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Case Number: 4:20-cr-00286
Judge: Sean D. Jordan
Court: United States District Court for the Eastern District of Texas (Collin County)
Plaintiff's Attorney: United States Attorney’s Office in PLano
Defendant's Attorney: Ronald David Wells
Description: Plano, Texas criminal defense lawyer represented Defendant charged with wire fraud.
Oscar Simon Ndereva, 45, was involved in an intricate scheme to defraud private pay health insurance payors. Specifically, he used a fraudulent healthcare pharmacy called “Healogix” to submit fraudulent claims. Ndereva caused the fraudulently obtained funds to be paid directly to bank accounts he opened in the name of another individual. Over the course of the scheme, Ndereva moved money through various accounts in order to conceal the nature and source of those funds, and also structured check cashing transactions to avoid financial reporting requirements and to evade law enforcement detection. In all, Ndereva's company Healogix submitted over 780 fraudulent claims totaling over $5 million.
This case was investigated by the FBI and Health and Human Service – Office of Inspector General.
Outcome: Defendant was sentenced to 54 months in prison.