Medicaid Law
 
United States of America v. Alicia Johnson Jenkins and Kiawanna Monika Langley Federal Courthouse - Raleigh, North Carolina

Raleigh, NC - Women Sentenced to Imprisonment for Conspiring with Tax Preparer to File More Than $1.5 Million in Fraudulent Refunds

Chief United States District Judge James C. Dever III sentenced alicia johnson jenkins, 35, of Kinston, to 60 months imprisonment followed by 3 years of supervised released and was ordered to pay $1,759,830 to the IRS. KIAWANNA MONIKA LANGLEY, 33, of Greenvi

More...   $0 (05-02-2017 - NC)

United States of America v. Elseddig Elmarioud Musa Federal Courthouse - Phoenix, Arizona

Phoenix, AZ - Chandler Man Sentenced to Prison for Health Care Fraud and Identity Theft

Elseddig Elmarioud Musa, 43, of Chandler, Ariz., was sentenced by U.S. District Judge Douglas L. Rayes to 57 months in federal prison and three years of supervised release. Musa also was ordered to pay more than $1.2 million in restitution. Musa was convicted by a jury of 35 counts of health care fraud

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George Delacruz v. The State of Texas George De La Cruz sentenced to life in prison

Delacruz and Julie Ann Gonzales had a daughter, L.D., and married young. In
December 2009, shortly after they married, Julie filed for divorce. On March 26, 2010, Julie went
to pick up L.D. from Delacruz’s house and was never seen or heard from again.
Because an initial investigation revealed (1) no evidence of foul play and
(2) messages that had been sent from Julie’s cell phone

More...   $0 (04-26-2017 - TX)

The State of Texas v. Eric Wayne Donaldson

On March 5, 2014, a Hays County grand jury indicted Donaldson in cause number
CR-14-0122 for two offenses: credit card abuse committed against an elderly individual, see Tex.
Penal Code § 32.31(b), (d), and fraudulent use or possession of identifying information of less than
five items committed against an elderly individual, see id. § 32.51(b)(1), (c)(1), (c-1)(1).
On November 5,

More...   $0 (04-26-2017 - TX)

United States of America v. Dr. Norman A. Brooks, M.D. Federal Courthouse - Los Angeles

Los Angeles, CA - The owner of The Skin Cancer Medical Center in Encino has paid the United States nearly $2.7 million to resolve allegations that he submitted bills to Medicare for Mohs micrographic surgeries for skin cancers that were medically unnecessary.

Dr. Norman A. Brooks, M.D., a dermatologist and surgeon, paid the $2,681,400 settlement on April 10.

The settlement, whic

More...   $2681400 (04-23-2017 - CA)

Loyd F. Schmuckley, Jr. v. Walgreens Co.

Sacramento, CA - Whistleblower Case Against Walgreens Results in $9.9 Million Settlement

Retail pharmacy chain Walgreens has agreed with the California Department of Justice, the United States Department of Justice, and Whistleblower Loyd F. Schmuckley, Jr. to settle civil allegations of false claims fraud for $9.9 million. Whistleblower “Skip” Schmuckley, who is represented by attorneys

More...   $9900000 (04-20-2017 - CA)

Howard Thomas Douglas v. The State of Texas TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

The jury heard evidence that Douglas owned and operated a company, North Texas
Medical Evaluators (NTME), that provided workers’-compensation-related medical services to
entities that were insured by TMIC. One such service, and the one at issue in this case, was the
Functional Capacity Evaluation (FCE), a medical evaluation used to determine an injured worker’s
ability to return t

More...   $0 (04-18-2017 - TX)

United States of America v. Anthony C. Neal Federal Courthouse - Portland, Oregon

Seattle, WA - resham Medical Practice Manager Sentenced to Prison for False Billing and Tax Fraud

United States District Court Judge Robert E. Jones sentenced Anthony C. Neal to one year and one day in federal prison followed by three years of supervised release. Neal pleaded guilty in July 2016 to engaging in a seven-year health care fraud scheme and conspiring to defraud the Internal Re

More...   $0 (04-09-2017 - OR)

United States of America v. Julian Cintron Federal Courthouse - Hartford, Connecticut

Hartford, CT - New Haven Man Sentenced to 9 Years in Prison for Role in Fraudulent Oxycodone Prescription Scheme

Julian Cintron, also known as “Papi” and Jay,” 37, of New Haven, was sentenced to 108 months of imprisonment, followed by three years of supervised release, for his leadership role in a scheme to distribute oxycodone that was obtained through fraudulent prescriptions.

More...   $0 (04-03-2017 - CT)

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

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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

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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)

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