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Date: 11-25-2020

Case Style:

United States of America v. Grigoriy T. Rodonaia

Case Number: 1:20-cr-00033-MAC-KFG

Judge: Marcia A. Crone

Court: United States District Court for the Eastern District of Texas (Jefferson County)

Plaintiff's Attorney: United States District Attorney’s Office, Beaumont, Texas

Defendant's Attorney:


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Description: 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, 2020. According to information presented in court, beginning in January 2015, Rodonaia participated in a health care fraud scheme by issuing prescriptions for specially compounded scar creams using the names, dates of birth, and Health Insurance Claim Numbers of TRICARE beneficiaries, and caused the prescriptions to be forwarded directly to Memorial Compounding Pharmacy in Houston, Texas. These prescriptions were issued without consultation with the patient and without the patient’s knowledge. The prescriptions were billed to the military health care program, TRICARE, by the pharmacy at approximately $9,000 to $13,000 per prescription, with multiple refills authorized per prescription. Rodanaia issued over 600 prescriptions in the names of approximately 140 beneficiaries in furtherance of this scheme. Before the scheme could be detected, TRICARE paid approximately $6.7 million in TRICARE funds to Memorial Compounding Pharmacy. Further, to conceal his criminal activity, Rodonaia created fictitious patient files and records that falsely indicated that he had examined or consulted with those patients, and submitted those false records to the Defense Health Agency in response to an audit.

Rodonaia additionally violated the Anti-Kickback Statute by requiring Medicare and Medicaid beneficiaries seeking opioid treatment to pay cash for an office visit in excess of the amount which would have been reimbursed by the Medicare and Medicaid programs.

Rodonaia was taken into custody following his conviction. He faces up to 10 years in prison for each count of health care fraud and an additional two year consecutive term of imprisonment for each count of aggravated identity theft. A sentencing date has not been set.

This case was investigated by the Defense Criminal Investigative Service, the Drug Enforcement Administration, Health and Human Services – Office of Inspector General, and the Texas Medicaid Fraud Control Unit. Assistant U.S. Attorney Robert L. Rawls prosecuted this case.

HEALTH CARE FRAUD, AID AND ABET (CRIMINAL FORFEITURE)
(1-11)
HEALTH CARE FRAUD, AID AND ABET (CRIMINAL FORFEITURE)
(16)
AGGRAVATED IDENTITY THEFT (CRIMINAL FORFEITURE)
(17-19)
FALSE STATEMENTS RELATING TO HEALTH CARE MATTERS (CRIMINAL FORFEITURE)
(22)
ANTI KICKBACK-RECEIPT OF PAYMENT (CRIMINAL FORFEITURE)
(26)
ANTI KICKBACK-RECEIPT OF PAYMENT (CRIMINAL FORFEITURE)
(29)

Outcome: Defendant was found guilty by a jury.

Plaintiff's Experts:

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