Medicaid Law
 
United States of America v. Bradley A. Seyer, D.D.S.

St. Louis, MO - The United States of America charged Bradley A. Seyer, D.D.S. with making false statements relating to health care matters.

Bradley A. Seyer, D.D.S., 53, of Florissant, Missouri, was sentenced today to 18 months of imprisonment and a $50,000 fine. Previously, on June 26, 2019, Dr. Seyer pleaded guilty to two felony charges of making false statements to Medicare and illega... More...
   $0 (02-08-2020 - MO)

United States of America v. Frank Craig Purpera, Jr.

Roanoke, VA - The United States of America charged Frank Purpera, Jr. with drug distribution and health care fraud.

The former owner of the Virginia Vein Institute, who illegally distributed controlled substances, conspired to commit health care fraud, committed health care fraud, and then obstructed justice to hinder the investigation, was convicted yesterday at the conclusion of a seven... More...
   $0 (02-04-2020 - VA)

United States of America v. Elet Neilson

Salt Lake City, UT - The United States of America charged Elet Neilson with stealing pain medications from patients.

Elet Neilson, age 53, of Layton, a former emergency room nurse who admitted to tampering with controlled substances intended for patients and diverting the drugs for her own use, will serve 60 months in federal prison.

As a result of the tampering and diversion, ... More...
   $0 (01-30-2020 - UT)

United States and State of Tennessee ex rel. Forester v. Chang-Wen Chen, M.D. and Chang-Wen Chen, M.D., P.C.

Knoxville, TN - The United States of America sued Dr. Chang-Wen on a False Claims Act violation theory.

Family physician Dr. Chang-Wen Chen and his practice Chang-Wen Chen, M.D., P.C. paid $285,000 to resolve allegations that they violated the False Claims Act by improperly charging government health care programs the physician’s rate for services that were provided by nurse practitioners... More...
   $0 (01-27-2020 - OK)

United States of America v. Ryan P. Sheridan

Cleveland, OH - The United States of America charged Ryan P. Sheridan with:

Ryan P. Sheridan, 39, the owner and operator of Braking Point Recovery Center, which operated in the Youngstown and Columbus areas, was sentenced to 7 ˝ years in prison for crimes related to a health care fraud conspiracy where Medicaid was billed $48 million for drug and alcohol recovery services, much of which w... More...
   $0 (01-27-2020 - OH)

United States of America v. Terra Dean and Larita Walls

Pittsburgh, PA - The United States of America charged Terra Dean and Larita Walls with Medicaid and Health car fraud.

Two residents of Pittsburgh, Pennsylvania, pleaded guilty to one count each of conspiracy to defraud the Pennsylvania Medicaid program and health care fraud.

Terra Dean, 46, and Larita Walls, 57, pleaded guilty in separate hearings before United States District Ju... More...
   $0 (01-23-2020 - PA)

United States of America v. Dr. Rajendra Bhayani

Brooklyn, NY - The United States of America sued Dr. Rajendra Bhayani claiming that he paid kickback and and submitted false claims for reimbursment.

Dr. Rajendra Bhayani, an otolaryngologist, has agreed to pay the United States $1,109,000 to resolve civil allegations that he and his practice – New York Otolaryngology & Aesthetic Surgery, P.C. in Brooklyn and Queens – paid kickbacks and s... More...
   $1100000 (01-22-2020 - NY)

United States, et al., ex rel. Ameer v. ResMed, Inc.

San Diego, CA - Numerous complaints sued MesMed on qui tam theories.

ResMed Corp., a manufacturer of durable medical equipment (DME) based in San Diego, California, has agreed to pay more than $37.5 million to resolve alleged False Claims Act violations for paying kickbacks to DME suppliers, sleep labs and other health care providers, the Department of Justice announced today.

“P... More...
   $0 (01-20-2020 - CA)

United States of America v. Theresa C. Merced

Lexington, KY - The United States of America charged Theresa C. Merced, age 80, with soliciting kickbacks.

A Jackson, Kentucky, woman admitted she solicited kickbacks from a toxicology laboratory in exchange for urine drug testing referrals, lied to law enforcement agents about the kickback she received, and then attempted to cover up the kickback by requesting the alteration of certain f... More...
   $0 (01-16-2020 - KY)

Dignity Health v. Local Initiative Health Care Authority of Los Angeles County

Plaintiffs and appellants Dignity Health and Northridge
Hospital Medical Center (Northridge Hospital; collectively,
plaintiffs) appeal from a grant of summary judgment in favor of
defendant and respondent Local Initiative Health Care Authority
of Los Angeles County dba L.A. Care Health Plan (defendant).
Defendant is a managed care health plan that provides health
care cover... More...
   $0 (01-12-2020 - CA)

United States of America v. Kain Kumar

Los Angeles, CA - The United States of America chrged Kain Kumar with medicare fraud and illegall prescribing opioid painkillers and muscle relaxers.

A former Los Angeles-area physician was sentenced today to 24 months in prison and three years of supervised release for engaging in a multi-faceted Medicare fraud scheme and for illegally prescribing thousands of opioid painkillers and musc... More...
   $0 (01-07-2020 - CA)

S.F.G. by Next Friend A.E.R., and A.E.R., Individually, vs. A.M.G.


Need help finding a lawyer for representation for petition for paternity and child custody in Missouri?

Call 918-582-6422. It's Free.



A.M.G. (“Mother”) appeals from the judgment entered by the trial court on the
petition of A.F.R. (“Father”) for paternity and child custody, awarding Father sole leg... More...
   $0 (01-03-2020 - MO)

United States of America v. Dr. Raymond Michael Moore

Abingdon, VA - The United States of America charged Dr. Raymond Michael Moore with illegally dispensing drugs.

Dr. Raymond Michael Moore, 61, of Wise, Va., who had a medical practice in Norton, Va., pleaded guilty to fourteen federal charges, including illegally prescribing more than 25,000 oxycodone pills, more than 17,000 hydrocodone pills, and more than 10,000 benzodiazepine pills; obt... More...
   $0 (01-03-2020 - VA)

Jackson Women's Health Organization, et al. v. Thomas E. Dobbs, M.P.H., et al.

This case concerns a Mississippi law that prohibits abortions, with limited exceptions, after 15 weeks’ gestational age. The central question before us is whether this law is an unconstitutional ban on pre-viability abortions. In an unbroken line dating to Roe v. Wade, the Supreme Court’s abortion cases have established (and affirmed, and re-affirmed) a woman’s right to choose an abortion before v... More...   $0 (12-16-2019 - MS)

United States of America v. Enock Mensah

Brooklyn, NY - The United States of America charged Enock Mensah with theft of funds and health care fraud.

A federal jury in Brooklyn returned a guilty verdict for public benefits theft and healthcare fraud against Enock Mensah, a social worker participating in the New York State Early Intervention Program (EIP) that provides remedial services to developmentally delayed children. When s... More...
   $0 (12-13-2019 - NY)

In the Interests of L.H. and L.H. II, Minor Children.


Need help finding a parental rights lawyer in Kansas for representation? Call 918-582-6422. It's Free.



Mother is the natural mother of L.H., born in 2008, and L.H. II, born in 2011. In 2014, the State initiated child in need of care (CINC) proceedings for both children due to Mother's long history of substance abu... More...
   $0 (12-09-2019 - KS)

United States of America v. Rising Pharmaceuticals, Inc.

Philadelphia, PA - The United States of America charged Rising Pharmaceuticals, Inc. with engaging in a criminal conspiracy to fix prices and allocate customers for a generic drug.

Rising Pharmaceuticals Inc. (Rising), a generic pharmaceutical company headquartered in New Jersey, was criminally charged for conspiring to fix prices and allocate customers for a generic hypertension drug, an... More...
   $0 (12-04-2019 - PA)

United States of America v. Darrel R. Rinehart, M.D.

Nashville, TN - The United States of America charged Darrel R. Rinehart, M.D. with unlawfully distributing controlled drugs.

A medical doctor who formerly practiced in Tennessee pleaded guilty for his role in unlawfully distributing controlled substances.

Darrel R. Rinehart M.D., 64, of Indianapolis, Indiana, formerly of Columbia, Tennessee, pleaded guilty to one count of unlawfu... More...
   $0 (12-03-2019 - TN)

United States of America v. A’Shae Primeaux

Sioux Falls, SD - The United States of America charged A’Shae Primeaux with assault and batter with a dangerous weapon.

A Marty, South Dakota, man convicted of Assault with a Dangerous Weapon was sentenced on November 25, 2019, by U.S. District Judge Karen E. Schreier.

A’Shae Primeaux, age 21, was sentenced to 24 months in federal prison, 3 years of supervised release, restitutio... More...
   $0 (11-28-2019 - SD)

United States of America v. Lawrence J. Valdez, M.D.

Nashville, TN - The United States of America charged Lawrence J. Valdez, M.D. with drug distribution.

A Tennessee emergency medical doctor pleaded guilty for his role in unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 50, of Hendersonville, Tennessee, pleaded guilty to one count of unlawful distribution of controlled substances before U.S. District Judge ... More...
   $0 (11-26-2019 - TN)

United States of America v. Douglas Duane Franklin

Beaumont, TX - The United States of America charged Douglas Duane Franklin with health care fraud.

A 59-year-old Beaumont mental health care counselor has pleaded guilty to health care fraud in the Eastern District of Texas.

Douglas Duane Franklin pleaded guilty to an Information charging him with health care fraud.

According to informatio... More...
   $0 (11-25-2019 - TX)

United States of America v. Hope Omone Falowo

Washington, DC - The United States of America charged Hope Falowo with health care fraud.

Hope Falowo, 53, of Bowie, Maryland, pled guilty today to a federal charge of health care fraud stemming from a scheme in which she caused the District of Columbia’s Medicaid program to be defrauded out of approximately $400,000.

The announcement was made by U.S. Attorney Jessie K... More...
   $0 (11-23-2019 - DC)

United States ex rel. Stone v. Jewish Hosp. & St. Mary’s Healthcare, Inc., et al.

Louisville, KY - The United States ex rel. Stone v. Jewish Hosp. & St. Mary’s Healthcare, Inc., et al., on qui tam theories claiming they submitted false claims for Medicare reimbursement.

Jewish Hospital & St. Mary’s Healthcare Inc., doing business as Pharmacy Plus and Pharmacy Plus Specialty (collectively, Jewish Hospital), of Louisville, Kentucky, have agreed to pay $10,101,132 to res... More...
   $10101132 (11-21-2019 - KY)

United States of America v. Naim Muhammad

St. Louis, MO - The United States of America charged Naim Muhammad with Medicaid fraud.



Naim Muhammad, 56, of St. Charles, MO, pled guilty to one count of making a false claim to Medicaid. Mr. Muhammad appeared today before U.S. District Judge Audrey G. Fleissig who accepted his plea and set sentencing for February 28, 2020.

According to the plea agreement, Mr. Muham... More...
   $0 (11-20-2019 - MO)

Tony Sarun v. Dignity Health

Tony Sarun had no health insurance in March 2012 when
he received emergency care at Northridge Hospital Medical
Center, then owned and operated by Dignity Health.1 Upon
admission Sarun signed an agreement to pay the hospital’s “full
charges, unless other discounts apply.” “Full charges” were
defined as “the Hospital’s published rates (called the
chargemaster), prior to any ... More...
   $0 (11-16-2019 - CA)

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