In this interlocutory appeal of a preliminary injunction, the dispositive issue is whether 42 U.S.C. § 1396a(a)(23) gives Medicaid patients a right to challenge, under 42 U.S.C. § 1983, a State’s determination that a health care provider is not “qualified” within the meaning of § 1396a(a)(23). Our decision rests primarily on two independent bases: (1) the Supreme Court’s decision in O’Bannon v. To... More...   $0 (11-25-2020 - TX)

Beaumont, Texas health care fraud criminal defense lawyer represented Grigoriy T. Rodonaia, age 43, who was charged with 12 counts of health care fraud, three counts of aggravated identity theft, one count of making a false statement, and two counts of accepting kickbacks.

Rodonaia, a physician practicing in Beaumont with Rodonaia Family Medicine and Aesthetics, was indicted on March 18,... More...   $0 (11-25-2020 - TX)

Abingdon, Virginia white collar criminal defense lawyers represented making false statement regarding the marketing of the opioid-addiction-treatment drug Suboxone.

Indivior agreed to $600 million to resolve its civil and criminal liability. Altogether, the investigation and prosecution of Indivior Solutions and its parent companies, Indivior Inc. and Indivior plc, and two former Indivio... More...   $0 (11-24-2020 - VA)

Philadelphia, Pennsylvania qui tam lawyer represented plaintiff who sued Johnson & Johnson (“J&J”) subsidiary Medical Device Business Services, Inc. (“MDBS”) for violating the False Claims Act.

Johnson & Johnson (“J&J”) subsidiary Medical Device Business Services, Inc. (“MDBS”) agreed to pay $10 million to settle allegations under the False Claims Act that Therakos, Inc., a former J&J sub... More...   $10000000 (11-22-2020 - PA)

Birmingham, Alabama criminal defense lawyer represented defendant charged with Medicaid fraud.

Heidi Robertson, 35, was employed as the primary insurance biller at a Birmingham-area psychology clinic that billed the Medicaid Agency for counseling services that were never provided.

An investigation was initiated by the Program Integrity Division of the Alabama Medicaid Agency afte... More...   $0 (11-22-2020 - AL)

Nashville, Tennessee drug distribution charge criminal defense lawyer represented Dr. Lawrence J. Valdez, M.D., who was charged with unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 51, was sentenced after pleading guilty in November 2019 to one count of unlawful distribution of controlled substances.

Valdez admitted that in February 2017 he knowingly d... More...   $0 (11-17-2020 - TN)

Wilmington, Delaware false claims act lawyer represented Eranga Cardiology, P.A. and Dr. Eranga Haththotuwa who were accused with committing health care fraud arising under the False Claims Act. Eranga Cardiology is a cardiology practice with locations in Milford and Dover.

From April 2014 to March 2020, the practice submitted claims for reimbursement to Medicare and Medicaid that requi... More...   $0 (11-13-2020 - DE)

Nashville, Tennessee drug distribution lawyer represented defendant doctor charged with unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 51, of Hendersonville, Tennessee, was charged in November 2019 to one count of unlawful distribution of controlled substances.

Pursuant to his guilty plea, Valdez admitted that in February 2017 he knowingly distributed ... More...   $0 (11-13-2020 - TN)

Memphis, Tennessee criminal defense lawyer represented defendant charged with distributing opioids.

Richard Farmer, 83, of Memphis, Tennessee, was with three counts of distribution of controlled substances outside the scope of professional practice and without a legitimate medical purpose.

The defendant was charged in an April 2019 indictment as part of the first Appalachian Regi... More...   $0 (11-05-2020 - TN)

Los Angeles, California criminal defense lawyer represented defendant charged with health care fraud.

Memorial Health Services, a Fountain Valley-based non-profit health care organization was accused with overbilled Medicaid for prescription medication purchased and reimbursed under a federal drug pricing program.

Memorial agreed to pay $31.5 million to settle the claims made aga... More...   $0 (11-03-2020 - CA)

Sioux Falls, South Dakota Qui Tam False Claims Act violation lawyer represented Medtronic.

“Kickbacks undermine the integrity of federal healthcare programs and increase costs borne by taxpayers,” said Acting Assistant Attorney General Jeffrey Bossert Clark of the Department of Justice’s Civil Division. “This case demonstrates the Department of Justice’s commitment to ensure that medical... More...   $0 (10-30-2020 - SD)

Alexandria, Virginia health care fraud conspiracy criminal defense lawyer represented Onkur Lal, who was charged by the United States of America with conspiracy to commit health care fraud that resulted in losses of over $3.5 million.

According to court documents, Onkur Lal, 29, worked in various roles at MedEx Pharmacy, MedEx Health Pharmacy, and Royal Care Pharmacy, which were all owned... More...   $0 (10-24-2020 - VA)

Charleston, West Virginia health care fraud criminal defense lawyer represented Edward Stephen, age 61, who was charged by the United States of America with health care fraud.

“When federal workforce programs are defrauded, it comes at great cost to taxpayers,” said United States Attorney Mike Stuart. “I appreciate the work of the U.S. Department of Transportation OIG and Office of Perso... More...   $0 (10-24-2020 - WV)

New York, NY - The United States of America charged Purdue Pharma, L.P. on civil and criminal theories relating to the manufacture and sale of opoids by the Sackler family.

“The abuse and diversion of prescription opioids has contributed to a national tragedy of addiction and deaths, in addition to those caused by illicit street opioids,” said Deputy Attorney General Jeffrey A. Rosen. “... More...   $0 (10-21-2020 - NY)

Houston, Texas fraud criminal defense lawyer represented Rezik Saqer with health care fraud.

Rezik Saqer, 66, of Houston, Texas, was charged with conspiracy to commit health care fraud. Defendant, an area physician and anesthesiologist at two registered pain clinics, Texas Pain Solutions and Integra Medical Clinic, accused of fraudulently billing health care programs for at least $5 mill... More...   $0 (10-13-2020 - TX)

Milwaukee, Wisconsin False Claims Act lawyer represented Advanced Pain Management, which was sued by the United States of America on a False Claims Act wrongfully paying kickbacks and and performing medically unnecessary laboratory tests.

Advanced Pain Management (“APM”) has agreed to pay $1 million to settle claims asserting violations of the False Claims Act by paying kickbacks and by p... More...   $1000000 (10-07-2020 - WI)

Washington, D.C. criminal defense lawyer represented defendant charged with Medicaid fraud.

Janet Olatimbo Akindipe, 62, of Laurel, Maryland, pleaded guilty to defrauding the D.C. Medicaid program out of more than a quarter million dollars.

Akindipe pleaded guilty to health care fraud in U.S. District Court for the District of Columbia. The charge carries a statutory ... More...   $0 (10-04-2020 - DC)

Clarksburg, West Virginia criminal defense lawyer represented defendant charged with “Distribution of Controlled Substances Outside the Bounds of Professional Medical Practice.”

Brizuela admitted to illegally distributing oxycodone in Monongalia County in August 2013. Based upon the plea agreement, Brizuela was sentenced to time served and three years of supervised release, during which t... More...   $0 (10-03-2020 - WV)

The United States of America, ex rel. Brittany Ames Mahoney sued Abbas Mohammadi, DDS, Columbia Dental, P.C. and Columbia Orl Maxillofacial Imaging, LLC on a False Claims Act violation theory.

Mohammadi, a dentist and oral surgeon, is the owner of Columbia Dental, P.C. (“CDPC”), which operates 15 dental clinics throughout Connecticut, and Columbia Oral Maxillofacial Imaging Imaging, L.L.C... More...   $300000 (10-02-2020 - CT)

Knoxville, Tennessee criminal defense lawyer represented defendant charged with violating the False Claims Act.

Addiction Recovery physician Dr. Chambless Johnston and his practice, East Tennessee Recovery, have paid $530,000 to resolve several allegations that they violated the False Claims Act. The allegations include billing for individual and group psychotherapy provided by unlicense... More...   $0 (09-27-2020 - TN)