Thursday, February 13, 2020; Department of Justice
Former Caregiver Pleads Guilty to Obstructing Investigation Related to Violation of Disabled Resident's Civil Rights
Anthony R. K. Flores, a former employee of a Missouri residential treatment facility, pleaded guilty in federal court in the Western District of Missouri to criminal charges arising from a civil rights investigation into the death of C.D., a Missouri ward of the state with developmental disabilities. Flores pleaded guilty to one count of obstructing justice by knowingly falsifying a document with the intent to impede, obstruct, and influence an investigation related to the death of C.D.
February 11, 2020; Southern District of West Virginia
Raleigh County Woman Enters Guilty Plea to Health Care Fraud
Defendant fraudulently obtained over $300,000
CHARLESTON, W.Va. - Julie M. Wheeler entered a guilty plea for federal health care fraud, announced United States Attorney Mike Stuart. Wheeler, 43, of Beckley, faces up to 10 years of incarceration, a $250,000 fine, and three years of supervised release when sentenced on May 20, 2020. She will also be subject to an order of restitution in an amount ranging from $302,131 to $469,983, with the final determination to be made by the Court at sentencing.
Sacramento Man Pleads Guilty to Medicare Kickback Scheme
SACRAMENTO, Calif. - Jai Vijay, 54, of Sacramento, pleaded guilty today to conspiring with the owners of home health care agencies and a hospice agency to pay and receive illegal kickbacks in exchange for Medicare beneficiary referrals.
February 5, 2020; District of Maryland
Former Employee of Walter Reed National Military Medical Center Facing Federal Indictment in Maryland.
Maryland - A federal grand jury has indicted David Laufer, age 63, of Pittsburgh, Pennsylvania, formerly of Bethesda, Maryland, on five counts of the federal charge of making false statements. The indictment was returned on December 16, 2019, and was unsealed upon his arrest on January 28, 2020. Laufer had his initial appearance yesterday in U.S. District Court in Greenbelt and was released pending trial.
February 4, 2020; Western District of Pennsylvania
Doctor Sentenced to Probation and Home Confinement for Health Care Fraud
PITTSBURGH, PA - A resident of DuBois, Pennsylvania has been sentenced for health care fraud, United States Attorney Scott W. Brady announced today. In March 2019, David James Girardi pleaded guilty to one count of health care fraud. In connection with the guilty plea, Girardi admitted to committing health care fraud by submitting fraudulent claims to Highmark for six Oxycodone and Hydrocodone prescriptions that Girardi wrote for his wife, but which were in fact intended for his own use.
February 3, 2020; Western District of Pennsylvania
Pennsylvania Physician Sentenced for Drug Charge
CLARKSBURG, WEST VIRGINIA - Dr. Parth Bharill, a Pittsburgh and Morgantown physician, was sentenced today to five years probation, with the first six months on home confinement, for a drug charge, U.S. Attorney Bill Powell announced.
January 27, 2020; Southern District of West Virginia
HOPE Clinic Physician Pleads Guilty
BECKLEY, W.Va. - A North Carolina physician pled guilty to a drug crime, announced United States Attorney Mike Stuart. Roswell Tempest Lowry, M.D., 85, pled guilty to interstate travel in aid of a racketeering enterprise.
January 27, 2020; Southern District of New York
Manhattan Doctor Sentenced To Nearly Five Years In Prison For Accepting Bribes And Kickbacks In Exchange For Prescribing Fentanyl Drug.
Geoffrey S. Berman, the United States Attorney for the Southern District of New York, announced today that ALEXANDRU BURDUCEA, a doctor who practiced in Manhattan, was sentenced today in Manhattan federal court to 57 months in prison for conspiring 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. BURDUCEA pled guilty on February 14, 2019, and was sentenced by United States District Judge Kimba M. Wood.
January 24, 2020; U.S. Department of Justice
Columbus Pain Clinic and Owner Agree to Pay $650,000 to Resolve Allegations of Unnecessary Procedures
Comprehensive Pain Management Institute and its owner, Leon Margolin, M.D., have agreed to pay the United States $650,000 to resolve False Claims Act allegations that they knowingly billed Medicare for nerve conduction studies and alcohol/substance abuse assessments and interventions (SBIRT) that were medically unnecessary or not provided as billed, the Justice Department announced today. Margolin is a pain management physician in Columbus, Ohio.
January 24, 2020; District of Connecticut
Waterbury Licensed Professional Counselor Pays $39K to Settle False Claims Allegations
John H. Durham, United States Attorney for the District of Connecticut, today announced that CHANNA SONTAG, LPC, and her business, CHILDREN'S BEHAVIORAL THERAPY LLC, have entered into a civil settlement agreement with the federal and state governments and will pay more than $39,000 to resolve allegations that they violated the federal and state False Claims Acts.
January 24, 2020; Eastern District of Tennessee
Family Physician Pays $285,000 To Settle False Claims Act Allegations Of Billing Services At Inflated Rate
Knoxville, Tenn. - Family physician Dr. Chang-Wen Chen and his practice Chang-Wen Chen, M.D., P.C. paid $285,000 to resolve allegations that they violated the False Claims Act by improperly charging government health care programs the physician's rate for services that were provided by nurse practitioners. The allegations challenged billings submitted to Medicare, Medicaid ("TennCare") and TRICARE from 2013 through 2019.
January 23, 2020; U.S. Attorney; Southern District of California
San Diego's Arch Health Pays $2.9 Million to Resolve False Claims Act Allegations
SAN DIEGO - Arch Health Partners, Inc. ("Arch Health") has agreed to pay the United States $2,910,370 to resolve allegations that it violated the False Claims Act by submitting false claims to Medicare. Arch Health is a San Diego-based medical organization that contracts with physician groups to provide care through the Palomar Health system.
January 22, 2020; U.S. Attorney; District of Massachusetts
January 22, 2020; U.S. Attorney; Northern District of Ohio
Braking Point Recovery Center Owner Sentenced to 7 1/2 Years in Prison for Health Care Fraud and Drug Crimes
Ryan P. Sheridan, 39, the owner and operator of Braking Point Recovery Center, which operated in the Youngstown and Columbus areas, was sentenced to 7 ½ years in prison for crimes related to a health care fraud conspiracy where Medicaid was billed $48 million for drug and alcohol recovery services, much of which were not provided, not medically necessary, lacked proper documentation, or had other issues that made them ineligible for reimbursement.
January 21, 2020; U.S. Attorney; Eastern District of New York
Medical Doctor Settles Civil Fraud Allegations in Adult Homes Investigation
Dr. Rajendra Bhayani, an otolaryngologist, has agreed to pay the United States $1,109,000 to resolve civil allegations that he and his practice - New York Otolaryngology & Aesthetic Surgery, P.C. in Brooklyn and Queens - paid kickbacks and submitted false claims to federal healthcare programs for services provided to residents in adult homes in violation of the False Claims Act.
January 17, 2020; U.S. Attorney; District of South Carolina
January 16, 2020; U.S. Attorney; District of Massachusetts
Two Dentists and Office Manager Indicted for Medicaid Fraud Scheme
One defendant also indicted for tax evasion and aggravated identity theft
BOSTON - A federal grand jury in Boston has indicted a Worcester dentist, a Chelmsford dentist, and a Worcester office manager for their participation in a scheme to defraud the Massachusetts Medicaid program, commonly known as MassHealth.
January 14, 2020; U.S. Attorney; Middle District of Tennessee
Mid-State Physician Charged In $7 Million Healthcare Fraud Conspiracy
NASHVILLE, Tenn. - January 14, 2020 - James L. Crabb, M.D., 78, of Loretto, Tennessee, is facing federal charges for his role in a $7 million healthcare fraud conspiracy, announced U.S. Attorney Don Cochran for the Middle District of Tennessee. Crabb was charged in a criminal Information on December 20, 2019, and appeared before a U.S. Magistrate Judge yesterday.
January 14, 2020; U.S. Attorney; Western District of Pennsylvania
January 10, 2019; U.S. Attorney; Eastern District of Arkansas
Doctor and Sales Rep Charged in $12 Million Fraud Scheme Targeting Tricare and Extensive Cover Up
LITTLE ROCK-A doctor and a medical sales representative have been charged in a scheme to pay and receive kickbacks to generate expensive prescriptions for compounded drugs. TRICARE, the military's health insurer, paid over $12 million for the prescriptions, which the indictment alleges were rubber stamped without examining patients or regard to medical necessity. The 43-count indictment alleges the scheme also encompassed widespread efforts to obstruct the ensuing investigation.
January 10, 2020; U.S. Attorney; Western District of Pennsylvania
January 8, 2020; U.S. Attorney; Eastern District of Pennsylvania
Montgomery County Doctor Sentenced to 12 Months in Prison for Unlawfully Distributing OxyCodone
PHILADELPHIA - United States Attorney William M. McSwain and Assistant Attorney General Brian A. Benczkowski of the Justice Department's Criminal Division announced that Richard Ira Mintz, D.O., 69, of Dresher, Pennsylvania was sentenced to one year and one day imprisonment, three years' supervised release, and $100,000 fine by United States District Court Judge Michael Baylson for illegally distributing controlled substances.