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Texas Medicare Law
 

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. Dr. Anthony P. Sertich, Jr.

San Antonio, TX - San Antonio Doctor Sentenced to Federal Prison for Failure To Pay Withholding Taxes and Tax Evasion

Anthony P. Sertich, Jr., age 60, was sentenced to 41 months in federal prison and ordered to pay more than $2.9 million in restitution to the Internal Revenue Service.

On March 2, 2016, a federal jury convicted Sertich of ten counts of failure to truthfully accoun... More...
   $0 (09-12-2016 - TX)

United States of America et al v. Preferred Imaging Centers, L.L.C.

Dallas, TX - Prefered Imaging, LLC to Pay $3,510,000 to Resolve False Claims Act Allegations

Preferred Imaging, LLC, (Preferred Imaging), a provider of diagnostic imaging services, has agreed to pay $3,510,000 to resolve allegations that it improperly billed Medicare and Medicaid for services performed without proper medical supervision in violation of the False Claims Act and the Texas M... More...
   $3510000 (11-30--0001 - TX)

United States of America v. Jerrie Mona Chesney

Houston, TX - Montgomery County Woman Convicted of Social Security Fraud

A 67-year-old Willis woman admitted she stole the identity of a deceased woman and used it for financial gain for nearly 20 years.

Jerrie Mona Chesney pleaded guilty to one count of theft of public money.

In the late 1980s, Chesney read in a local newspaper about the death of a woman who had lived i... More...
   $0 (07-10-2016 - TX)

United States of America v. Daniel Thomason Smith and Kathleen Marina Kelly-Tuorila

Waco, TX - Jury Convicts Owner of DTS Medical Supply Company in Devine, TX, and Office Manager in Connection with $3.5 Million Health Care Fraud Scheme

A jury returned guilty verdicts against 55–year-old DTS Medical Supply Company owner Daniel Thomason Smith and 45-year-old DTS office manager Kathleen Marina Kelly-Tuorila in connection with an estimated $3.5 million Health Care Fraud sch... More...
   $0 (07-03-2016 - TX)

United States of America v. Byron Felton Conner

Dallas, TX - North Richland Hills Physician Admits Role in Health Care Fraud Conspiracy

A licensed physician from North Richland Hills, Texas, Byron Felton Conner, 48, pleaded guilty to one count of conspiracy to commit health care fraud stemming from a scheme to defraud Medicare through the submission of false claims for physician home visits and home health care services.

Con... More...
   $0 (06-19-2016 - TX)

United States of America v. Dr. Augustine Egbunike

Houston, TX - Houston Physician Sentenced in Health Care Fraud Conspiracy

Two defendants in a nearly $3 million fraudulent vestibular diagnostic testing scheme have been ordered to federal prison. Dr. Augustine Egbunike, 61, pleaded guilty Jan. 16, 2015, while Loretta Mbadugha, 58, also of Houston, entered a plea for her role in the scheme Dec. 12, 2014.

U.S. District Judge Melin... More...
   $2000000 (06-10-2016 - TX)

United States of America v. Jacques Roy, M.D., Cynthia Stiger, Wilbert James Veasey, Jr. and Charity Eleda, R.N.

Dallas, TX - Dallas Doctor and Three Dallas-Area Home Health Agency Owners Convicted for Running Large-Scale, Sophisticated Health Care Fraud Scheme

Following a six-week-long trial before U.S. District Judge Sam A. Lindsay and less than two days of deliberation, a federal jury convicted a Dallas physician and three owners of home health agencies on various felony offenses, including consp... More...
   $0 (04-17-2016 - TX)

United States of America v. Mkrtich “Mike” Yepremian

Houston, TX - Houstonians Plead Guilty in $13 Million Health Care Fraud Case

The leader and four others charged in a $13 million Medicare and Medicaid health care fraud case have entered guilty pleas for their respective roles.

Mkrtich “Mike” Yepremian, 58, of Houston, pleaded guilty to conspiracy to commit health care fraud and paying kickbacks to marketers of Medicare and Med... More...
   $0 (03-04-2016 - TX)

United States of America v. Patricia Akamnonu

Dallas, TX - Registered Nurse Co-Owner of Ultimate Care Home Health Services, Inc. Sentenced to 10 Years in Federal Prison for Role in Healthcare Fraud Conspiracy

Conspiracy Involved Dr. Jacques Roy of Medistat Group Associates and Others

A 52-year-old registered nurse and home health company owner from Cedar Hill, Texas, was sentenced this morning in federal court in Dallas on a... More...
   $0 (01-19-2016 - TX)

United States of America v. Patience Okoroji, Usani Ewah, Kingsley Nwanguma and Joy Ogwuegbu

Dallas, TX - Dallas-Based Home Heath Company Owners and Nurses Charged for Roles in $13.4 Million Medicare Fraud Scheme

The co-owners of a home health company in Dallas and two nurse employees were charged in an indictment unsealed yesterday for their alleged participation in a $13.4 million health care fraud scheme involving fraudulent claims for home health services.

Assistant ... More...
   $0 (12-23-2015 - TX)

United States of America v. Florence Kroma a/k/a Florence Kamara a/k/a Florence Koroma a/k/a Florence Bangura

Plano, TX - Texas Nurse Convicted of Health Care Fraud

A Denton County, Texas, nurse has been convicted of 9 counts of health care fraud in the Eastern District of Texas.

Florence Kroma a/k/a Florence Kamara a/k/a Florence Koroma a/k/a Florence Bangura, 55, of Denton, Texas, was found guilty by a jury of nine counts of health care fraud following a four day trial before U.S. Dis... More...
   $0 (12-21-2015 - TX)

United States of America v. Robert Hadley Gross

Amarillo, TX San Angelo, Texas, Psychiatrist Sentenced to Serve 71 Months in Federal Prison on Health Care Fraud Conviction

Dr. Robert Hadley Gross Also Fined $100,000 and Ordered to Pay More Than $1.8 Million in Restitution

A licensed psychiatrist from San Angelo, Texas, Robert Hadley Gross, 58, was sentenced yesterday by U.S. District Judge Mary Lou Robinson to 71 months in fed... More...
   $1800000 (12-17-2015 - TX)

United States of America v. Jocelyn Pyles-Elo, M.D.

Houston, TX - Jury Convicts Former City of Houston Doctor of Health Care Fraud

A jury has returned a guilty verdict against a former staff physician for the City of Houston of 14 counts of health care fraud in a $1 million health care fraud scheme, announced U.S. Attorney Kenneth Magidson. Jocelyn Pyles-Elo, M.D., 58, was convicted following a 3 ˝ day trial in Houston.

The jury h... More...
   $0 (11-20-2015 - TX)

United States of America v. Robert Manning

Houston, TX Houston Man Pleads Guilty to Conspiracy to Defraud Medicare

A Houston businessman has entered a guilty plea to engaging in a conspiracy to defraud Medicare of more than $6.6 million.

At a hearing held today before U.S. District Kenneth Ellison, Robert Manning, 60, admitted he participated in a three-year conspiracy to defraud Medicare by paying kickbacks to Medicare b... More...
   $0 (10-29-2015 - TX)

LOUISA D. REDDIC v.EAST TEXAS MEDICAL CENTER REGIONAL HEALTH CARE SYSTEM, INDIVIDUALLY AND D/B/A EAST TEXAS MEDICAL CENTER-CROCKETT, INC.

This case involves a claim against a hospital by a visitor who fell in the hospital lobby. The
question is whether it is a health care liability claim under the Texas Medical Liability Act. See TEX.
CIV. PRAC. & REM. CODE ch. 74. We conclude it is not, because the record does not demonstrate
a substantive relationship between the safety standards the visitor alleged the hospital bre... More...
   $0 (10-31-2015 - TX)

USA v. Felix Maduka

Felix Maduka pleaded guilty to one count of conspiracy to structure bank withdrawals to avoid reporting requirements and eight counts of structuring bank withdrawals to avoid reporting requirements. See 31 U.S.C. § 5324(a)(3) and (d)(2); 18 U.S.C. § 371. He was sentenced to concurrent, within-guidelines sentences of 60 months in prison on each count, to be followed by three years of supervised r... More...   $0 (10-29-2015 - TX)

United States of America v. Verona Spicer

Houston, TX - Clinic Manager Guilty of Health Care Fraud

The owner and operator of Elite P. Care Medical Services has been convicted of conspiracy to commit health care fraud and health care fraud in a $1 million fraud scheme. Verona Spicer, 46, pleaded guilty before U.S. District Judge Kenneth Hoyt.

Spicer admitted that she hired a physician to sign patient medical documents at ... More...
   $0 (10-05-2015 - TX)

United States of America v. Luis Morales

Dallas, TX - Employment Staffing Agency Owner Sentenced to 24 Months in Federal Prison for Failure to Pay Over Payroll Taxes

A local man who admitted failing to pay over payroll taxes for tax years 2008 through 2012 was sentenced today.

Luis Morales was sentenced by U.S. District Judge Terry R. Means to 24 months in federal prison and order to pay approximately $209,000 in restit... More...
   $0 (09-30-2015 - TX)

Specialty Select Care Center of San Antonio LLC d/b/a Casa Rio Healthcare and Rehabilitation v. Jose Flores, as next friend of Julie Flores

This is an appeal of a trial court’s order denying a motion to compel arbitration filed by Specialty Select Care Center of San Antonio, LLC d/b/a Casa Rio Healthcare and Rehabilitation. After the parties’ briefs were filed, this court abated this appeal pending the Texas Supreme Court’s decisions in three appeals from this court. See Williamsburg Care Co. L.P. v. Acosta, 406 S.W.3d 711 (Tex. App.—... More...   $0 (09-02-2015 - TX)

United States of America v. Victor Lee Gonzalez

McAllen, TX - Area Ambulance Company Owner Pleads Guilty in Health Care Fraud Scheme

The owner of Vic’s Texas Transport, Inc. (dba Victory EMS) has been convicted of health care fraud and aggravated identity theft, announced United States Attorney Kenneth Magidson. Victor Lee Gonzalez, 28, of Mission, entered his guilty plea before Chief U.S. District Judge Ricardo Hinojosa.

As p... More...
   $0 (09-22-2015 - TX)

United States of America v. Martha Lidia Flores

McAllen, TX - McAllen Area Marketer Pleads Guilty to Health Care Fraud Scheme

A marketer for several area home health agencies has entered a guilty plea to conspiracy to commit health care fraud for her role in a scheme to defraud the Medicare program, announced U.S. Attorney Kenneth Magidson.

Martha Lidia Flores, 51, of Pharr, admitted to engaging in a kickback scheme of exchang... More...
   $0 (08-28-2015 - TX)

Cardiovascular Provider Resources Inc. v. Charles Gottlich, M.D.

Cardiovascular Provider Resources Inc. appeals a jury verdict in favor of Charles Gottlich, M.D. on his claim for misappropriation of his name. Bringing four issues, CPR contends the evidence is legally insufficient to support the jury’s findings on liability and damages. CPR further contends the trial court erred in failing to award it attorney’s fees under the Texas Theft Liability Act. After re... More...   $0 (08-18-2015 - TX)

Marc Veasey v. Greg Abbott

In 2011, Texas (“the State”) passed Senate Bill 14 (“SB 14”), which requires individuals to present one of several forms of photo identification in order to vote. See Act of May 16, 2011, 82d Leg., R.S., ch. 123, 2011 Tex. Gen. Laws 619. Plaintiffs filed suit challenging the constitutionality and legality of the law. The district court held that SB 14 was enacted with a racially discriminatory pur... More...   $0 (08-06-2015 - TX)

United States of America v. Argentina Cavazos

McAllen, TX McAllen Area Doctor’s Assistant Convicted in Illegal Kickback Scheme

Argentina Cavazos, 57, has pleaded guilty to illegal remunerations for her role in a scheme to solicit and obtain illegal kickbacks in exchange for patient referrals, announced U.S. Attorney Kenneth Magidson.

Cavazos, a doctor’s assistant for a McAllen area physician, admitted to engaging in a kickb... More...
   $0 (07-31-2015 - TX)

Juanita Sprute, M.D. and Jefferson Family Practice Associates v. Arnold L. Levey

This appeal and cross-appeal arise from two orders. In the first order, the trial court dismissed the underlying cause for failure to file an expert report pursuant to section 74.351 of the Texas Civil Practice and Remedies Code (“Code”). The first order stated that the amount of attorney’s fees and costs of court to be awarded would be reset for a future hearing. In the second order, which incorp... More...   $0 (07-15-2015 - TX)

United States of America v. Joe White

TYLER, Texas – The former Chief Financial Officer of Shelby Regional Medical Center has been sentenced to federal prison in the Eastern District of Texas, announced U.S. Attorney John M. Bales today.

Joe White, 68, of Cameron, Texas, pleaded guilty on Nov. 12, 2014 to making a false statement and was sentenced to 23 months in federal prison today by U.S. District Judge Michael Schneider... More...
   $0 (06-17-2015 - TX)

United States of America v. Pat Akamnonu

DALLAS — A 52-year-old registered nurse from Cedar Hill, Texas, who owned a home health company, appeared in federal court this afternoon and pleaded guilty to her role in a health care fraud conspiracy, announced John Parker, Acting U.S. Attorney for the Northern District of Texas.

Pat Akamnonu, along with her husband, Cyprian (Cy) Akamnonu, owned Ultimate Care Home Health Services, In... More...
   $0 (06-16-2015 - TX)

United States of America v. Pamela Adenuga and Kehinde (Kenny) Adenuga

DALLAS, TX — Two Arlington, Texas, residents who were convicted at trial in January 2014 on all counts of a superseding indictment charging them with one count of conspiracy to commit health care fraud and seven substantive health care fraud counts, were sentenced today, announced John Parker, Acting U.S. Attorney for the Northern District of Texas.

Pamela Adenuga, 39, was sentenced to ... More...
   $0 (05-28-2015 - TX)

United States of America v. Abraham Moses Fisch

HOUSTON, TX – Abraham Moses Fisch, 56, a criminal defense attorney in Houston, has been convicted on 18 counts to include conspiracy, obstruction of justice, money laundering, conspiracy to commit money laundering and failure to file tax returns. The jury returned its verdicts late today following a 15-day trial and approximately 14 hours of deliberations.

Lloyd Glen Williams, 67, a for... More...
   $0 (05-27-2015 - TX)

United States of America v. Tariq Mahmood

TYLER, TX – A 63-year-old Dallas County, Texas, physician, was sentenced to federal prison for health care fraud and identity theft violations in the Eastern District of Texas. Tariq Mahmood, 63, of Cedar Hill, Texas, was found guilty by a jury of conspiracy to commit health care fraud, seven counts of health care fraud, and seven counts of aggravated identity theft following a four day trial be... More...   $0 (04-14-2015 - TX)

Irma Barragan v. Nederland Independent School District

Appellant Irma Barragan appeals the trial court’s enforcement of a purported
Rule 11 agreement to settle the lawsuit and dismissal with prejudice of her
personal injury lawsuit against appellee Nederland Independent School District
(“NISD”). Barragan raises seven issues for our consideration. We reverse the trial
court’s orders and remand the cause for further proceedings c... More...
   $0 (02-05-2015 - TX)

United States of America v. Melva Mitchell

FORT WORTH, TX — The owner/operator of a chiropractic clinic in Fort Worth, Texas, was sentenced this morning on a federal felony conviction stemming from her submission of false reimbursement claims to Medicare and Medicaid, announced Acting U.S. Attorney John Parker of the Northern District of Texas.

Melva Mitchell, 35, of Fort Worth, a licensed chiropractor, was sentenced by U.S. Dis... More...
   $0 (01-20-2015 - TX)

United States of America v. Lanny C. McCandles

HOUSTON, Harris County, TX – Lanny C. McCandles has been ordered to federal prison after pleading guilty to failing to pay employment taxes, announced U.S. Attorney Kenneth Magidson along with Lucy Cruz, special agent in charge of Internal Revenue Service-Criminal Investigation (IRS-CI).

Today, U.S. District Judge Kenneth Hoyt, who accepted the guilty plea, handed McCandles an 18-month ... More...
   $0 (01-05-2015 - TX)

United States of America v. Joseph Megwa, M.D.

DALLAS, TX – A physician and a home health agency manager were sentenced for their roles in a $3 million Medicare fraud conspiracy, announced U.S. Attorney Sarah R. Saldaña of the Northern District of Texas.

Joseph Megwa, M.D., 60, of Arlington, Texas, and Ebolose Eghobor, R.N., 49, of Grand Prairie, Texas, were sentenced today by U.S. District Judge Ed Knikeade to 120 months and 48 mo... More...
   $0 (12-17-2014 - TX)

United States of America v. Jada Necole Antoine

DALLAS, TX — A Dallas woman who stole the identity of a registered nurse and used that identity to work at several Dallas-Fort Worth (DFW) area hospice companies, appeared before U.S. Magistrate Judge David L. Horan, and pleaded guilty to a federal offense stemming from that conduct.

Jada Necole Antoine, 33, pleaded guilty to one count of fraud in connection with means of identification... More...
   $0 (12-09-2014 - TX)

United States of America v. Viju Mathew

DALLAS, TX — A former employee at Parkland Hospital in Dallas appeared in federal court and pleaded guilty, before U.S. Magistrate Judge Renée Harris Toliver, to a federal felony offense stemming from his theft of patient information from the hospital.

Viju Mathew, 49, of Garland, Texas, pleaded guilty to one count of fraud and related activity in connection with identification documen... More...
   $0 (11-25-2014 - TX)

United States of America v. Dr. Dennis B. Barson

HOUSTON, TX – Dr. Dennis B. Barson Jr., 44, and his medical clinic administrator, Dario Juarez, 54, have been convicted on all counts as charged in a conspiracy to defraud Medicare of $2.1 million in less than two months, announced U.S. Attorney Kenneth Magidson. Co-defendant Edgar Shakbazyan entered a guilty plea Oct. 24, 2014. The verdicts were returned just moments ago following seven days of... More...   $0 (11-05-2014 - TX)

United States of America v. Nicolas Alfonso Padron and Jose L. Martinez

DALLAS, TX — Physician and Others Sentenced in “Pill Mill” Case -Nicolas Padron Ran “Cash Only” Padron Wellness Clinic in Dallas “Patients” Often Recruited From Homeless Shelters

A physician who ran a “cash only clinic” in Dallas that operated not as a legitimate medical facility, but as a place to unlawfully obtain controlled substances, and several coconspirators who o... More...
   $0 (10-30-2014 - TX)

United States of America v. Andrea Michelle Tellison

HOUSTON, TX – Andrea Michelle Tellison, 47, has been ordered to federal prison for eight years following her convictions of 14 counts of health care fraud and seven counts of aggravated identity theft, announced United States Attorney Kenneth Magidson. A jury convicted Tellison April 2, 2014, following three days of trial and less than two hours of deliberation. Today, U.S. District Judge Lee Ro... More...   $0 (08-26-2014 - TX)

 
 
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