medical purpose.
June 26, 2019; U.S. Department of Justice
Michigan Patient Recruiter Sentenced to Prison for $1.5 Million Kickback Scheme
A Michigan patient recruiter was sentenced to 60 months in prison today for her role in a scheme involving approximately $1.5 million in fraudulent Medicare claims for home health care that were procured through the payment of kickbacks.
June 26, 2019; U.S. Attorney; District of Connecticut
Middletown Rheumatologist Admits Defrauding Medicaid Program
John H. Durham, United States Attorney for the District of Connecticut, announced that CRISPIN ABARIENTOS, M.D., 44, of Middletown, waived his right to be indicted and pleaded guilty today in Hartford federal court to one count of health care fraud.
June 26, 2019; U.S. Attorney; Southern District of New York
Manhattan Doctor Pleads Guilty To Accepting Bribes And Kickbacks From Pharmaceutical Company In Exchange For Prescribing Fentanyl Drug
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced today that TODD SCHLIFSTEIN, a doctor who practiced in Manhattan, pled guilty today to conspiracy to violate the Anti-Kickback Statute, in connection with a scheme to prescribe Subsys, a potent fentanyl-based spray, in exchange for bribes and kickbacks from Subsys's manufacturer, Insys Therapeutics. SCHLIFSTEIN pled guilty before U.S. Magistrate Judge Sarah Netburn. The case is assigned to U.S. District Judge Kimba M. Wood.
June 26, 2019; U.S. Attorney; Eastern District of Pennsylvania
Penn Medicine Agrees to Pay $275,000 to Settle False Claims Act Allegations
PHILADELPHIA, PA - United States Attorney William McSwain announced today that the Trustees of the University of Pennsylvania Health System ("Penn Medicine") agreed to settle allegations under the False Claims Act that the Lancaster General Hospital's division of Maternal Fetal Medicine (LGH-MFM), a component of Penn Medicine, submitted false claims to Medicaid for obstetric ultrasounds.
June 26, 2019; U.S. Attorney; Eastern District of Missouri
St. Louis County Dentist Pleads Guilty to Illegal Prescriptions for Opioid Narcotic Drugs and Medicare Fraud
St. Louis, MO - Bradley A. Seyer, D.D.S., 53, of Florissant, Missouri, pled guilty today to two felony charges for making false statements to Medicare and illegally distributing narcotic opioid drugs, specifically hydrocodone, without a legitimate medical purpose. Seyer appeared before U.S. District Judge Ronnie White who accepted his plea and set his sentencing for September 25, 2019.
June 25, 2019; U.S. Department of Justice
New Jersey/Pennsylvania Doctor Indicted For Accepting Bribes And Kickbacks From A Pharmaceutical Company In Exchange For Prescribing Powerful Fentanyl Drug
A doctor who practiced in New Jersey and Pennsylvania was charged in an indictment unsealed today for his alleged participation in a scheme to receive bribes and kickbacks from a pharmaceutical company in exchange for prescribing large volumes of a powerful fentanyl narcotic.
June 24, 2019; U.S. Attorney; District of Oregon
Former President of Oregon Foster Care Agency Sentenced to Federal Prison for Theft, Money Laundering and Tax Evasion
PORTLAND, Ore.-Mary Holden Ayala, 59, of Portland, was sentenced today to 33 months in federal prison and three years' supervised release for stealing over $1 million from an Oregon foster care agency, money laundering and filing false personal income tax returns.
June 24, 2019; U.S. Attorney; District of Connecticut
Drug Company Sales Rep Sentenced for Role in Kickback Scheme Related to Fentanyl Spray Prescriptions
John H. Durham, United States Attorney for the District of Connecticut, announced that NATALIE LEVINE, 35, of Scottsdale, Arizona, was sentenced today by U.S. District Judge Janet Bond Arterton in New Haven to five years of probation for engaging in a kickback scheme related to fentanyl spray prescriptions. Judge Arterton also ordered Levine to spend the first six months of probation in home confinement, and to perform 150 hours of community service.
June 21, 2019; U.S. Attorney; Middle District of Florida
Husband And Wife Sentenced To Prison In Compounding Healthcare Fraud Scheme
Tampa, Florida - U.S. District Judge Mary S. Scriven has sentenced Edward Leonard Wells, Jr. (34, North Carolina) to two years and eight months in federal prison for conspiracy to commit healthcare fraud and aggravated identity theft. On April 18, 2019, Wells's estranged wife, Alcira Mercedes Wells (34, Connecticut), was sentenced to 18 months in federal prison for conspiracy to commit healthcare fraud. The court also entered a money judgment of $32,747.93, the proceeds of the healthcare fraud conspiracy. Alcira Wells and Edward Wells had pleaded guilty in January 2019.
June 20, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Former Medical Director and Two Former Operators of a Houston Medical Clinic Charged in Multimillion-Dollar Health Care Fraud Scheme
A medical director and two operators of a Houston, Texas, medical clinic were charged in an indictment unsealed today for their alleged participation in a multimillion-dollar health care fraud scheme.
June 20, 2019; U.S. Attorney; District of Maryland
Hart to Heart Ambulance Services to Pay $1.25 Million to Settle Federal False Claims Act Allegations
Baltimore, Maryland - After a multiple-year investigation and the government's intervention in a whistleblower lawsuit, Hart to Heart Ambulance Services, d/b/a/ Hart to Heart Transportation Services has agreed to pay the United States $1,250,000 to settle allegations under the False Claims Act that it submitted false claims to Medicare for ambulance transport that was not medically necessary.
June 19, 2019; U.S. Department of Justice
Michigan Doctor Sentenced to Prison for His Role in Scheme to Unlawfully Distribute Opioids
A Detroit-area doctor was sentenced to 60 months in prison today for his role in a scheme to unlawfully distribute more than 23,000 pills of oxycodone.
June 18, 2019; U.S. Attorney; District of Nevada
Las Vegas Cardiology Practice Agrees To Pay $2.5 Million Settlement Claim Involving Medicare Kickback Scheme
Las Vegas, NV - A Las Vegas cardiology practice has agreed to pay $2.5 million to settle claims alleging that it referred patients for genetic testing in exchange for kickbacks paid by the testing companies, announced U.S. Attorney Nicholas A. Trutanich for the District of Nevada.
June 14, 2019; U.S. Department of Justice
IBM Agrees to Pay $14.8 Million to Settle False Claims Act Allegations Related to Maryland Health Benefit Exchange
International Business Machines Corporation (IBM) and Cúram Software have agreed to pay $14.8 million to settle alleged violations of the False Claims Act arising from material misrepresentations to the State of Maryland during the Maryland Health Benefit Exchange (MHBE) contract award process for the development of Maryland's Health Insurance Exchange (HIX) website and IT platform, the Department of Justice announced today.
June 14, 2019; U.S. Attorney; Western District of Pennsylvania
Fox Chapel Cardiologist Convicted at Trial of Health Care Fraud Involving more than $13 Million of Insurance Billings
PITTSBURGH - After deliberating for two hours, a federal jury found Samirkumar J. Shah guilty of two counts of health care fraud, United States Attorney Scott W. Brady announced today.
June 13, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
South Florida Pill Mill Owner Sentenced to Prison for Role in $2.2 Million Medicare Fraud Scheme
The owner of a pain clinic and a pharmacy in South Florida was sentenced today to 78 months in prison followed by three years of supervised release for his role in a $2.2 million Medicare fraud scheme.
June 13, 2019; U.S. Attorney; Northern District of Oklahoma
Three Physicians and Five Marketers Charged for Violations to Federal Anti-Kickback Statutes
TULSA, Okla. - Three physicians and five marketers have been charged in U.S. District Court with violations of the federal anti-kickback statute and other criminal offenses, announced U.S. Attorney Trent Shores. The men allegedly caused federal health care insurance programs to pay reimbursement costs for fraudulent and expensive compounding drug prescriptions written by recruited doctors in return for kickback payments. The defendants would then use the reimbursed funds for their own financial gain.
June 12, 2019; U.S. Attorney; Eastern District of Missouri
Fake Nurse Sentenced for Healthcare Fraud, Social Security Fraud and Aggravated Identity Fraud
St. Louis, MO - Benjamin David Danneman, 37, of Eureka, was sentenced to 57 months in prison for healthcare fraud, social security fraud and aggravated identity fraud. He appeared in federal court today before U.S. District Judge Ronnie White.
June 11, 2019; U.S. Department of Justice
Medical Device Maker ACell Inc. Pleads Guilty and Will Pay $15 Million to Resolve Criminal Charges and Civil False Claims Allegations
ACell Inc. (ACell), a Maryland-based medical device manufacturer, pleaded guilty to charges relating to its MicroMatrix powder wound dressing product (MicroMatrix), the Department of Justice announced today. ACell entered a guilty plea before U.S. District Court Judge Ellen L. Hollander in the District of Maryland to one misdemeanor count of failure and refusal to report a medical device removal in violation of the Federal Food, Drug, and Cosmetic Act (FDCA). In addition, ACell has agreed to settle allegations that it caused false claims to be submitted to federal health care programs for MicroMatrix, and to pay $15 million to resolve its criminal and civil liability arising from these matters.
June 11 2019; U.S. Department of Justice
Owners of Los Angeles Home Health Agency Sentenced to Prison for Role in Health Care Fraud that Defrauded Medicare
Two owners and operators of a Los Angeles, California, home health agency were sentenced to 120 and 78 months in prison yesterday for their roles in a scheme to bill Medicare for various items and services, including home health services, diagnostic testing, medical procedures and durable medical equipment that were not medically necessary and/or were not provided.
June 11, 2019; U.S. Attorney; Northern District of Illinois
Chicago-Area Physical Therapy Center and 4 Nursing Facilities to Pay $9.7 Million to Resolve False Claims Act Allegations
CHICAGO - The U.S. Attorney's Office in Chicago today announced that a Chicago-area physical therapy center and four nursing facilities have agreed to pay $9.7 million to resolve civil allegations that they violated the False Claims Act by providing unnecessary services to increase Medicare payments.
June 7, 2019; U.S. Department of Justice
Los Angeles Doctor and Patient Recruiter Found Guilty in $33 Million Medicare Fraud Scheme
A federal jury found a Los Angeles doctor and patient recruiter guilty today for their roles in a $33 million Medicare fraud scheme in which Medicare was billed for clinic, home health, hospice services and durable medical equipment that patients did not need or did not receive.
June 6, 2019; U.S. Department of Justice
Los Angeles Dentist Sentenced to 40 Months in Prison for Role in $3.8 Million Health Care Fraud Scheme
A Los Angeles, California-based dentist was sentenced to 40 months in prison today for his role in a $3.8 million health care fraud scheme in which he billed numerous dental insurance carriers for crowns and fillings that were never provided to patients.
June 6, 2019; U.S. Attorney; Western District of Pennsylvania
Florida Doctor Agrees to Pay $911,136.75 to Settle Alleged False Claims Act Violations Arising from Improper Financial Relationship with Drug Testing Laboratory
PITTSBURGH - Dr. Nathan Hanflink of Mt. Dora, Florida, agreed to pay $911,136.75 to settle allegations that he received improper payments for making referrals to Greensburg, Pennsylvania drug testing lab Universal Oral Fluid Laboratories, and caused false claims to be submitted to Medicare for drug testing services, United States Attorney Scott W. Brady announced today.
June 5, 2019; U.S. Department of Justice
United States Intervenes In False Claims Act Lawsuit Against Drug Maker Mallinckrodt Alleging Illegal Kickbacks
The United States filed a complaint under the False Claims Act against Mallinckrodt ARD LLC, formerly known as Mallinckrodt ARD Inc. and previously Questcor Pharmaceuticals Inc., in the U.S. District Court for the Eastern District of Pennsylvania, the Department of Justice announced today. The government alleges that Mallinckrodt and Questcor (collectively Mallinckrodt) engaged in conduct that violated the False Claims Act by using a foundation as a conduit to pay kickbacks in connection with its drug H.P. Acthar Gel (Acthar) from 2010 through 2014.
June 5, 2019; U.S. Department of Justice
Opioid Manufacturer Insys Therapeutics Agrees to Enter $225 Million Global Resolution of Criminal and Civil Investigations
Opioid manufacturer Insys Therapeutics agreed to a global resolution to settle the government's separate criminal and civil investigations, the Department of Justice announced today. As part of the criminal resolution, Insys will enter into a deferred prosecution agreement with the government, Insys's operating subsidiary will plead guilty to five counts of mail fraud, and the company will pay a $2 million fine and $28 million in forfeiture. As part of the civil resolution, Insys agreed to pay $195 million to settle allegations that it violated the False Claims Act. Both the criminal and civil investigations stemmed from Insys's payment of kickbacks and other unlawful marketing practices in connection with the marketing of Subsys. Insys's drug Subsys is a sublingual fentanyl spray, a powerful, but highly addictive, opioid painkiller. In 2012, Subsys was approved by the Food and Drug Administration for the treatment of persistent breakthrough pain in adult cancer patients who are already receiving, and tolerant to, around-the-clock opioid therapy.
June 5, 2019; U.S. Attorney; Northern District of New York
Nassau Pharmacist to Pay $100,000 for Submitting False Claims to Medicare and Medicaid
ALBANY, NEW YORK - United States Attorney Grant C. Jaquith and New York State Attorney General Letitia James announced today that Cathy Grossman, the owner and pharmacist-in-charge of Nassau Pharmacy, Inc., will pay $100,000 to resolve allegations that she and Nassau Pharmacy violated the federal and New York False Claims Acts by billing the federal and state governments for prescription drugs that Grossman and her staff never dispensed.
June 5, 2019; U.S. Attorney; District of Colorado
Fort Lupton Man Pleads Guilty to Selling Oxycodone
DENVER - A Fort Lupton man pled guilty yesterday before U.S. District Court Judge John L. Kane to distribution and possession with intent to distribute oxycodone, a Schedule II controlled substance, announced U.S. Attorney Jason Dunn, FBI Denver Special Agent in Charge Dean Phillips, and U.S. Department of Health and Human Services, Office of the Inspector General, Special Agent in Charge Steven Hanson. The defendant, Ramon Hernandez, IV, age 35, appeared at the court hearing free on bond. He is scheduled to be sentenced by Judge Kane on September 4, 2019.
June 4, 2019; U.S. Attorney; District of Columbia
United States Files False Claims Act Complaint Against South Carolina Chiropractor, Pain Management Clinics, Urine Drug Testing Laboratories, and Substance Abuse Counseling Center
Columbia, South Carolina --- The United States has filed a complaint under the False Claims Act against Daniel McCollum, a chiropractor based in Greenville, South Carolina, and pain management clinics and urine drug testing laboratories that McCollum owned or managed for engaging in illegal financial relationships and providing medically unnecessary services and items, including urine drug testing and steroid injections and prescriptions for opioids and lidocaine ointment, the Department of Justice announced today. The entities named as defendants in connection with McCollum's schemes are FirstChoice Healthcare P.C.; Labsource LLC; Oaktree Medical Centre P.C.; Pain Management Associates of the Carolinas LLC; Pain Management Associates of North Carolina P.C.; and ProLab LLC. The United States' complaint also names as a defendant ProCare Counseling Center LLC, a substance abuse counseling center located in Greenville, South Carolina, that the government contends referred medically unnecessary urine drug tests to ProLab, which it co-owned with McCollum.
June 4, 2019; U.S. Attorney; Northern District of Ohio
North Canton man indicted for defrauding Medicare and Medicaid out $2 million, including allegedly billing for services performed on patients who were already deceased
A North Canton man was indicted for defrauding Medicare and Medicaid of approximately $2 million by billing for X-ray services that were not provided by his company, Portable Radiology Services.
June 3, 2019; U.S. Department of Justice
Rialto Capital Management and Current Owner of Indiana Hospital to Pay $3.6 Million to Resolve False Claims Act Allegations Arising From Kickbacks to Referring Physicians
The Department of Justice announced today that Rialto Capital Management LLC (Rialto) and its former affiliate RL BB-IN KRE LLC (RL BB) have agreed to pay $3.6 million to resolve allegations that Rialto and the Kentuckiana Medical Center (KMC), a Clarksville, Indiana-based hospital owned by RL BB, violated the Anti-Kickback Statute (AKS), the Stark Law, and the False Claims Act by engaging in illegal financial arrangements with two doctors who referred patients to KMC. Until November 2018, RL BB was an affiliate of Rialto, which oversaw management of the hospital.
June 3, 2019; U.S. Department of Justice
United States Files False Claims Act Complaint Against South Carolina Chiropractor, Pain Management Clinics, Urine Drug Testing Laboratories, and Substance Abuse Counseling Center
The United States has filed a complaint under the False Claims Act against Daniel McCollum, a chiropractor based in Greenville, South Carolina, and pain management clinics and urine drug testing laboratories that McCollum owned or managed for engaging in illegal financial relationships and providing medically unnecessary services and items, including urine drug testing and steroid injections and prescriptions for opioids and lidocaine ointment, the Department of Justice announced today. The entities named as defendants in connection with McCollum's schemes are FirstChoice Healthcare P.C.; Labsource LLC; Oaktree Medical Centre P.C.; Pain Management Associates of the Carolinas LLC; Pain Management Associates of North Carolina P.C.; and ProLab LLC. The United States' complaint also names as a defendant ProCare Counseling Center LLC, a substance abuse counseling center located in Greenville, South Carolina, that the government contends referred medically unnecessary urine drug tests to ProLab, which it co-owned with McCollum.
June 3, 2019; U.S. Attorney; District of New Hampshire
Former Physician Assistant Sentenced To 48 Months For Kickback Scheme
Concord - United States Attorney Scott W. Murray announced that Christopher Clough, 45, of Dover, New Hampshire was sentenced to 48 months for participating in a scheme in which he received kickbacks in exchange for prescribing a powerful fentanyl spray to patients in violation of federal law.
June 3, 2019; U.S. Attorney; District of Delaware
Former Delaware Physician Sentenced To 30 Months Imprisonment For Making A False Statement To A Financial Institution
WILMINGTON, Del. - David C. Weiss, United States Attorney for the District of Delaware, announced today that on Friday, May 31, 2019, District Judge Richard G. Andrews sentenced Zahid Aslam, age 46, of Newark, Delaware, to a 30-month prison sentence for making a false statement to a financial institution. The Court also ordered Aslam to serve three years of supervised release following his sentence.

May 2019

May 31, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Co-Owners of Chicago-Area Home Health Agency Plead Guilty to Kickbacks Conspiracy Charges
Husband and wife co-owners of a Chicago-area home health agency pleaded guilty today for their roles in a scheme to obtain millions of dollars in Medicare reimbursements through the payment of kickbacks for patient referrals.
May 31, 2019; U.S. Department of Justice
Kansas Hospital Agrees to Pay $250,000 To Settle False Claims Act Allegations
KANSAS CITY, KAN. - U.S. Attorney Stephen McAllister announced today that Coffey Health System has agreed to pay the U.S. government $250,000 to settle claims that it violated the False Claims Act.
May 31, 2019; U.S. Attorney; Western District of Oklahoma
Oklahoma City Hospitals Agree to Pay $2.8 Million to Settle Allegations of Submitting False Claims to Medicaid
OKLAHOMA CITY - OKLAHOMA HEART HOSPITAL, LLC, AND OKLAHOMA HEART HOSPITAL SOUTH, LLC, have agreed to pay $2,800,000 to settle civil claims stemming from allegations that they submitted false claims to Medicaid, announced First Assistant U.S. Attorney Robert J. Troester.
May 31, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Two Chicago Women Held Accountable for Falsely Billing 24-7 for Seven Years in $1.7 Million Workers' Compensation Fraud
Two Chicago, Illinois, women pleaded guilty for their roles in a scheme to defraud the U.S. Department of Labor Office of Workers' Compensation Program.
May 31, 2019; U.S. Attorney; Eastern District of Pennsylvania
Heritage Pharmaceuticals Pays Over $7 Million to Resolve Civil False Claims Act Allegations
PHILADELPHIA, PA - United States Attorney William M. McSwain today announced that generic drug manufacturer Heritage Pharmaceuticals, Inc. will pay over $7 million in a civil settlement to resolve allegations of a scheme to fix prices and allocate customers for several of its drugs. The civil resolution of these allegations in the Eastern District is a component of the company's larger resolution with the Department of Justice's (DOJ) Antitrust Division and Civil Division.
May 30, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Mandeville, Louisiana Neurologist Pleads Guilty for Role in Scheme to Unlawfully Dispense Controlled Substances and to Commit Health Care Fraud
A neurologist from Mandeville, Louisiana, pleaded guilty today for his role in a scheme to unlawfully prescribe controlled substances, namely oxycodone and hydrocodone, without performing required face-to-face examinations, and his role in a scheme to commit health care fraud.
May 30, 2019; U.S. Department of Justice
Kansas Cardiologist and His Practice Pay $5.8 Million to Resolve Alleged False Billings for Unnecessary Cardiac Procedures
Joseph P. Galichia M.D., a Wichita, Kansas, cardiologist, has agreed to pay $5.8 million to resolve allegations that he and his medical group, Galichia Medical Group, P.A. (GMED), violated the False Claims Act by improperly billing federal health care programs for medically unnecessary cardiac stent procedures, the Department of Justice announced. Galichia also agreed to a three-year period of exclusion from participation in any federal health care program. The settlement relates to a lawsuit in which the United States intervened on Dec. 12, 2014.
May 30, 2019; U.S. Attorney; Northern District of Illinois
Former Owner of Chicago Medical Clinic Sentenced to More Than Six Years in Federal Prison for Selling Opioid Prescriptions to Patients Who Lacked Medical Need for the Drugs
CHICAGO - The former owner of a Chicago medical clinic was sentenced today to more than six years in federal prison for selling opioid prescriptions to patients whom he knew lacked a legitimate medical need for the drugs.
May 29, 2019; U.S. Department of Justice
Houston Patient Recruiter Sentenced to 188 Months in Prison for Role in $20 Million Medicare Fraud Scheme
A Houston, Texas patient recruiter was sentenced to 188 months in prison today for her role in a $20 million scheme to pay illegal health care kickbacks to physicians and Medicare beneficiaries in order to fraudulently bill for medically unnecessary home health services, and to launder the proceeds.
May 29, 2019; U.S. Department of Justice
Therapy Clinic Operator Convicted of Health Care Fraud for Role in Occupational Therapy Fraud Scheme
A federal jury found a Brea, California, woman guilty yesterday of fraud charges for her role in a $6 million Medicare fraud scheme involving billing for occupational therapy services that were not medically necessary and not actually provided.
May 29, 2019; U.S. Attorney; District of New Jersey
Trenton And Delran-Based Doctor Charged With Fraudulently Billing Medicaid And Medicare For Treating Patients While He Was Out Of State
NEWARK, N.J. - A doctor based in Trenton and Delran, New Jersey, was charged today with health care fraud for billing Medicaid and Medicare for in-person services during periods when he was traveling out of state, U.S. Attorney Craig Carpenito announced.
May 29, 2019; U.S. Attorney; Eastern District of Pennsylvania
Pharmaceutical Company to Pay $3.5M to Resolve Allegations of Paying Kickbacks to Doctors
PHILADELPHIA - U.S. Attorney William M. McSwain announced that pharmaceutical company Almirall, LLC, formerly named Aqua Pharmaceuticals, LLC ("Aqua"), will pay $3.5 million to resolve allegations that it employed illegal kickbacks to incentivize physicians to prescribe Aqua's dermatology pharmaceutical drugs.
May 24, 2019; U.S. Department of Justice
North Carolina Man Sentenced to Over Six Years in Prison for Medicaid Fraud and Tax Evasion Charges
A North Carolina man was sentenced to prison today for health care fraud related to the submission of false claims to Medicaid and for tax evasion, announced Principal Deputy Assistant Attorney General Richard E. Zuckerman of the Justice Department's Tax Division and U.S. Attorney Matthew G.T. Martin for the Middle District of North Carolina.
May 24, 2019; U.S. Department of Justice
United States Files False Claims Act Complaint Against Home Health Agency and Two of Its Owners
The United States has filed a complaint in intervention against Doctor's Choice Home Care Inc (Doctor's Choice), Timothy Beach, and Stuart Christensen alleging False Claims Act violations arising from the alleged payment of kickbacks in the form of sham medical director agreements and payments to the spouses of referring physicians, the Department of Justice today announced. Doctor's Choice is a home health agency based in Sarasota, Florida. Timothy Beach and Stuart Christensen are partial owners of Doctor's Choice.
May 22, 2019; U.S. Attorney; District of Nevada
Nurse Practitioner Sentenced To Over Six Years In Prison For Unlawful Dispensing of Opioids And Health Care Fraud
LAS VEGAS, Nev. - A nurse practitioner was sentenced today to 78 months in federal prison followed by three years of supervised release and ordered to pay restitution in the amount of $3,749,121.29 for unlawfully dispensing prescription opioids and Medicare and Medicaid fraud, announced United States Attorney Nicholas A. Trutanich for the District of Nevada, Special Agent in Charge Aaron C. Rouse for the FBI's Las Vegas Division, and Special Agent in Charge Christian J. Schrank for the Office of Inspector General of the U.S. Department of Health and Human Services, Los Angeles Region.
May 21, 2019; U.S. Department of Justice
West Virginia Physician Pleads Guilty to Drug Charge
A Morgantown, West Virginia, physician pleaded guilty to obtaining controlled substances by fraudulently writing prescriptions using colleagues' Drug Enforcement Administration (DEA) numbers and presenting stolen driver's licenses to pick up fraudulently prescribed controlled substances from Morgantown area pharmacies for his personal use, announced Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division and U.S. Attorney Bill Powell of the Northern District of West Virginia.
May 21, 2019; U.S. Attorney; District of Arizona
Podiatrist Sentenced to Prison for Medicare Fraud Scheme
TUCSON, Ariz. - On May 17, 2019, Loren Wessel, 55, a resident of Tucson, was sentenced by United States District Judge James A. Soto for his role in a Medicare fraud scheme. Wessel had previously pleaded guilty to Health Care Fraud.
May 20, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Michigan Doctor Pleads Guilty to Role in $2.5 Million Medicare Fraud Scheme
A Southfield, Michigan-based doctor pleaded guilty today for his role in a scheme involving approximately $2.5 million in fraudulent Medicare claims for home health and physician services that were medically unnecessary, not provided and procured through the payment of illegal kickbacks.
May 20, 2019; U.S. Attorney; District of New Jersey
Virginia Man Sentenced To 19 Months In Prison For Role In Medicare Fraud
TRENTON, N.J. - A Virginia man was sentenced today to 19 months in prison for his role in a scheme that used the purported non-profit The Good Samaritans of America to defraud the Medicare Program of more than $525,000 by convincing hundreds of senior citizens to submit to genetic testing, U.S. Attorney Craig Carpenito announced.
May 17, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Baton Rouge Doctor Sentenced to Prison for Fraudulent Billing Scheme
A Baton Rouge, Louisiana-based doctor was sentenced to 37 months in prison followed by two years of supervised release today for his role in a scheme to defraud Medicare and other health care insurers.
May 17, 2019; U.S. Attorney; District of Arizona
Owners of Tucson Home Health Care Business Sentenced to Prison for Medicare Fraud Scheme
TUCSON, Ariz. - On May 15, 2019, Stephen Allen Lamont, 61, and Elvia Lorena Lamont, 51, were sentenced by Senior United States District Judge Cindy K. Jorgenson for their involvement in a Medicare fraud scheme. Lamont previously pled guilty to Health Care Fraud and his wife, Elvia Lamont, previously pled guilty to Misprision of a Felony.
May 17, 2019; U.S. Attorney; Eastern District of Texas
Texarkana Physician Agrees to Pay $118,000 to Settle Medicare Billing Fraud Allegations
TEXARKANA, Texas - A Texarkana, Texas, physician has agreed to pay $118,000 to settle allegations of improper billing practices for his Medicare patients at his three clinics, announced U.S. Attorney Joseph D. Brown today.
May 16, 2019; U.S. Department of Justice
New Orleans Man Pleads Guilty for His Role in Scheme to Defraud Medicare by Soliciting Kickback Payments for Two New Orleans-Area Physicians
A New Orleans, Louisiana, man pleaded guilty today for his role in a scheme to solicit the payment of illegal health care kickbacks to several individuals, including two New Orleans-area physicians, for the referring and certifying of individuals for medically unnecessary home health services.
May 16, 2019; U.S. Attorney; Eastern District of Missouri
Former St. Louis Podiatrist Convicted of Scheme to Defraud Medicare and Medicare Fraud
ST. LOUIS -- Following a four-day trial, Dr. Dawn Rhodes, 43, presently of Atlanta, Georgia, was convicted of eight counts of engaging in a scheme to defraud Medicare and submitting false claims to Medicare. The trial took place before U.S. District Court Judge Henry E. Autrey.
May 15, 2019; U.S. Attorney; Western District of Pennsylvania
Owner of Opioid Addiction Treatment Practice with Offices in Western PA and West Virginia Pleads Guilty to Illegal Distribution and Health Care Fraud
PITTSBURGH, Pa. - A resident of Washington, PA, pleaded guilty in federal court to charges of aiding and abetting the unlawful distribution of controlled substances and health care fraud, United States Attorney Scott W. Brady announced today.
May 13, 2019; U.S. Attorney; Western District of New York
Pain Doctor Sentenced For Using Patient Names Fraudulently To Obtain Controlled Substances
BUFFALO, N.Y. - U.S. Attorney James P. Kennedy, Jr. announced today that Dr. Paul Biddle, 54, of Amherst, NY, who was convicted of identity theft and possession of unlawful hydromorphone HCL, was sentenced to two years probation by U.S. District Judge Elizabeth A. Wolford.
May 13, 2019; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Settles Civil Fraud Claims Against Medical Device Distributor For Selling Products Not Approved By The FDA
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and Jeffrey E. Shuren, M.D., director of the Center for Devices and Radiological Health at the U.S. Food and Drug Administration ("FDA"), announced today that the U.S. has settled civil fraud claims under the False Claims Act against CAREFUSION CORPORATION ("CAREFUSION"), a medical device distributor based in San Diego, California, for buying and selling medical devices that were not approved or cleared by the FDA. These unapproved and uncleared devices were then used by medical providers in medical procedures, and the providers submitted claims for reimbursement to federal healthcare programs, such as Medicare and Medicaid, for those procedures.
May 10, 2019; U.S. Attorney; District of New Jersey
Somerset County Man Sentenced to 50 Months in Prison for Role in Medicare Fraud
TRENTON, N.J. - A Somerset County, New Jersey, man was sentenced today to 50 months in prison for using the purported non-profit The Good Samaritans of America to defraud the Medicare Program of more than $430,000 by convincing hundreds of senior citizens to submit to genetic testing, U.S. Attorney Craig Carpenito announced.
May 9, 2019; U.S. Attorney; Southern District of New York
Doctor And Physical Therapist Found Guilty Of Participating In $30 Million Scheme To Defraud Medicare And Medicaid
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced today that medical doctor PAUL J. MATHIEU and physical therapy doctor HATEM BEHIRY were each found guilty of participating in a $30 million scheme to defraud Medicare and the New York State Medicaid Program. The defendants were convicted following a six-week jury trial before U.S. District Judge Lorna G. Schofield.
May 9, 2019; U.S. Attorney; Western District of Virginia
Virginia Doctor Convicted on 861 Federal Counts of Drug Distribution, Including Distribution Resulting in Death: Faces Mandatory Minimum of 20 Years in Federal Prison
Abingdon, VIRGINIA - Joel Smithers, a Martinsville-based doctor, was found guilty today of 861 federal drug charges at the conclusion of a nine-day jury trial in U.S. District Court in Abingdon, United States Attorney Thomas T. Cullen announced.
May 9, 2019; U.S. Attorney; District of Hawaii
Oahu Physical Therapist Sentenced To 42 Months For Multi-Million Dollar Health Care Fraud Scheme
HONOLULU - Garrett Okubo, 52, of Honolulu, Hawaii, was sentenced today to 42 months of imprisonment for committing health care fraud. As part of his sentence, Okubo must pay $3.7 million in restitution, $3.7 million in forfeiture, and must serve three years of supervised release.
May 9, 2019; U.S. Attorney; District of South Carolina
Carolina Physical Therapy and Sports Medicine, Inc. To Pay $790,000 to Resolve False Billing Allegations
COLUMBIA, South Carolina ---- United States Attorney Sherri A. Lydon announced today that the United States Attorney's Office for the District of South Carolina has resolved claims of health care fraud with Carolina Physical Therapy and Sports Medicine, Inc. ("Carolina PT"). Carolina PT was a chain of nine physical therapy practices headquartered in Columbia, South Carolina, with practice locations in Columbia, Irmo, Lexington, Sumter, and Mount Pleasant.
May 9, 2019; U.S. Attorney; Western District of Pennsylvania
Former Doctor Sentenced to Prison for Unlawfully Dispensing Vicodin and Defrauding the University of Pittsburgh Medical Center Health Plan
PITTSBURGH, Pa. - A former Pittsburgh radiologist has been sentenced in federal court to two years (24 months) in prison, three years' supervised release, and order to pay a fine of $15,000 and restitution in the amount of $728 on his conviction of unlawfully distributing controlled substances and health care fraud, United States Attorney Scott W. Brady announced today.
May 9, 2019; U.S. Attorney; Eastern District of Pennsylvania
Liberation Way Doctor Pleads Guilty To Health Care Fraud
PHILADELPHIA - U.S. Attorney William M. McSwain announced that Dr. Domenick Braccia, 57, of Perkasie, PA entered a plea of guilty before Judge Wendy Beetlestone on one count of conspiracy to commit health care fraud. The charges against the defendant stem from federal and state investigations into an elaborate insurance fraud scheme involving a Bucks County-based addiction treatment center, Liberation Way.
May 9, 2019; U.S. Attorney; Northern District of Georgia
Jury finds podiatrist guilty of operating pill mill
ATLANTA - Dr. Arnita Avery-Kelly, a licensed podiatrist, has been found guilty on federal charges of illegally prescribing opioid painkillers and other drugs at clinic locations purporting to provide podiatric care in Sandy Springs, and Lithonia, Georgia.
May 8, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
New York Diagnostic Testing Facility Owners Plead Guilty in More than $18.5 Million Health Care Fraud Scheme
Two New York diagnostic testing facility owners pleaded guilty today for their roles in a more than $18.5 million health care fraud scheme.
May 8, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Nigerian Man Pleads Guilty to Role in $8.3 Million Medicare Fraud Scheme and Related Money Laundering
A Nigerian man pleaded guilty today for his role in a durable medical equipment (DME) scheme that fraudulently billed more than $8 million dollars to Medicare for DME that was not medically necessary.
May 8, 2019; U.S. Department of Justice 
South Florida Patient Recruiter Sentenced for Role In $1.6 Million Kickback Scheme
A South Florida patient recruiter was sentenced to 87 months in prison today for her role in a scheme involving approximately $1.6 million in Medicare claims for home health care services that were procured through the payment of kickbacks.
May 6, 2019; U.S. Attorney; Northern District of Alabama
Ten, including Pharmacy Owners, Pharmacist, and Nurse Practitioner, Charged in Over $200 Million Prescription Drug Fraud
BIRMINGHAM - Ten defendants were charged in a 103-count indictment, including a nurse practitioner, and the owners, a pharmacist, managers, sales representatives, and billers, of a Haleyville, Ala.-based pharmacy, Northside Pharmacy doing business as Global Compounding Pharmacy. The indictment charges them with fraudulently billing health care insurers and prescription drug administrators for over $200 million in prescription drugs. In one listed instance, the defendants' fraudulent conduct caused a prescription plan administrator to pay over $29,000 for one tube of a cream advertised as treating "general wounds."
May 6, 2019; U.S. Attorney; Southern District of West Virginia
United States Attorney Announces $17 Million Healthcare Fraud Settlement
CHARLESTON, W.Va. - United States Attorney Mike Stuart, along with Special Agent in Charge Maureen R. Dixon, United States Department of Health and Human Services - Office of Inspector General (HHS-OIG), Acting Assistant Special Agent in Charge Justin Schoeman, Drug Enforcement Administration (DEA), Cabinet Secretary Bill J. Crouch, West Virginia Department of Health and Human Resources, and Director Mike Malone, West Virginia Medicaid Fraud Control Unit (MFCU), announced that his office has settled healthcare fraud claims against Acadia Healthcare Company, Inc. ("Acadia"). Pursuant to the settlement agreement, Acadia will pay $17 million to resolve allegations of a billing scheme that defrauded Medicaid of $8.5 million. The settlement represents the largest healthcare fraud settlement in the history of West Virginia and is twice the actual loss from the scheme. Of the $17 million settlement, nearly $2.2 million will be paid directly to the State of West Virginia.
May 3, 2019; U.S. Attorney; Western District of Tennessee
Decatur Hospital Authority, d/b/a Wise Health System in Decatur, Texas will pay $431,182.96 to the United States for services rendered to patients that were in violation of the Federal False Claims Act
Memphis, TN - Decatur Hospital Authority, d/b/a Wise Health System in Decatur, Texas will pay $431,182.96 to the United States to resolve allegations of billing false claims to Medicare for genetic testing panels for surgical patients that were not medically reasonable or necessary.
May 3, 2019; U.S. Attorney; Eastern District of Kentucky
Ashland Cardiologist Sentenced to 60 Months for Health Care Fraud and False Statements
COVINGTON, Ky. - Late yesterday, Ashland cardiologist Dr. Richard E. Paulus was sentenced, by U.S. District Court Judge David L. Bunning, to serve 60 months in federal prison for health care fraud and false statements. In October 2016, a federal jury convicted Paulus, 71, of one count of health care fraud and ten counts of making false statements relating to health care matters, after hearing evidence that Paulus defrauded Medicare, Medicaid, and private insurers, by implanting medically unnecessary stents in his patients and falsifying the degree of stenosis in their medical records. After the trial, the district court granted Paulus's motion for an acquittal. The Sixth Circuit Court of Appeals later reversed that decision, on June 25, 2018, and reinstated Dr. Paulus's conviction, resulting in his formal sentencing.
May 3, 2019; U.S. Attorney; Southern District of Georgia
CEO of medical equipment company sentenced to 40 months for Medicare fraud
SAVANNAH, GA: The chief executive officer of a string of Savannah-based durable medical equipment companies was sentenced to more than three years in prison for a scheme that defrauded Medicare out of millions of dollars.
May 2, 2019; U.S. Attorney; Middle District of Alabama
Former Chief Executive Officer of Health Care Company Sentenced to Two Years Probation for Theft of Government Property
Montgomery, Alabama - On Thursday, May 2, 2019, William "Ed" Henry, 48, of Hartselle, Alabama, was sentenced to two years' probation for aiding and abetting the theft of government property. He was also ordered to pay a fine of $4,000.00, announced United States Attorney Louis V. Franklin, Sr.
May 2, 2019; U.S. Attorney; Southern District of Texas
Ambulance Owner Sent to Prison for Health Care Fraud
HOUSTON - A 46-year-old Houston man has been ordered to federal prison following his conviction of conspiracy to commit health care fraud, announced U.S. Attorney Ryan K. Patrick.
May 2, 2019; U.S. Attorney; Southern District of New York
Manhattan Doctor Pleads Guilty To Illegally Distributing Oxycodone And Other Drugs
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced that JOSEPH OLIVIERI, a physician who practiced in Manhattan, pled guilty today before U.S. District Judge Paul A. Crotty to participating in a conspiracy to illegally distribute oxycodone and other controlled substances. OLIVIERI's co-defendant MATTHEW BRADY pled guilty on April 30, 2019, to his role in the conspiracy.
May 1, 2019; U.S. Attorney; Southern District of Florida
Owner of Florida Medical Clinic Sentenced To Prison
WASHINGTON - An owner of a Florida medical clinic was sentenced to serve 91 months in prison today for her role in a $2.5 million health care fraud scheme.

April 2019

April 30, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner of Florida Medical Clinic Sentenced to Prison
An owner of a Florida medical clinic was sentenced to serve 91 months in prison today for her role in a $2.5 million health care fraud scheme.
April 30, 2019; U.S. Department of Justice
Pharmaceutical Company Agrees to Pay $17.5 Million to Resolve Allegations of Kickbacks to Medicare Patients and Physicians
The Justice Department announced today that US WorldMeds LLC (USWM) has agreed to pay $17.5 million to resolve allegations that it violated the False Claims Act, 31 U.S.C. §§ 3729 et seq., by paying kickbacks to patients and physicians to improperly induce prescriptions of its drugs, Apokyn® and Myobloc®. USWM is a pharmaceutical manufacturer headquartered in Louisville, Kentucky.
April 30, 2019; U.S. Department of Justice
Former CEO of Hospital Chain to Pay $3.46 Million to Resolve False Billing and Kickback Allegations
Gary D. Newsome, former CEO of Health Management Associates LLC (HMA), a hospital chain that was headquartered in Naples, Florida, has agreed to pay the United States $3.46 million to settle allegations that he caused HMA to knowingly submit false claims to government health care programs by admitting patients who could have been treated on a less costly, outpatient basis, the Department of Justice announced. The settlement also resolves allegations that Newsome caused HMA to pay remuneration to Emergency Department (ED) physicians in return for referrals.
April 30, 2019; U.S. Attorney; Southern District of Texas
Operator of McAllen Area DME Company Sentenced for Health Care Fraud
McALLEN, Texas - The owner of a durable medical equipment (DME) company has been ordered to federal prison for defrauding Medicaid of more than $3 million, announced U.S. Attorney Ryan K. Patrick. Anna Ramirez-Ambriz, 57, of McAllen, pleaded guilty March 31, 2017.
April 30, 2019; U.S. Attorney; Northern District of West Virginia
West Virginia physician found guilty of illegally distributing drugs
WHEELING, WEST VIRGINIA - Dr. George P. Naum, of Wheeling, West Virginia, was found guilty today of illegally distributing controlled substances, United States Attorney Bill Powell announced.
April 25, 2019; U.S. Department of Justice
Two Pharmaceutical Companies Agree to Pay a Total of Nearly $125 Million to Resolve Allegations That They Paid Kickbacks Through Copay Assistance Foundations
The Department of Justice announced today that two more pharmaceutical companies - Astellas Pharma US Inc. (Astellas) and Amgen Inc. (Amgen) - have agreed to pay a total of $124.75 million to resolve allegations that they each violated the False Claims Act by illegally paying the Medicare copays for their own products, through purportedly independent foundations that the companies used as mere conduits.
April 24, 2019; U.S. Attorney; Middle District of Tennessee
Two Former Arriva Medical Executives Agree To Pay $1 Million To Settle Diabetic Testing Supply Fraud Allegations
NASHVILLE, Tenn. - April 24, 2019 - David Wallace of Boca Raton, Florida and Timothy Stocksdale, of Ft. Lauderdale, Florida, two former executives of Arriva Medical, LLC (Arriva), agreed to pay $500,000 each to settle the United States' allegations that they had violated the False Claims Act, announced U.S. Attorney Don Cochran for the Middle District of Tennessee.
April 22, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Michigan Home Health Agency Owner Sentenced to Prison for $8.3 Million Medicare Fraud
A Michigan home health agency owner was sentenced to 84 months in prison today for his role in an $8.3 million scheme to defraud Medicare.
April 22, 2019; U.S. Attorney; Southern District of Florida
Stuart Physician Sentenced to Prison After Having Been Convicted at Trial of Health Care Fraud
Yesterday, a doctor who previously worked in Stuart, Florida, was sentenced to prison after having been convicted by a federal jury of committing repeated acts of health care fraud.
April 18, 2019; U.S. Attorney; District of Nevada
Former Medical Doctor And His Business Partner Sentenced To Nearly Three Years In Prison For $7.1 Million Medicare Health Care Fraud Scheme
LAS VEGAS, Nev. - A former medical doctor and his business partner were sentenced Tuesday to 33 months in prison for their individual roles in a $7.1 million Medicare health care fraud scheme that occurred at three Las Vegas hospice and home healthcare agencies, announced U.S. Attorney Nicholas A. Trutanich for the District of Nevada.
April 17, 2019; U.S. Department of Justice
Appalachian Regional Prescription Opioid (ARPO) Strike Force Takedown Results in Charges Against 60 Individuals, Including 53 Medical Professionals
Charges Involve Over 350 Thousand Prescriptions for Controlled Substances and Over 32 Million Pills; ARPO Strike Force Grows to 10 Districts, Expanding to Include the Western District of Virginia
Attorney General William P. Barr and Department of Health and Human Services (HHS) Secretary Alex M. Azar II, together with multiple law enforcement partners, today announced enforcement actions involving 60 charged defendants across 11 federal districts, including 31 doctors, seven pharmacists, eight nurse practitioners, and seven other licensed medical professionals, for their alleged participation in the illegal prescribing and distributing of opioids and other dangerous narcotics and for health care fraud schemes. In addition, HHS announced today that since June 2018, it has excluded over 2,000 individuals from participation in Medicare, Medicaid and all other Federal health care programs, which includes more than 650 providers excluded for conduct related to opioid diversion and abuse. Since July 2017, DEA has issued 31 immediate suspension orders, 129 orders to show cause, and received 1,386 surrenders for cause nationwide for violations of the Controlled Substances Act.
April 17, 2019; U.S. Attorney; Eastern District of Michigan
Livonia Doctor Sentenced to More Than Twelve Years for Conspiring With Others to Illegally Distribute Prescription Drugs
Dr. Zongli Chang, M.D., was ordered today to serve a sentence of 135 months for conspiring with seven other patient recruiters (co-defendants in this case) to illegally distribute prescription drugs, U.S. Attorney Matthew Schneider announced today.
April 16, 2019; U.S. Attorney; Middle District of Pennsylvania
Marysville Woman Guilty Of Distribution Of A Controlled Substance And False Statements In Health Care Matters
HARRISBURG-The United States Attorney's Office for the Middle District of Pennsylvania announced that Belinda Dietrich, age 62, of Marysville, Pennsylvania, pleaded guilty on April 15, 2019, before U.S. District Court Judge Sylvia H. Rambo to one count of unlawful distribution of a controlled substance and one count of false statements in health care matters.
April 16, 2019; U.S. Attorney; Central District of California
Two Brothers Plead Guilty in Conspiracy to Distribute Opioids Through Sham Medical Clinics and Corrupt Doctors
LOS ANGELES - Two San Fernando Valley brothers have pleaded guilty to federal criminal charges, admitting that they conspired to distribute powerful narcotics such as hydrocodone and oxycodone via sham medical clinics that hired corrupt doctors who wrote fraudulent prescriptions to black market customers.
April 15, 2019; U.S. Attorney; Eastern District of New York
Former Most Wanted Fugitive Pleads Guilty to Multi-Million Dollar Health Care Fraud
Earlier today, at the federal courthouse in Central Islip, Etienne Allonce, the former co-owner of Medical Solutions Management, Inc. (MSM), a medical equipment company in Hicksville, New York, pleaded guilty to health care fraud. In September 2018, Allonce was expelled from Haiti where he had fled 11 years earlier following the filing of an indictment in the Eastern District of New York charging him with billing Medicare and Medicaid for medical supplies never delivered to patients and never ordered by MSM. Prior to his return to the United States, Allonce was placed on the Most Wanted List of the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG). Allonce pleaded guilty before United States District Judge Joseph F. Bianco.
April 12, 2019; U.S. Department of Justice
Medicare Advantage Provider to Pay $30 Million to Settle Alleged Overpayment of Medicare Advantage Funds
Sutter Health LLC, a California-based healthcare services provider, and several affiliated entities, Sutter East Bay Medical Foundation, Sutter Pacific Medical Foundation, Sutter Gould Medical Foundation, and Sutter Medical Foundation, have agreed to pay $30 million to resolve allegations that the affiliated entities submitted inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage Plans, which resulted in the plans and providers being overpaid, the Justice Department announced today. Sutter Health is headquartered in Sacramento, California.
April 12, 2019; U.S. Attorney; Western District of Pennsylvania
Two Defendants Sentenced in Multi-Million Dollar Health Care Fraud Conspiracy
PITTSBURGH, Pa. - Two residents of Pittsburgh, Pennsylvania, were sentenced in federal court for conspiracy to defraud the Pennsylvania Medicaid program, United States Attorney Scott W. Brady announced today.
April 11, 2019; U.S. Attorney; Southern District of Ohio
Jury Convicts Hamilton Physician of Illegal Distribution of Opioids
CINCINNATI - A U.S. District Court jury convicted Dr. Saad Sakkal, 71, of illegally distributing and dispensing controlled substances that led to the death of one victim in 2016. Sakkal was practicing at Lindenwald Medical Association, Inc. in Hamilton.
April 10, 2019; U.S. Attorney; District of Connecticut
Cheshire Social Worker Pays $145,855 to Settle False Claims Allegations
John H. Durham, United States Attorney for the District of Connecticut, today announced that PATRICIA McALINDEN, LCSW, has entered into a civil settlement agreement with the federal and state governments and will pay more than $145,000 to resolve allegations that she violated the federal and state False Claims Acts.
April 10, 2019; U.S. Attorney; District of South Carolina
South Carolina U.S. Attorney Announces Operation Dismantling One of the Largest Medicare Fraud Schemes in History
Columbia, South Carolina --- United States Attorney Sherri A. Lydon announced today one of the largest health care fraud schemes in the history of the Federal Bureau of Investigation (FBI), the Department of Health and Human Services Office of the Inspector General (HHS-OIG), and the Internal Revenue Service Criminal Investigation Division (IRS-CID). The announcement was made at a press conference at Palmetto GBA in Columbia, South Carolina, a Medicare administration contractor whose payment safeguarding services seek to eliminate Medicare abuse, fraud, and waste.
April 9, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Federal Indictments & Law Enforcement Actions in One of the Largest Health Care Fraud Schemes Involving Telemedicine and Durable Medical Equipment Marketing Executives Results in Charges Against 24 Individuals Responsible for Over $1.2 Billion in Losses
One of the largest health care fraud schemes investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of Justice resulted in charges against 24 defendants, including the CEOs, COOs and others associated with five telemedicine companies, the owners of dozens of durable medical equipment (DME) companies and three licensed medical professionals, for their alleged participation in health care fraud schemes involving more than $1.2 billion in loss, as well as the execution of over 80 search warrants in 17 federal districts. In addition, the Center for Medicare Services, Center for Program Integrity (CMS/CPI) announced today that it took adverse administrative action against 130 DME companies that had submitted over $1.7 billion in claims and were paid over $900 million.
April 9, 2019; U.S. Attorney; Eastern District of Michigan
Pharmacy Owner and Pharmacist Charged in a Scheme to Bill Insurance for Medications Not Dispensed
An indictment was unsealed today charging Mohamad Ali Makki, R.Ph. and Wansa Nabi Makki with multiple health care fraud offenses, U.S. Attorney Matthew Schneider announced today. At the same time, related criminal complaints were unsealed charging Mamoud Makki and Hossam Tanana (husband of Wansa Makki) of laundering some of the proceeds of the health care fraud scheme.
April 9, 2019; U.S. Attorney; Western District of Virginia
Company Allegedly Lied to Doctors and Public Health Care Benefit Programs About the Safety and Diversion Risks of Suboxone Film
WASHINGTON - A federal grand jury sitting in Abingdon, Virginia, has indicted Indivior Inc. (formerly known as Reckitt Benckiser Pharmaceuticals Inc.) and Indivior PLC (Indivior) for engaging in an illicit nationwide scheme to increase prescriptions of Suboxone Film, an opioid drug used in the treatment of opioid addiction, the Department of Justice announced.
April 9, 2019; U.S. Attorney; Western District of Virginia
Indivior Inc. Indicted for Fraudulently Marketing Prescription Opioid
WASHINGTON - A federal grand jury sitting in Abingdon, Virginia, has indicted Indivior Inc. (formerly known as Reckitt Benckiser Pharmaceuticals Inc.) and Indivior PLC (Indivior) for engaging in an illicit nationwide scheme to increase prescriptions of Suboxone Film, an opioid drug used in the treatment of opioid addiction, the Department of Justice announced.
April 9, 2019; U.S. Attorney; Western District of Texas
Owner of Guadalupe County Telemedicine Companies Arrested in National Health Care Fraud Takedown
This morning, federal authorities arrested 54-year-old Christopher O'Hara, of Kingsbury, TX, without incident in connection with Health Care Fraud, bribery and kickback scheme, announced U.S. Attorney John Bash, FBI Special Agent in Charge Christopher Combs, San Antonio Division, and U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) Special Agent in Charge C.J. Porter, Dallas Field Office.
April 9, 2019; U.S. Attorney; District of New Jersey
Seven People Charged In New Jersey Massive Health Care Fraud Scheme Involving Telemedicine And Durable Medical Equipment (DME)
NEWARK, N.J. - One of the largest health care fraud schemes investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of Justice resulted in charges against 24 defendants - seven of whom were charged in the District of New Jersey - including the CEOs, COOs and others associated with five telemedicine companies, the owners of dozens of durable medical equipment (DME) companies and three licensed medical professionals, for their alleged participation in health care fraud schemes involving more than $1.2 billion in loss, as well as the execution of over 80 search warrants in 17 federal districts. In addition, the Center for Medicare Services, Center for Program Integrity (CMS/CPI) announced today that it took adverse administrative action against 130 DME companies that had submitted over $1.7 billion in claims and were paid over $900 million.
April 5, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
South Florida Health Care Facility Owner Convicted for Role in Largest Health Care Fraud Scheme Ever Charged by The Department of Justice, Involving $1.3 Billion in Fraudulent Claims
A federal jury found a South Florida health care facility owner guilty today for his role in the largest health care fraud scheme ever charged by the Justice Department, involving over $1.3 billion in fraudulent claims to Medicare and Medicaid for services that were not provided, were not medically necessary or were procured through the payment of kickbacks.
April 5, 2019; U.S. Attorney; Northern District of Oklahoma
Two Tulsa Doctors Settle with the U.S. Government for Allegedly Engaging in Illegal Kickback Schemes
TULSA, Okla. - Two more Tulsa doctors have entered into settlement agreements with the U.S. Attorney's Office for allegedly accepting illegal kickback payments from OK Compounding, LLC, announced U.S. Attorney Trent Shores.
April 5, 2019; U.S. Attorney; Southern District of New York
Unlicensed Dentist Sentenced To 2 Years In Prison For Healthcare Fraud, Conspiracy To Commit Healthcare Fraud, And Conspiracy To Violate The Anti-Kickback Statute
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced today that LUIS OMAR VARGAS, an unlicensed dentist, was sentenced to two years in prison for defrauding health insurance companies by billing for false claims, billing for claims performed by him as an unlicensed provider, and for conspiring to pay kickbacks to his patients. VARGAS was convicted after two-week jury trial before U.S. District Judge Ronnie Abrams, who imposed today's sentence.
April 4, 2019; U.S. Department of Justice
Three Pharmaceutical Companies Agree to Pay a Total of Over $122 Million to Resolve Allegations That They Paid Kickbacks Through Co-Pay Assistance Foundations
The Department of Justice today announced that three pharmaceutical companies - Jazz Pharmaceuticals plc (Jazz), Lundbeck LLC (Lundbeck), and Alexion Pharmaceuticals Inc. (Alexion) - have agreed to pay a total of $122.6 million to resolve allegations that they each violated the False Claims Act by illegally paying the Medicare or Civilian Health and Medical Program (ChampVA) copays for their own products, through purportedly independent foundations that the companies used as mere conduits.
April 4, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Former CEO of Tennessee Pain Management Company Convicted for Role in Approximate $4 Million Medicare Kickback Scheme
A federal jury sitting in Nashville, Tennessee found the former CEO of a Tennessee pain management company guilty today for his role in an illegal kickback scheme involving approximately $4 million in tainted durable medical equipment (DME) claims to Medicare.
April 4, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Former Administrator of Two Houston Home Health Companies Sentenced to Prison in $20 Million Medicare Fraud Scheme
The former Director of Nursing and Administration of two Houston, Texas-based businesses was sentenced today to 10 years in prison for her role in a $20 million Medicare fraud scheme involving false and fraudulent claims for home health services.
April 4, 2019; U.S. Attorney; Eastern District of Kentucky
Lee County Ambulance Service and its Director Agree to Pay $253,930 to Resolve Allegations of False Claims to Medicare
LEXINGTON, Ky. - The Lee County Fiscal Court ("Lee County") and the former director of its ambulance service, Joseph Broadwell, have agreed to resolve civil allegations that Lee County Ambulance violated the False Claims Act, a federal law that prohibits the submission of false or fraudulent claims, agreeing to pay $253,930 to the federal government.
April 2, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Dallas-Area Home Health Care Employee Sentenced to Five Years in Prison for His Role in a $3.7 Million Health Care Fraud Scheme
A Collin County, Texas man was sentenced to 60 months in prison today following his trial conviction for conspiracy to commit health care fraud.
April 1, 2019; U.S. Attorney; Western District of Oklahoma
Indictment Unsealed Charging Mangum Pharmacist with Over $1 Million in Health Care Fraud
OKLAHOMA CITY - A federal indictment has been unsealed charging JEFFREY SCOTT TERRY, 37, of Mangum, Oklahoma, with forty counts of using his pharmacy to defraud Medicare and Medicaid, announced First Assistant U.S. Attorney Robert J. Troester and Oklahoma Attorney General Mike Hunter.

March 2019

March 29, 2019; U.S. Attorney; District of Massachusetts
CareWell Urgent Care Center Agrees to Pay $2 Million to Resolve Allegations of False Billing of Government Health Care Programs
BOSTON - The United States Attorney's Office announced today that CareWell Urgent Care Centers of MA, P.C., CareWell Urgent Care of Rhode Island, P.C., and Urgent Care Centers of New England Inc. (CareWell), the owners and operators of urgent care centers located throughout Massachusetts and Rhode Island, have agreed to pay $2 million to resolve allegations that they violated the False Claims Act by submitting inflated and upcoded claims to Medicare, Massachusetts Medicaid (MassHealth), the Massachusetts Group Insurance Commission (GIC), and Rhode Island Medicaid.
March 29, 2019; U.S. Attorney; Eastern District of Wisconsin
Acacia Mental Health Clinic, LLC and Its Owner, Abraham Freund, Agree to Pay Over $4 million in Cash and Other Compensation to Settle the Government's False Claims Act Lawsuit
United States Attorney Matthew D. Krueger of the Eastern District of Wisconsin announced today that Acacia Mental Health Clinic, LLC ("Acacia") and its owner, Abraham Freund, have agreed to pay approximately $4.1 million in cash and other compensation to the United States and the State of Wisconsin. The payments will be made to settle the government's lawsuit alleging that Acacia and Freund violated the False Claims Act by submitting thousands of false claims to Medicaid for urine drug tests and telemedicine services. Acacia and Abraham Freund also agreed to 20-year suspensions from participation in federal healthcare programs such as Medicare and Medicaid; Abraham Freund's son, Isaac Freund, agreed to a 5-year suspension.
March 29, 2019; U.S. Attorney; Eastern District of North Carolina
Medicaid Fraud Provider Plea
RALEIGH - Robert J. Higdon, Jr., United States Attorney for the Eastern District of North Carolina, announced that in federal court, United States Magistrate Judge Robert B. Jones, Jr. accepted a guilty plea in a health care fraud matter.
March 28, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Chicago Home Health Company Owner Convicted for Role in $3 Million Kickback Scheme
A federal jury found the owner of a now-defunct Chicago, Illinois home health company guilty today for her role in a scheme involving over $3 million in fraudulent claims to Medicare for home health services that were procured through the payment of kickbacks.
March 27, 2019; U.S. Attorney; District of Connecticut
Former CFO of New Haven Biotech Firm Who Embezzled $1 Million Sentenced to 2 Years in Federal Prison
John H. Durham, United States Attorney for the District of Connecticut, announced that THOMAS MALONE, 49, of New Haven, was sentenced today by U.S. District Judge Janet Bond Arterton in New Haven to 24 months of imprisonment, followed by three years of supervised release, for embezzling approximately $1 million from a New Haven biotech company that receives federal research grants.
March 26, 2019; U.S. Attorney; District of Minnesota
Otsego Home Health Care Company To Pay More Than $700,000 To Resolve False Claims Act Liability
United States Attorney Erica H. MacDonald today announced that Accurate Home Care, LLC ("Accurate Home Care"), a home health care company headquartered in Otsego, Minnesota, has agreed to pay $726,957.59 to resolve federal False Claims Act violations arising from the unlawful submission of claims for payment to Minnesota Medicaid, a jointly funded federal and state health care program.
March 25, 2019; U.S. Department of Justice
United States Files Lawsuit Against West Virginia Hospital, Its Management Company, and Its CEO Based on Kickbacks and Other Improper Payments to Physicians
The United States filed a complaint under the False Claims Act against Wheeling Hospital Inc., R & V Associates Ltd. (R & V), and Ronald Violi in the U.S. District Court for the Western District of Pennsylvania, the Department of Justice announced today. The government alleges that Wheeling Hospital, which is located in Wheeling, West Virginia, violated the Stark Law and Anti-Kickback Statute, and that those violations were caused by R & V, Wheeling's contracted management consultant, and Violi, Wheeling's CEO.
March 25, 2019; U.S. Department of Justice
Duke University Agrees to Pay U.S. $112.5 Million to Settle False Claims Act Allegations Related to Scientific Research Misconduct
Duke University has agreed to pay the government $112.5 million to resolve allegations that it violated the False Claims Act by submitting applications and progress reports that contained falsified research on federal grants to the National Institutes of Health (NIH) and to the Environmental Protection Agency (EPA), the Justice Department announced today.
March 21, 2019; U.S. Department of Justice
MedStar Health to Pay U.S. $35 Million to Resolve Allegations that it Paid Kickbacks to a Cardiology Group in Exchange for Referrals
MedStar Health Inc. (MedStar) in Columbia, Maryland., MedStar Union Memorial Hospital, and MedStar Franklin Square Medical Center, both in Baltimore, have agreed to pay the United States $35 million to settle allegations under the False Claims Act that it paid kickbacks to MidAtlantic Cardiovascular Associates (MACVA), a cardiology group based in Pikesville, Maryland, in exchange for referrals, through a series of professional services contracts at Union Memorial and Franklin Square Hospitals in Baltimore.
March 21, 2019; U.S. Attorney; Western District of Wisconsin
University to Pay $1.5 Million to Settle False Claims Act Allegations
MADISON, WIS. - Scott C. Blader, United States Attorney for the Western District of Wisconsin, announced that the Board of Regents of the University of Wisconsin System, acting through the University of Wisconsin-Madison ("University"), agreed to pay $1.5 million to the United States to settle the claims that it violated the False Claims Act by failing to properly account for rebates and credits to reduce costs allocable to federal grants and awards ("Federal Awards").
March 20, 2019; U.S. Attorney; Southern District of Texas
RGV Man Sentenced for Medicare Fraud Scheme
McALLEN, Texas - A former account representative for a toxicology testing company has been ordered to prison in connection with a scheme to defraud Medicare, announced U.S. Attorney Ryan K. Patrick.
March 20, 2019; U.S. Attorney; Western District of Pennsylvania
Dubois-area Doctor Pleads Guilty to Health Care Fraud
JOHNSTOWN, PA - A resident of DuBois, Pennsylvania pleaded guilty in federal court to a charge of health care fraud, United States Attorney Scott W. Brady announced today.
March 19, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Florida Pharmacist Sentenced to 10 Years in Prison for $100 Million Compounding Pharmacy Fraud Scheme Eight Others Previously Sentenced
A Florida pharmacist was sentenced to 120 months in prison today followed by three years supervised release. He was also orderd to pay $3.2 million in restitution and $1.4 million in forfeiture for his role in a massive compounding pharmacy fraud scheme, which impacted private insurance companies, Medicare and TRICARE. Eight other individuals have previously been sentenced in connection with the scheme. Various real properties, cars and a 50-foot boat have been forfeited as part of the sentencings.
March 19, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Louisiana-Based Licensed Clinical Social Worker Pleads Guilty to Medicaid Fraud Scheme
A Louisiana-based licensed clinical social worker pleaded guilty today for his role in a scheme to defraud Medicaid.
March 18, 2019; U.S. Attorney; District of Maryland
Maryland Law Firm Meyers, Rodbell & Rosenbaum, P.A., Agrees to Pay the United States $250,000 to Settle Claims that it Did Not Reimburse Medicare for Payments Made on Behalf of a Firm Client
Baltimore, Maryland - United States Attorney for the District of Maryland Robert K. Hur announced that Meyers, Rodbell & Rosenbaum, P.A., a law firm with offices in Riverdale Park and Gaithersburg, has entered into a settlement agreement with the United States to resolve allegations that it failed to reimburse the United States for certain Medicare payments made to medical providers on behalf of a firm client.
March 15, 2019; U.S. Attorney; District of Connecticut
New London Psychiatrist and Mental Health Clinic Pay over $3.3 Million to Settle False Claims Act Allegations
United States Attorney John H. Durham, Special Agent in Charge Phillip Coyne of the U.S. Department of Health and Human Services, Office of Inspector General, and Connecticut Attorney General William Tong today announced that DR. BASSAM AWWA and his medical practice, CONNECTICUT BEHAVIORAL HEALTH ASSOCIATES, P.C. ("CBHA") have entered into a civil settlement agreement with the federal and state governments in which they will pay $3,382,004 to resolve allegations that they violated the federal and state False Claims Acts.
March 14, 2019; U.S. Attorney; District of Massachusetts
Haverhill Nurse Charged with Drug Tampering
BOSTON - A Haverhill licensed practical nurse was charged on March 12, 2019, in federal court in Boston with drug tampering.
March 13, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Creator of Fraudulent Chicago-Area Pharmacy Sentenced to Five Years in Prison for $1.6 Million Fraud Scheme
The creator of a fraudulent Chicago-area pharmacy has been sentenced to 60 months in federal prison for his role in a $1.6 million health care fraud scheme.
March 13, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Philadelphia-Area Doctor Pleads Guilty to Unlawfully Distributing Oxycodone
A Philadelphia-area doctor pleaded guilty today to illegal distribution of oxycodone.
March 13, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Owner of Washington, D.C.-Based Durable Medical Equipment Company Sentenced to Prison for Role in $9.8 Million Medicaid Fraud Scheme
The owner of a Washington, D.C.-based durable medical equipment company was sentenced to 42 months in prison today for her role in a scheme to submit $9.8 million in fraudulent claims to Medicaid.
March 12, 2019; U.S. Department of Justice
Bradenton Woman Sentenced For Theft Of Government Funds
Tampa, Florida - U.S. District Judge Virginia M. Hernandez Covington has sentenced Roselle Fitzgerald to 21 months in federal prison for theft of government funds and counterfeit or forged securities. As part of her sentence, the court entered a money judgment of $185,731.71, the proceeds of the theft of criminal conduct, and ordered Fitzgerald to pay restitution.
March 11, 2019; U.S Department of Justice
Covidien to Pay Over $17 Million to The United States for Allegedly Providing Illegal Remuneration in the Form of Practice and Market Development Support to Physicians
Covidien LP has agreed to pay $17,477,947 to resolve allegations that it violated the False Claims Act by providing free or discounted practice development and market development support to physicians located in California and Florida to induce purchases of Covidien's vein ablation products, the Department of Justice announced today.
March 6, 2019; U.S. Attorney; Southern District of Texas
Houston Woman Sentenced for Conspiring to Commit $50 Million Health Care Fraud and Money Laundering
HOUSTON - A 36-year-old Houston woman has been ordered to pay more than $15 million in restitution following her conviction of conspiring to commit $50 million health care fraud as well laundering money, announced U.S. Attorney Ryan K. Patrick. A jury convicted Daniela Gozes-Wagner in September 2017.
March 6, 2019; U.S. Attorney; District of Maryland
Federal Indictment Adds Second Defendant Charged With Witness Retaliation and Tampering Resulting in the Death of a Baltimore Woman
Baltimore, Maryland - A federal grand jury in Baltimore, Maryland returned a 10-count superseding indictment charging Davon Carter, age 39, and Clifton Mosley, age 41, both of Baltimore, Maryland, with two counts of conspiracy to murder a witness and one count each of witness retaliation murder and witness tampering murder, related to the murder of Latrina Ashburne, age 41, on May 27, 2016.
March 1, 2019; U.S. Department of Justice
North Carolina Mental Health Company Owner Sentenced to 60 Months in Prison on Health Care Fraud and Tax Evasion Charges
The owner of a North Carolina mental health company was sentenced to prison today for the submission of false claims to Medicaid and tax evasion, announced Principal Deputy Assistant Attorney General Richard E. Zuckerman of the Justice Department's Tax Division and U.S. Attorney Matthew G.T. Martin for the Middle District of North Carolina.

February 2019

February 27, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Florida Home Health Services Company Owner and Co-Conspirator Sentenced to Prison for Role in $8.6 Million Health Care Fraud Scheme
A home health services company owner and a co-conspirator, both Miami, Florida residents, were sentenced to prison today for their roles in a $8.6 million health care fraud scheme.
February 27, 2019; U.S. Department of Justice
Vanguard Healthcare Agrees to Resolve Federal and State False Claims Act Liability
The Department of Justice announced today that Brentwood, Tennessee-based Vanguard Healthcare LLC, and related Vanguard companies (Vanguard) agreed to pay more than $18 million in allowed claims to resolve a lawsuit brought by the United States and the State of Tennessee against them for billing the Medicare and Medicaid programs for grossly substandard nursing home services. Vanguard Healthcare and several related Vanguard companies that have reorganized in bankruptcy agreed to pay more than $5.1 million towards the settlement, and two Vanguard entities that are liquidating in bankruptcy have agreed to $13.5 million in allowed claims in bankruptcy. The settlement agreement also resolves claims brought by the United States against Vanguard's majority owner and CEO, William Orand, and Vanguard's former director of operations, Mark Miller, who agree to pay $250,000 as part of this settlement.
February 27, 2019; U.S. Attorney; Southern District of Ohio
Columbus Couple Agree to Plead Guilty to Health Care Fraud Scheme that Targeted City Employees, First Responders, Military Health Benefit Provider
COLUMBUS, Ohio - A Columbus couple have agreed to plead guilty to charges related to a health-care fraud scheme that involved compound creams prescribed to city employees and first responders.
February 26, 2019; U.S. Attorney; District of Massachusetts
Medford Woman Sentenced For Social Security, Medicare, MassHealth And SNAP Benefit Fraud
BOSTON - A Medford woman was sentenced yesterday in federal court in Boston for fraudulently receiving Social Security disability benefits, Medicare, MassHealth and Supplemental Nutrition Assistance Program (SNAP) benefits.
February 25, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Southern California Pharmacy Owner Sentenced to Prison for Her Role in Health Care and Wire Fraud Scheme
A Southern California pharmacy owner was sentenced today to 48 months in prison for her role in a Medicare fraud scheme involving more than $1.5 million in fraudulent claims for prescription drugs.
February 25, 2019; U.S. Department of Justice
Skyline Urology to Pay $1.85 Million to Settle False Claims Act Allegations of Medicare Overbilling
Skyline Urology has agreed to pay the United States $1.85 million to resolve allegations that it violated the False Claims Act by submitting improper claims to the Medicare program for evaluation and management services, the Department of Justice announced today.
February 25, 2019; U.S. Attorney; Northern District of Oklahoma
North Carolina Marketer Agrees to Pay $414,108.08 for Allegedly Engaging in Illegal Kickback Scheme with OK Compounding
David Tsui and Wellcare Consulting, LLC, a North Carolina marketing company, have agreed to pay the government $414,108.08 for allegedly accepting illegal kickback payments from OK Compounding, LLC, announced U.S. Attorney Trent Shores.
February 25, 2019; Nevada Attorney General
Attorney General Ford Announces Sentencing of Las Vegas Medicaid Provider Cory Ron Bieniemy
Las Vegas, NV - Today, Nevada Attorney General Aaron D. Ford announced that Cory Ron Bieniemy, 47, of Las Vegas, was sentenced in a Medicaid fraud case involving false billing for medical services to Medicaid recipients. The fraud occurred between January 2015 and October 2016.
February 22, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
South Florida Patient Recruiter Convicted For Role In $600,000 Health Care Kickback Scheme
A federal jury found a South Florida patient recruiter guilty today for her role in a scheme involving approximately $600,000 in Medicare claims for home health care that were procured through the payment of kickbacks.
February 22, 2019; U.S. Attorney; Southern District of New York
Doctor Convicted In Manhattan Federal Court Of Nine Counts In Connection With Oxycodone And Fentanyl Diversion Scheme
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced the conviction yesterday of ERNESTO LOPEZ, a New York-licensed medical doctor who wrote thousands of medically unnecessary prescriptions for oxycodone and fentanyl over an approximately three-year period, following an eight-day trial before the Honorable Denise L. Cote. LOPEZ was remanded into custody following his conviction. Audra Baker, a medical assistant who worked in one of LOPEZ's medical offices, and who was tried with LOPEZ, was acquitted of all charges against her.
February 22, 2019; U.S. Attorney; Southern District of Florida
Three South Florida Residents Arrested on Federal Healthcare Fraud Charges
Ariana Fajardo Orshan, U.S. Attorney for the Southern District of Florida, George L. Piro, Special Agent in Charge, Federal Bureau of Investigation (FBI), Miami Field Office and Shimon R. Richmond, Special Agent in Charge, U.S. Department of Health & Human Services, Miami Regional Office, Office of Inspector General (HHS-OIG), announced that Jose Antonio Mesa Sixto, 53, of Miami, Llunaisy Acanda, 41, of Miami Gardens, and Ania Hans, 41, of Miami, were arrested on charges relating to healthcare fraud and payment and receipt of healthcare kickbacks.
February 21, 2019; U.S. Attorney; Western District of Missouri
Jury Convicts Former Dental Clinic Owners of $1 Million Health Care, Payroll Tax Fraud
SPRINGFIELD, Mo. - U.S. Attorney Tim Garrison and Missouri Attorney General Eric Schmitt announced today that a Marshfield, Mo., couple has been convicted by a federal trial jury of multiple fraud schemes totaling more than $1 million that involved Medicaid payments to their dental clinics, failing to pay over payroll taxes and collecting unemployment benefits they were not entitled to receive.
February 21, 2019; U.S. Attorney; District of Massachusetts
Newton Physician to Pay $680,000 to Resolve Allegations of Medicare and Medicaid Fraud
BOSTON - The U.S. Attorney's Office announced today that Dr. Hooshang Poor, a Newton geriatric medicine physician, has agreed to pay $680,000 to resolve allegations that he violated the False Claims Act by submitting inflated claims to Medicare and the Massachusetts Medicaid program (MassHealth) for care rendered to nursing home patients.
February 20, 2019; U.S. Department of Justice
Miami Medical Clinic Owner Pleads Guilty to Health Care Fraud Scheme
A Miami, Florida-area medical clinic owner pleaded guilty today for her role in a scheme to defraud Medicare by submitting fraudulent billings from the clinic and by supplying patients to three home health agencies that submitted fraudulent bills for home health services.
February 19, 2019; U.S. Department of Justice
United States Joins False Claims Act Lawsuit Against Arriva Medical LLC and Alere Inc.
The United States has intervened in a False Claims Act case alleging that Arriva Medical LLC (Arriva) and its parent Alere Inc. (Alere) submitted or caused false claims to the Medicare program for medically unnecessary glucometers and paid kickbacks to Medicare beneficiaries in the form of free glucometers and copayment waivers, the Justice Department announced today. Additionally, the government has informed the court that it is adding Ted Albin, a reimbursement consultant for Arriva, as an additional defendant in the action.
February 19, 2019; U.S. Attorney; Northern District of Oklahoma
Tulsa Doctor Will Pay $84,666 for Allegedly Engaging in an Illegal Kickback Scheme
TULSA, Okla. -A Tulsa doctor has agreed to pay the government $84,666.42 for allegedly accepting illegal kickback payments from OK Compounding, LLC, announced U.S. Attorney Trent Shores.
February 19, 2019; U.S. Attorney; Southern District of Florida
Stuart Physician Convicted of 23 Counts of Health Care Fraud
On February 19, 2019, a doctor who previously worked in Stuart, Florida, was convicted by a federal jury of committing repeated acts of health care fraud.
February 15, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Michigan Patient Recruiter Pleads Guilty in $1.2 Million Kickback Scheme
A Michigan woman pleaded guilty today for her role as a patient recruiter in a scheme involving approximately $1.2 million in fraudulent Medicare claims for home health care procured through the payment of kickbacks.
February 14, 2019; U.S. Department of Justice
Florida Compounding Pharmacy and Its Owners to Pay at Least $775,000 to Resolve False Claims Act Allegations
The Department of Justice announced today that Vital Life Institute LLC (formerly known as AgeVital Pharmacy LLC), located in Sarasota, Florida, and owners Jenny and William Wilkins have agreed to pay at least $775,000 to resolve claims that they violated the False Claims Act by engaging in an illegal kickback scheme to induce the referral of compounded drug prescriptions for TRICARE and Medicare beneficiaries. AgeVital and the Wilkinses have agreed to pay additional amounts in the event certain contingencies are triggered.
February 14, 2019; U.S. Department of Justice Medicare Fraud Strike Force Case
Baton Rouge Doctor and His Medical Billing Supervisor Plead Guilty to Fraudulent Billing Scheme
A Baton Rouge, Louisiana-based doctor pleaded guilty yesterday and his medical billing supervisor pleaded guilty today for their roles in a scheme to defraud Medicare and other health care insurers.
February 14, 2019; U.S. Attorney; Eastern District of Pennsylvania
Prime Healthcare Services and CEO, Dr. Prem Reddy, to Pay $1.25 Million to Settle False Claims Act Allegations
PHILADELPHIA - U.S. Attorney William M. McSwain announced today that Prime Healthcare Services, Inc. ("Prime") and Prime's Founder and Chief Executive Officer, Dr. Prem Reddy, have agreed to pay the United States $1.25 million to settle allegations that two Prime hospitals in Pennsylvania - Roxborough Memorial Hospital in Philadelphia and Lower Bucks Hospital in Bristol - knowingly submitted false claims to Medicare by engaging in the following conduct: (1) admitting patients to the hospital for overnight stays who required only less costly, outpatient care and (2) billing for more expensive patient diagnoses than the patients had (the latter practice known as "up-coding").
February 13, 2019; U.S. Attorney; Western District of Virginia
Former Blacksburg Doctor Sentenced on Federal Drug Charges
Roanoke, VIRGINIA - The former owner of the Virginia Vein Institute in Blacksburg was sentenced yesterday to 20 months in federal prison resulting from his conviction on nearly 70 federal drug charges for illegally obtaining 3,200 oxycodone pills, United States Attorney Thomas T. Cullen and the Virginia Attorney General's Office announced.
February 12, 2019; U.S. Attorney; Southern District of Mississippi
Laurel-Based Physicians Group and Neurologist Agree to Pay Almost One Million Dollars to Resolve False Claims Act Allegations
Settlement Stems from Alleged Medicare Overpayments to Doctors
Jackson, Miss. - Jefferson Medical Associates, a now dissolved, multi-specialty medical practice group in Laurel, and Dr. Aremmia Tanious, have agreed to pay the United States $817,635.06 to resolve claims under the False Claims Act arising from Medicare overpayments to Jefferson Medical Associates and Dr. Tanious, announced U.S. Attorney Mike Hurst.
February 12, 2019; U.S. Attorney; Northern District of New York
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.
February 11, 2019; U.S. Department of Justice
Genetic Testing Company Agrees to Pay $1.99 Million to Resolve Allegations of False Claims to Medicare for Medically Unnecessary Tests
The Justice Department announced today that GenomeDx Biosciences Corp. (GenomeDx) has agreed to pay $1.99 million to resolve allegations that it violated the False Claims Act, 31 U.S.C. �� 3729 et seq., by submitting claims to Medicare for the Decipher® post-operative genetic test for prostate cancer patients. GenomeDx is a genetic testing laboratory headquartered in Vancouver, British Columbia, with operations based in San Diego.
February 11, 2019; U.S. Attorney; Eastern District of Kentucky
Williamsburg Pharmacist Convicted of Unlawful Drug Distribution
LONDON, Ky. - Kimberly Jones, a Williamsburg pharmacist, was convicted last week, by a federal jury sitting in London, on seven counts of unlawful distribution of controlled substances.
February 8, 2019; U.S. Attorney; Northern District of Oklahoma
Marketer Agrees to Pay Nearly $340,000 for Allegedly Engaging in an Illegal Kickback Scheme with OK Compounding
TULSA, Okla. - James Paul Adams, 35, of Cypress, Texas, also known as Beau Adams, owner of the Texas marketing company One Source Healthcare Organization, LLC, agreed to pay the government $339,412.50 for allegedly accepting illegal kickback payments from OK Compounding, LLC, announced U.S. Attorney Trent Shores.
February 8, 2019; U.S. Attorney; Middle District of Florida
Dunedin Psychologist Pleads Guilty To Obstruction Of A Medicare Audit
Tampa, Florida - Dr. Charles Gerardi (76, Dunedin) has pleaded guilty to obstructing a Medicare audit. He faces a maximum penalty of 5 years in federal prison. A sentencing date has not yet been set.
February 8, 2019; U.S. Attorney; District of South Carolina
Sumter Women Convicted of Healthcare Fraud for Over-Charging Government by Millions of Dollars
Columbia, SC - United States Attorney Sherri A. Lydon announced today that Angela Breitweiser Keith, age 53, and Ann Davis Eldridge, age 58, both of Sumter, South Carolina, pleaded guilty in federal court to one count of false statements to defraud Medicaid.
February 7, 2019; U.S. Attorney; Southern District of Florida
Two South Florida Doctors Arrested on Charges of Unlawfully Dispensing Opioids
Two South Florida doctors were arrested on charges related to the unlawful dispensing of opioids.
February 6, 2019; U.S. Department of Justice
Electronic Health Records Vendor to Pay $57.25 Million to Settle False Claims Act Allegations
Greenway Health LLC (Greenway), a Tampa, Florida-based developer of electronic health records (EHR) software, will pay $57.25 million to resolve allegations in a complaint filed by the United States under the False Claims Act alleging that Greenway caused its users to submit false claims to the government by misrepresenting the capabilities of its EHR product "Prime Suite" and providing unlawful remuneration to users to induce them to recommend Prime Suite, the Justice Department announced today.
February 6, 2019; U.S. Attorney; District of Massachusetts
Physician Sentenced to Prison for False Billing Scheme
BOSTON - A physician at the now-defunct New England Pain Management Associates Inc. was sentenced today in federal court in Boston for conspiring to falsify patient medical records in order to obtain payments from Medicare and commercial insurers for medical services that were not performed.
February 6, 2019; U.S. Attorney; Western District of Pennsylvania
Suspended Nurse Practitioner Indicted for Illegal Prescriptions
PITTSBURGH, PA - A suspended nurse practitioner has been indicted by a federal grand jury in Pittsburgh on charges of dispensing and distributing controlled substances and conspiring to distribute and dispense controlled substances, United States Attorney Scott W. Brady announced today.
February 6, 2019; U.S. Attorney; Western District of Pennsylvania
Johnstown Opioid Treatment Center Owner Indicted For Unlawfully Dispensing Controlled Substances, Money Laundering
PITTSBURGH, PA. - The owner and operator of SKS Associates, Inc. (SKS) has been indicted by a federal grand jury in Pittsburgh on charges of conspiracy to unlawfully distribute controlled substances, using or maintaining a drug involved premises, conspiracy to commit health care fraud and money laundering, United States Attorney Scott W. Brady announced today.
February 6, 2019; U.S. Attorney; Eastern District of Pennsylvania
Fourteen Individuals Charged for Operating "Pill Mills" and Illegally Prescribing Drugs to Hundreds of Patients in Multiple Locations in the Philadelphia Area
PHILADELPHIA, PA - United States Attorney William M. McSwain announced two indictments charging 14 people with a multitude of crimes, including conspiracy to dispense and distribute controlled substances outside the course of professional practice and without a legitimate medical purpose; distribution of oxycodone; health care fraud; and maintaining a drug-involved premises. These charges are the result of coordinated law enforcement effort across multiple federal, state, and local agencies. U.S. Attorney McSwain announced these charges as part of a press conference held today to highlight the Eastern District of Pennsylvania's recent efforts to combat the opioid crisis in the District.
February 6, 2019; U.S. Attorney; Northern District of Georgia
Union General Hospital to pay $5 million to resolve alleged False Claims Act violations
ATLANTA - Union General Hospital ("UGH"), located in Blairsville, Georgia, has agreed to pay $5 million to resolve allegations that it violated the False Claims Act by engaging in improper financial relationships with referring physicians.
February 5, 2019; U.S. Attorney; Middle District of Pennsylvania
York Man Pleads Guilty To Health Care Fraud
HARRISBURG - The United States Attorney's Office for the Middle District of Pennsylvania announced that Nagy Mohamed Abdelhamed, age 68, of York, Pennsylvania, pleaded guilty before U.S. District Court Judge John E. Jones to health care fraud for his fraudulent receipt of Medicaid and SNAP (Supplemental Nutritional Assistance Program, formerly known as Food Stamp) benefits.
February 5, 2019; U.S. Attorney; Middle District of Florida
Clermont Eye Doctors Agree To Pay Over $157,000 To Settle False Claims Act Liability For Improperly Billing Medicare
Orlando, FL - United States Attorney Maria Chapa Lopez announces today that Dr. Craig D. Fishman and Dr. Jeffrey A. Sheridan have agreed to pay the United States a combined total of $157,312.32 to resolve allegations that they violated the False Claims Act by knowingly billing the government for mutually exclusive eyelid repair surgeries. Dr. Fishman and Dr. Sheridan are ophthalmologists who operate Fishman & Sheridan Eye Care Specialists.
February 4, 2018; U.S. Attorney; Eastern District of Pennsylvania
Pentec Health, Inc. to Pay $17 Million to Settle False Claims Act Allegations
PHILADELPHIA - U.S. Attorney William M. McSwain announced that Pentec Health, Inc. ("Pentec") has agreed to pay the United States $17 million to settle allegations that Pentec submitted false claims to Medicare and other government healthcare programs.
February 1, 2019; U.S. Attorney; District of Arizona
Youth Care Worker Sentenced to 19 Years in Prison for Sexually Abusing Unaccompanied Minors in Southwest Key Facility
PHOENIX - On Jan. 14, 2019, Levian D. Pacheco, 25, of Phoenix, Ariz, was sentenced by U.S. District Judge Steven P. Logan to 19 years' imprisonment, followed by lifetime supervised release. Pacheco was previously convicted by a federal jury of seven counts of abusive sexual contact with a ward and three counts of sexual abuse of a ward. The statutory maximum sentence for sexual abuse of a ward is 15 years in prison and the statutory maximum for abusive sexual contact with a ward is 2 years in prison. U.S. District Court Judge Logan ordered several of Pacheco's counts to run consecutively.
February 1, 2019; U.S. Attorney; Southern District of Ohio
Columbus Home Health Care Provider Sentenced for Fraud
COLUMBUS, Ohio - The co-owner of Alpha Star Health Care Inc. was sentenced today in federal court to 18 months in prison for running home health care fraud and tax fraud schemes.

January 2019

January 31, 2019; U.S. Attorney; Western District of Pennsylvania
Criminal Complaint Filed Against Suspended Nurse Practitioner for Illegal Prescriptions
PITTSBURGH - Larry J. Goissie, Jr., 34, of Pittsburgh, Pa., has been charged by federal criminal complaint with illegal distribution of Schedule II controlled substances, United States Attorney Scott W. Brady announced today.
January 31, 2019; U.S. Attorney; Southern District of Texas
UT Health Science Center Pays More than $2.3 Million to Resolve Allegations
HOUSTON - The University of Texas Health Science Center (UTHSC) at Houston has paid $2,396,769.76 to resolve allegations that its Human Genetics Center misappropriated grant funds the National Institutes of Health (NIH) provided for research related to the impact of genomic variation on individual health and the health of families and populations, announced U.S. Attorney Ryan K. Patrick. A component of UTHealth, UTHSCH is one of the largest research institutions in the United States.
January 30, 2019; U.S. Department of Justice
Pathology Laboratory Agrees to Pay $63.5 Million for Providing Illegal Inducements to Referring Physicians
Pathology laboratory company Inform Diagnostics has agreed to pay $63.5 million to settle allegations that it violated the False Claims Act by engaging in improper financial relationships with referring physicians, the Justice Department announced today. Inform Diagnostics, formerly known as Miraca Life Sciences Inc., is headquartered in Irving, Texas, and was a subsidiary of Miraca Holdings Inc., a Japanese company, during the period relevant to the case. In 2017, majority ownership of the company changed, and the company was renamed.
January 30, 2019; U.S. Attorney; Middle District of Florida
Clearwater Doctor Sentenced To Prison For Health Care Fraud
Tampa, Florida - U.S. District Judge James S. Moody Jr. today sentenced Jayam Krishna Iyer (66, Clearwater) to six months in federal prison for committing health care fraud, ordered Iyer to forfeit over $52,000 in health care fraud proceeds, and order her to pay restitution to the Medicare and Medicaid programs.
January 29, 2019; U.S. Department of Justice
Two South Texas Doctors Sentenced to Prison for Roles in Separate Multi-Million Dollar Medicare Fraud Schemes
Two Houston, Texas physicians were sentenced to 25 and three-year prison terms for their roles in separate schemes to defraud Medicare out of payments for medical services.
January 29, 2019; U.S. Attorney; Western District of Tennessee
WellBound of Memphis will pay $3,246,000 to the United States and the State of Tennessee for services rendered to patients at its Memphis facility that were in violation of the Anti-Kickback statute
Memphis, TN - WellBound of Memphis will pay $3,246,000 to the United States and the State of Tennessee to resolve allegations of false claims to Medicare, Tricare and Tenncare for services rendered to home dialysis patients at its Memphis facility. D. Michael Dunavant, United States Attorney for the Western District of Tennessee announced today.
January 28, 2018; U.S. Attorney; Middle District of Florida
Orlando Skilled Nursing Facility, Physician, And Related Providers Agree To Pay $1.5 Million To Resolve Allegations Of Illegal Kickback And Patient Referral Scheme
Orlando, FL - United States Attorney Maria Chapa Lopez announces that on January 9, 2019, Conway Lakes NC, LLC; its former Administrator, Matthew File; its management company, Clear Choice Health Care, LLC; Clear Choice's part-owner and President, Jeffrey Cleveland; Clear Choice's part-owner and Senior Vice President, Geoffrey Fraser; and an Orlando-area orthopedic surgeon, Dr. Kenneth Krumins, agreed to pay $1.5 million to resolve allegations that they engaged in a kickback scheme related to the referral of Medicare and TRICARE patients.
January 28, 2019; U.S. Attorney; Southern District of Georgia
Doctor charged for prescribing narcotics to non patients, ordered detained until trial
SAVANNAH, Ga: A physician with clinics in Pooler, Ga., and Braselton, Ga., has been indicted for illegally prescribing drugs to non-patients and ordered held in custody pending trial in federal court.
January 28, 2019; U.S. Attorney; Western District of New York
Orchard Park Pain Doctor Pleads Guilty To Using Patient Names Fraudulently To Obtain Controlled Substances
BUFFALO, N.Y. - U.S. Attorney James P. Kennedy, Jr. announced today that Dr. Paul Biddle, 54, of Amherst, NY, pleaded guilty before U.S. District Judge Elizabeth A. Wolford to identity theft and possession of unlawful hydromorphone HCL. The charges carry a maximum penalty of five years in prison.
January 23, 2019; U.S. Department of Justice
Walgreen Co. Agrees to Pay $3.5 Million to Settle Allegations Under the False Claims Act
United States Attorney Matthew D. Krueger announced today that Walgreen Co. ("Walgreens") has agreed to pay $3.5 million to the United States and the State of Wisconsin to settle allegations that Walgreens violated the False Claims Act by submitting claims to Medicaid for stimulant medications without complying with Medicaid rules designed to ensure that stimulants are dispensed for appropriate medical treatment.
January 22, 2019; U.S. Attorney; Southern District of New York
Manhattan U.S. Attorney Announces $269.2 Million Recovery From Walgreens In Two Civil Healthcare Fraud Settlements
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, Gregory E. Demske, Chief Counsel to the Inspector General of the U.S. Department of Health and Human Services ("HHS-OIG"), Scott J. Lampert, Special Agent in Charge of HHS-OIG's New York Regional Office, William F. Sweeney Jr., the Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation ("FBI"), Leigh-Alistair Barzey, Special Agent-in-Charge of the Defense Criminal Investigative Service ("DCIS") Northeast Field Office, Michael C. Mikulka, Special Agent-in-Charge, New York Region, U.S. Department of Labor Office of Inspector General ("DOL-OIG"), Matthew Modafferi, Special Agent in Charge, U.S. Postal Service, Office of Inspector General, Northeast Area Field Office ("USPS-OIG"), and Thomas W. South, Deputy Assistant Inspector General for Investigations, U.S. Office of Personnel Management, Office of the Inspector General ("OPM-OIG"), announced today that the United States filed and settled two healthcare fraud lawsuits against national pharmacy chain WALGREENS BOOTS ALLIANCE, INC. ("WALGREENS"), pursuant to which WALGREENS must pay the United States and state governments a total of $269.2 million.