Medicaid Law
 
United States of America v. Dr. Charlton Peter

Nashville, TN - Middle Tennessee Podiatrist Pleads Guilty to Health Care Fraud -
Doctor Admits Submitting Claims for Procedures He Never Actually Performed

Dr. Charlton Peter, 59, of Lewisburg, Tenn., pleaded guilty to two counts of health care fraud.

In a plea hearing before U.S. District Judge Waverly D. Crenshaw, Jr., Peter, a podiatrist, admitted that he submitted claim... More...
   $0 (12-22-2016 - TN)

United States of America v. Dr. Charlton Peter

Nashville, TN - Middle Tennessee Podiatrist Pleads Guilty to Health Care Fraud - Doctor Admits Submitting Claims for Procedures He Never Actually Performed

Dr. Charlton Peter, 59, of Lewisburg, Tenn., pleaded guilty to two counts of health care fraud.

In a plea hearing before U.S. District Judge Waverly D. Crenshaw, Jr., Peter, a podiatrist, admitted that he submitted claims to ... More...
   $0 (12-15-2016 - TN)

United States of America v. Lynn E. Madsen, M.D.

Burlington, VT - Physician Pays $76,000 To The United States To Resolve Allegations Of False Claims Act Violations

Lynn E. Madsen, M.D., of Townshend, Vermont, has paid $76,000 to the United States to resolve allegations that she violated the federal False Claims Act, 31 U.S.C. § 3729, by knowingly presenting, or causing to be presented, false claims for payment to Medicare and Medicaid.... More...
   $0 (12-13-2016 - VT)

Sam Autry Fletcher v. The State of Texas

On December 1, 2012, Hugo Iguirre picked up his wife Ivette from her night
job, and they then went to Ivette’s brother’s house—where they were staying the
night—arriving about 3:30 a.m. A small, white SUV sped up and parked behind
them. Ivette believed the vehicle to be a Dodge Nitro or similar model. Four or
five men jumped out carrying rifles and claiming to be police. Th... More...
   $0 (12-08-2016 - TX)

United States of America v. Eyeland Optical Centers

Philadelphia, PA - United States Settles With Eyeland Optical Centers Over Medicaid False Claims

The United States announces that it has settled allegations under the False Claims Act with Eyeland Optical Centers, a chain of eye care centers in Pennsylvania. The settlement resolves allegations that Eyeland had billed Medicaid for more than four lenses per year, in violation of Pennsylvan... More...
   $0 (12-06-2016 - PA)

PARKVIEW ADVENTIST MEDICAL CENTER, Appellant, v. UNITED STATES OF AMERICA, on behalf of the Department of Health and Human Services, Centers for Medicare & Medicaid Services

This is an important case resting at the intersection of the Bankruptcy Code and Medicare law. It
concerns the efforts of the Parkview Adventist Medical Center ("Parkview") in Brunswick, Maine, which filed for bankruptcy on June 16, 2015, to use the Bankruptcy Code to challenge the actions of appellee United States, through the Centers for Medicare & Medicaid Services ("CMS"), in terminating... More...
   $0 (11-29-2016 - ME)

United States of America v. Emeritus Corporation, dba Emeritus Senior Living

Seattle, WA - Assisted Living Chain “Emeritus” Settles Allegations of Overbilling Government Programs

Former Washington State based Company Failed to return Overpayments

The United States Department of Justice and Emeritus Corporation, dba Emeritus Senior Living, settled claims that Emeritus had failed to refund to the U.S. overpayments for Medicaid services. Under the terms of ... More...
   $979000 (11-27-2016 - WA)

United States of America v. Sylvia Begay and Virgil Begay

Phoenix, AZ - Fort Defiance Couple Sentenced to Prison for Health Care Fraud

Sylvia Begay, 50, of Fort Defiance, Ariz., was sentenced to 28 months in federal prison, followed by a three-year term of supervised release, and ordered to pay more than $2.1 million in restitution. Additionally, Virgil Begay, 53, of Fort Defiance, Ariz., was sentenced by U.S. District Judge G. Murray Snow to ... More...
   $0 (11-24-2016 - AZ)

United States of America v. Robin Renee Haigler

San Antonio, TX - Waco Woman and Former DTS Medical Supply Company Employee Sentenced to Federal Prison in Connection with $4.5 Million Health Care Fraud Scheme

Robin Renee Haigler, 60-year-old former customer recruiter in the Waco area for DTS Medical Supply Company in Devine, TX, was sentenced to 87 months in federal prison for her role in an estimated $4.5 million Health Care Fraud sch... More...
   $3269300 (11-11-2016 - TX)

United States of America v. Kian Gohari

New York, NY - Pharmacist Kian Gohari Convicted In Manhattan Federal Court For Conspiring To Distribute Oxycodone And Conspiring To Commit Healthcare Fraud

Kian Gohari was convicted of narcotics and healthcare fraud charges for his role in a conspiracy to distribute medically unnecessary oxycodone pills and fraudulently bill Medicaid for those oxycodone pills. The jury convicted GOHARI f... More...
   $0 (11-10-2016 - NY)

BRANDON ROBERTS v. STATE OF MISSOURI

Roberts was charged and tried for one count of stealing, section 570.030, arising out of his unlawful receipt of certain benefits from the Missouri Department of Social Services, Family Support Division (the "Department"). On August 23, 2010, Roberts completed and submitted an application for benefits with Melissa Smolke ("Smolke"), eligibility specialist with the Department. Based on the in... More...   $0 (10-27-2016 - MO)

United States of America v. Hudson Valley Associates, R.L.L.P.

New York, NY - Manhattan U.S. Attorney Announces $5.31 Million Civil Settlement Against Hematology-Oncology Medical Practice For Submitting False Claims To Medicare And Medicaid

Hudson Valley Associates, agreed to pay $5.31 million to settle a civil fraud lawsuit filed against it by the United States of America. The settlement resolved claims brought under the False Claims Act, alleging... More...
   $5310000 (10-25-2016 - NY)

United States of America v. Richard Lee Hauser, M.D.

Des Monies, IA - Former Central Iowa Psychiatrist Pleads Guilty to Health Care Fraud

Richard Lee Hauser, M.D., 66, of North Liberty, Iowa, pleaded guilty to two counts of health care fraud.

According to the plea agreement, from about October 2008 until about August 2013, Dr. Hauser, a psychiatrist licensed to practice in Iowa, oversaw and personally provided services at a clinic ... More...
   $0 (10-24-2016 - IA)

United States of America v. Pilar Garcia Lorenzo

Tampa, FL - Owner of Florida Home Health Agency Convicted in Multimillion-Dollar Health Care Fraud Scheme

The owner of a Tampa, Florida, home health agency was convicted by a federal jury for her participation in a multimillion-dollar health care fraud and money laundering scheme.

Pilar Garcia Lorenzo (Garcia), 38, of Tampa, the owner of Gold Care Home Health Services Inc. (Gold... More...
   $0 (10-08-2016 - FL)

United States of America v. Mylan, Inc.

Washington, D.C. - Mylan To Pay $465 Million For Overpricing EpiPens

The United States Department of Justice charged Mylan, Inc., the maker of EpiPens with overcharging Medicaid for the pens by falsely classifying the pens as generic.

Mylan Issued the Following Press Release:

Mylan N.V. (NASDAQ, TASE: MYL) today announced that its subsidiary, Mylan Inc., has agreed to th... More...
   $0 (10-08-2016 - DC)

United States of America v. Valery Bogomolny

Los Angeles, CA - Owner of Los Angeles Medical Supply Company Sentenced to 5 Years in Federal Prison for Multimillion-Dollar Medicare Fraud Scheme

A West Los Angeles man who was the owner of a medical supply company has been sentenced to five years in federal prison for his role in a scheme that fraudulently billed more than $4 million to Medicare.

Valery Bogomolny, 44, of Westwo... More...
   $0 (10-06-2016 - CA)

United States of America v. Michael A. Tucker

Kansas City, MO - Man Sentenced for Fraud Scheme to Overcharge Medicaid, Medicare at Four Clinics

A Springfield, Mo., man who operated four Family Medical Center clinics in southern Missouri was sentenced in federal court for health care fraud.

Michael A. Tucker, 47, of Springfield, was sentenced by U.S. District Judge Gary A. Fenner to one year and one day in federal prison. The... More...
   $54273 (10-06-2016 - MO)

WILLIAM DIESER v. ST. ANTHONY’S MEDICAL CENTER

On January 28, 2008, Mr. Dieser was admitted to St. Anthony’s for surgery to
remove a pancreatic pseudocyst. Two days later, Mr. Dieser developed a pressure wound
on his buttocks. The wound developed into a stage IV pressure ulcer extending from the
surface of Mr. Dieser’s skin to the bone. Surgery had to be performed to cut and remove
dead tissue from the wound. Mr. Dieser... More...
   $0 (10-05-2016 - AR)

United States of America v. Steven William Delia

Muskogee, OK - Tulsa Doctor Found Guilty Of Health Care Fraud

Pre-signed Approximately 9,000 Blank Narcotics Prescriptions Before Afghanistan Deployment

Steven William Delia, age 61, of Tulsa, Oklahoma, was found guilty of HEALTH CARE FRAUD by a federal jury. The jury also found that the defendant should forfeit $83,769.27 in assets as part of any sentence imposed.

The... More...
   $0 (10-05-2016 - OK)

BAPTIST HEALTH RICHMOND V. HON. WILLIAM G. CLOUSE, JR.

Eva Louise Nall (Agee) underwent laproscopic surgery and subsequently
died. Her husband, Tim Agee, individually and on behalf of her estate, sued
Baptist Health and a number of medical care providers alleging that her death
was the result of medical negligence. During discovery, Mr. Agee propounded a
request for production of documents to Baptist Health. The request at issue More...
   $0 (09-26-2016 - KY)

United States of America v. Michael Huynh

Los Angeles, CA - Los Angeles Jury Convicts Medical Clinic Owner For Health Care Fraud and Tax Fraud

A federal jury in Los Angeles convicted the owner of a medical clinic for his role in a health care fraud scheme and for filing false income tax returns.

Michael Huynh, 57, of Encino, was convicted of one count of conspiracy to commit health care fraud and 11 counts of filing fals... More...
   $0 (09-25-2016 - CA)

JHONHENRI JABRILLE LEE v. DIANA CATALINA SALGADO BUENO

On or about October 9, 2014, Plaintiff/Petitioner Jhonhenri Jabrille Lee (Lee) was involved in a motor vehicle collision with Defendant/Respondent Diana Catalina Salgado Bueno (Bueno). Lee was driving a vehicle that was struck from behind by a vehicle driven by Bueno at the intersection of NW Expressway and Blackwelder in Oklahoma City, Oklahoma. The collision pushed Lee's vehicle into the vehicle... More...   $0 (09-23-2016 - Ok)

Milton Trotter v. State of Mississippi

Milton Trotter was sentenced to two life sentences involving one incident in 1981:
first, by the United States District Court for the Southern District of Mississippi for
kidnaping; second, by the Circuit Court of Lauderdale County for murder. In 1981, the
Circuit Court of Lauderdale County had ordered, based on Trotter’s plea agreement with the
State, that his state sentence would... More...
   $0 (09-20-2016 - MS)

STATE OF NORTH CAROLINA v.ROBERT DENNIS DIXON

In 1987, defendant’s father, Cardwell Dixon (“Cardwell”) married Sara Dixon
(“Sara”), six months after defendant’s mother passed away. Cardwell owned a 41
acre piece of property (“the property”), and built a home where he and Sara lived
(“2033 McCray Road”). Cardwell also helped defendant purchase a home, and
allowed him to place his home on the property.
In 2004, Cardwel... More...
   $0 (09-19-2016 - NC)

United States of America v. Andrew Barrett

New York Pharmacist Sentenced To 43 Months For Medicare And Tax Fraud

Defendant Caused $2.7 Million in Losses to Government Health Care Programs and Underreported His Income By Over $2.6 Million

Andrew Barrett, a New York pharmacist who operated pharmacies in Bronx, Queens, and Rockland counties, was sentenced to 43 months’ imprisonment to be followed by three years of supervised... More...
   $0 (09-13-2016 - NY)

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