Medicaid Law
 
United States of America v. Anna Ramirez-Ambriz Federal Courthouse - McAllen, Texas

McAllen, TX - McAllen Area Durable Medical Equipment Company Owner Convicted of Health Care Fraud

The owner of a durable medical equipment company has entered a guilty plea to defrauding Medicaid of more than $3 million, announced Acting U.S. Attorney Abe Martinez.

Anna Ramirez-Ambriz, 55, of McAllen, owned Compassionate Medical Supply located in Edinburg. As part of her plea tod... More...
   $0 (03-31-2017 - TX)

United States of America v. Dr. Christopher Steward

Bowling Green, KY - Cave City, Kentucky, Physician Sentenced To 18 Months In Prison For Illegally Dispensing Controlled Substances Outside Of His Professional Medical Practice And Health Care Fraud

Obtained controlled substances through fraud for his own use

A Barren County, Kentucky, physician was sentenced to 18 months in prison for obtaining controlled substances by fraud, fo... More...
   $0 (03-20-2017 - KY)

United States of America v. Dr. Romeo Pavlic

Spokane, WA - Spokane Area Cardiologist, Dr. Romeo Pavlic, to Pay $300,000 Resolving Alleged False Health Care Claims

Dr. Romeo Pavlic and various companies he owns agreed to settle false claims charge. The settlement resolves allegations that for years Dr. Pavlic, a Spokane-area cardiologist, falsely billed Medicare and Medicaid by repeatedly and falsely claiming to have provided service... More...
   $300000 (03-19-2017 - WA)

United States of America v. Misti Baker

Burlington, VT - Brandon Woman Sentenced for Medicaid Fraud

Misti Baker, 36, of West Rutland, Vermont, was sentenced by United States District Court Judge Geoffrey W. Crawford for healthcare fraud. Judge Crawford sentenced Baker to time served plus two years of supervised release and ordered her to pay $77,306.57 in restitution.

According to court records, between 2012 and 2015, ... More...
   $0 (03-06-2017 - VT)

United States of America v. Valteen Green

Charlottesville, VA - Personal Care Attendant Pleads Guilty to Making a False Statement as it Relates to a Health Care Benefit


A personal care attendant, who for four years lied about the amount of hours she worked for a homebound retiree, pled guilty yesterday in the United States District Court for the Western District of Virginia in Charlottesville to federal false statement char... More...
   $0 (03-04-2017 - VA)

United States of America v. Victor Lipkin

New York, NY - Clinic Owner Sentenced In Manhattan Federal Court To Five Years In Prison In $70 Million Scheme To Defraud Medicare And Medicaid

Fraud Ring, with Three Clinics in Brooklyn and Queens, Paid Kickbacks to Individuals to Undergo Medically Unnecessary Tests

Victor Lipkin, a former owner of a health care clinic in Brooklyn, New York, was sentenced to five years in prison... More...
   $0 (02-27-2017 - NY)

Leann Starnes v. Michael G. Wallace, et al.

The Fair Labor Standards Act (FLSA), passed during the New Deal to set a federal minimum wage for certain workers, is one of the earliest federal statutes to contain the antiretaliation provisions that in the years since have become common in employment laws (the contemporaneous National Labor Relations Act is another early example). The plaintiff brought this case contending that the antiretaliat... More...   $0 (02-26-2017 - TX)

United States of America v. Maria Teresa Paz Garza

McAllen, TX - Jury Convicts Rio Grande Valley Area Durable Medical Equipment Company Owner of Health Care Fraud

A McAllen federal jury has convicted the owner of an area durable medical equipment (DME) company owner on all counts for her scheme to defraud Texas Medicaid through fraudulent billings. The jury deliberated for six hours following a seven-day trial before convicting Maria Tere... More...
   $0 (02-24-2017 - TX)

United States of America v. Dr. Oluwatoyin Solarin

Atlanta, GA - Atlanta-area Dentist Sentenced for nearly $1 Million in Medicaid Fraud

Dr. Oluwatoyin Solarin has been sentenced to one year, six months in federal prison for filing false claims with the Georgia Medicaid program totaling nearly $1 million.

“Solarin cheated the Medicaid program by submitting fraudulent claims, even billing the government for procedures she allegedly... More...
   $0 (02-16-2017 - GA)

United States of America v. IPC Healthcare Inc., f/k/a IPC The Hospitalists Inc. (IPC)

Chicago, IL Healthcare Service Provider to Pay $60 Million to Settle Medicare and Medicaid False Claims Act Allegations

A major U.S. hospital service provider, TeamHealth Holdings, as successor in interest to IPC Healthcare Inc., f/k/a IPC The Hospitalists Inc. (IPC), has agreed to resolve allegations that IPC violated the False Claims Act by billing Medicare, Medicaid, the Defense Health... More...
   $60000000 (02-08-2017 - IL)

United States of America v. Eduard Zavalunov

New York, NY - Clinic Manager Pleads Guilty In $70 Million Scheme To Defraud Medicare And Medicaid

Fraud Ring, With Three Clinics in Brooklyn and Queens, Paid Kickbacks to Individuals to Undergo Medically Unnecessary Tests

Eduard Zavalunov, a manager of two health care clinics in Queens, New York, pled guilty today before U.S. District Judge Ronnie Abrams to conspiracy to commit ... More...
   $0 (02-07-2017 - NY)

United States of America v. Neil Sharma

Rockford, IL - Suburban Chicago Physician Pleads Guilty to Federal Bribery Charge

A Suburban Chicago physician pleaded guilty today before U.S. District Judge Frederick J. Kapala to bribery concerning health care programs receiving federal funds.

Neil Sharma, 36, of Lemont, has been a licensed Illinois physician since March 2011. Between September 2013 and March 2015, he was the ... More...
   $0 (02-03-2017 - IL)

Stephanie Herder, et al. v. National Pain Care, Inc. and Dr. Robert Windsor

Lexington, KY - Pain Management Physician Resolves False Claims Act Allegations

Pain management physician Dr. Robert Windsor has agreed to the entry of a $20 million consent judgment to resolve allegations that he violated the False Claims Act by billing federal health care programs for surgical monitoring services that he did not perform and for medically unnecessary diagnostic tests. Dr... More...
   $20000000 (02-02-2017 - KY)

United States of America v. Cherie R. Dillon

Boise, ID - Fruitland Woman Pleads Guilty During Trial to Health Care Fraud and Aggravated Identity

Cherie R. Dillon, 61, of Fruitland, Idaho, pleaded guilty to 24 counts of health care fraud and 24 corresponding counts of aggravated identity theft for fraudulently billing dental services to health care benefit programs, U.S. Attorney Wendy J. Olson announced. Dillon was indicted on Febru... More...
   $0 (01-29-2017 - ID)

Mississippi Department of Corrections, Marshall Fisher, Earnest Lee and Sonja Stanciel v. Charles D. Allen a/k/a Charles David Allen

The record includes the first page of Allen’s circuit court appeal, which shows that
Allen filed an “Appeal from Administrative Decision” on September 16, 2015. Also included
is the first page of a supporting memorandum, which claims that MDOC, by adopting certain
regulations, violated state statutes by denying a case plan to Allen and other inmates.
Although MDOC’s designation of ... More...
   $0 (01-27-2017 - MS)

United States of America v. Delores L. Knight and Isaac R. Knight

Cleveland, OH - Mother and son convicted of $7 million healthcare fraud scheme

A mother and son were convicted of crimes related to a $7 million home healthcare fraud conspiracy in which they provided forged documents and fraudulent forms to bill for services that were not provided.

Delores L. Knight, 70, of Cleveland Heights and Isaac R. Knight, 29, of Macedonia were convicted f... More...
   $0 (01-25-2017 - OH)

United States of America v. Medstar Ambulance, Inc.

Boston, MA - Medstar Ambulance to Pay $12.7 Million to Resolve False Claims Act Allegations Involving Medically Unnecessary Transport Services and Inflated Claims to Medicare

Medstar Ambulance Inc., including four subsidiary companies and its two owners, Nicholas and Gregory Melehov, have agreed to pay $12.7 million to resolve allegations that the Massachusetts-based ambulance company kno... More...
   $12700000 (01-19-2017 - MA)

United States of America v. Cody Lee West

Topeka, KS - Medical Imaging Provider Sentenced for Federal Health Care Fraud

A man who owned a medical imaging business was sentenced Thursday to 18 months in federal prison. In addition, the defendant was ordered to pay more than $1.5 million in restitution to Medicare and Medicaid.

Cody Lee West, 38, Paragould, Ark., owner of C & S Imaging, Inc., pleaded guilty to one count of... More...
   $0 (01-17-2017 - KS)

United States of America v. Gerard Dengle and Suzanne Dengler

Tyler, TX - Smith County Husband and Wife Guilty in Health Care Fraud Conspiracy

A Smith County couple pleaded guilty to charges of health care fraud.

Gerard Dengler, 61, and Suzanne Dengler, 52, of Tyler, Texas, pleaded guilty to conspiring to commit health care fraud.

According to information presented in Court, the Denglers owned and operated Elite Lab Services, a cl... More...
   $0 (01-15-2017 - TX)

United States of America v. Randy Crowell

New York, NY - Owner Of Utah-Based Pharmaceutical Distributer Pleads Guilty To $100 Million Health Care Fraud Scheme

Randy Crowell, a/k/a "Roger," pled guilty today before United States District Judge Edgardo Ramos to fraudulently distributing more than $100 million worth of prescription drugs obtained on a nationwide black market. CROWELL used a Utah-based wholesale distribution company... More...
   $0 (01-11-2017 - NY)

United States of America v. Deborah A. Gray and Keith B. Gray, II

Oklahoma City, OK - Oklahoma City Mother and Son Plead Guilty to Defrauding Medicaid Out Of Nearly $770,000

Deborah A. Gray, 60, and Keith B. Gray, II, 26, both of Oklahoma City, each pleaded guilty to three counts of health care fraud in connection with submitting false claims to Medicaid for behavioral health counseling services.

On July 6, 2016, Deborah Gray and Keith Gray wer... More...
   $0 (01-07-2017 - OK)

United States of America v. Jessica Lynn Roloson

Cedar Rapids, IA - Central City Woman Sentenced to 14 Months in Federal Prison for Defrauding Her Grandfather

A Central City Woman who stole her grandfather’s identity to obtain credit cards in his name and make over $27,000 in purchases was sentenced today to 14 months in federal prison.

Jessica Lynn Roloson, 41, received the prison term after an August 11, 2016 guilty plea to o... More...
   $0 (12-31-2016 - IA)

United States of America v. Dennis Barson, Jr. and Dario Juarez

Defendants appeal their convictions for conspiracy to commit health care fraud and several substantive counts of health care fraud. Defendants primarily challenge the sufficiency of the evidence, the court’s deliberate ignorance jury instruction , a number of evidentiary rulings, and the enhancements applied to their sentences. We AFFIRM. I. Defendants Dennis Barson, Jr. and Dario Juarez were ... More...   $0 (12-29-2016 - TX)

United States ex rel. Malcolm v. Elite Lab Services, LLC, et al.

Tyler, TX - East Texas Laboratory Company and Owners Agree to $3.75 Million Payment for False Medicare Claims

Elite Lab Services, LLC, along with its husband-and-wife owners Gerard and Suzanne Dengler, will pay the United States $3.75 million after billing Medicare for tens of thousands of miles that were never driven by Elite Lab’s personnel.

“The United States Attorney’s Office... More...
   $3750000 (12-25-2016 - TX)

United States of America v. Donnie Lee Phillips, II

Wilmington, NC - Pitt County Medicaid Biller Sentenced to 9 Years in Federal Prison for Participation in Medicaid Fraud Conspiracy

DONNIE LEE PHILLIPS, II, 37, of Greenville, North Carolina, was sentenced to 108 months in federal prison and 3 years of supervised release following his prior guilty plea to Health Care Fraud Conspiracy and Aggravated Identity Theft. PHILLIPS was also ordere... More...
   $0 (12-23-2016 - NC)

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AK Morlan
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