Medicaid Law
 
United States of America v. Jami L. Mayhew

East St. Louis, IL - Criminal Law, Health Care Fraud





The United States of America charged Jami L. Mayhew with health care fraud.

Mayhew carried out the fraudulent scheme by seeing nursing home residents... More...
   $0 (09-19-2020 - IL)

United States ex rel. Kimberly Throgmorton v. Shreveport Prosthetics, Inc.

Shreveport, LA - Qui Tam, Whistleblower Claims, False Claims Act





The United States ex rel. Kimberly Throgmorton sued Shreveport Prosthetics, Inc. on a False Claims Act violation theory claiming that it wrongfully billed Medicare for services not performed.... More...
   $1600000 (09-17-2020 - )

Van Nguyen ex rel. United States of America v. Victoria Transcultural Clinical Center, VTCC, LLC (“VTCC”)

Alexandria, VA - Felony, Health Care Fraud, False Claims Act, Qui Tam






United States of America sued Victoria Transcultural Clinical Center, VTCC, LLC (“VTCC”) on a False Claims Act theory claiming that it engaged in a scheme to obtain payments from the... More...
   $263280 (09-14-2020 - )

Kerrie Reilly v. Marin Housing Authority






The federal Housing Choice Voucher program is a key
program in section 8 of the United States Housing Act of 1937.
(42 U.S.C. § 1437 et seq., as amended by § 201(a) of the Housing
and Communit... More...
   $0 (09-07-2020 - CA)

United States of America v. Aleksandr Pikus

Brooklyn, NY - Felony, Healthcare Kickbacks, Money Laundering





The United States of America charged Aleksandr Pikus, age 45, with healthcare kickback and money laundering conspiracy.

“The defendant’s key role in an elaborate scheme to steal and conceal... More...
   $0 (09-02-2020 - NY)

United States of America v. Dr. Yun Sup Kim





East St. Louis, IL - The United States of America charged Dr. Yun Sup Kim, age 49, with Medicaid fraud.

The case against Kim arose from a regulatory audit initiated in 2015 after claims data showed Kim
had performed more cavity fillings and s... More...
   $0 (08-27-2020 - IL)

United States of America v. Denver D. Tackett, DMD





Frankfort, KY - The United States of America charged Denver D. Tackett, DMD, age 66, with health care fraud.

According to the plea agreement, Tackett, a licensed dentist who owned and operated Tackett Family Dentistry in McDowell, Ky., submitted false and unnec... More...
   $0 (08-26-2020 - KY)

United States of America v. Markuetric Stringfellow





Columbia, NC - The United States of America charged Markuetric Stringfellow with conspiracy to defraud the South Carolina and North Carolina Medicaid systems.

According to filed plea documents and today’s plea hearing, Stringfellow was a resident of Charlotte... More...
   $0 (08-25-2020 - )

United States of America ex rel. FNU-LNU, LLC v. Doctor Ghanshyam Bhambhani





Brooklyn, NY - United States of America ex rel. FNU-LNU, LLC sued New York Cardiology, P.C and Doctor Ghanshyam Bhambhani claiming that he paid kickbacks to other physicians for referrals of patients insured by Medicare, Medicaid and the Federal Employees’ Health Benef... More...
   $0 (08-23-2020 - NY)

State ex rel. Peregrine Health Services of Columbus, LLC dba Summit's Trace Healthcare Center et al. v. Barbara Sears, Director, Ohio Department of Medicaid














[Cite as State e... More...
   $0 (08-17-2020 - OH)

State of Ohio v. Sekou B. Kpoto State of Ohio v. Caritas Home Healthcare & Supported Living, LLC







{¶ 1} The two above-captioned criminal matters involve a health care company and
its principal owner, each having been prosecuted separately and under separate case
Nos. 19AP-492 & 19AP-519 2
numbers before the Franklin Co... More...
   $0 (08-17-2020 - OH)

United States of America v. Scott Akers, M.D.





Pikeville, KY - The United States of America charged Scott Akers, M.D., are 48, with unlawfully distributing opioids and other controlled substances during a time when the defendants did not have a legitimate medical practice.

Defendant, a licensed physician, ... More...
   $0 (08-11-2020 - KY)

United States of America v. Ricky L. Houdersheldt, D.O.





Huntington, WV - United States of America charged Ricky L. Houdersheldt, D.O. with unlawfully distributing opioids to his patients.

A federal jury found a West Virginia doctor guilty of unlawfully distributing opioids to his patient... More...
   $0 (08-11-2020 - WV)

United States ex rel. Schneider v. Pacira Pharmaceuticals, Inc.






Newark, NJ - The United States of America sued Pacira Pharmaceuticals, Inc. on a whistleblower False Claims Act theory.

“Pacira tried to accelerate sales of its EXPAREL product through an illegal kickback scheme,” Attorney for the United States Honig said. “Ph... More...
   $3500000 (08-03-2020 - NJ)

United States of America v. Heidi Robertson





Birmingham, AL - The United States of America charged Heidi Robertson, age 35, with defrauding the Alabama Medicaid Agency of at least $1.5 million by billing for counseling services that were never provided.

An investigation was initiated by the Program Integri... More...
   $0 (07-31-2020 - AL)

United States of America v. Dennis Nobbe





Miami, FL - The United States of America charged Dennis Nobbe, age 63, with fraudulently obtained a Paycheck Protection Program (PPP) loan and an Economic Injury Disaster Loan (EIDL), and that he orchestrated a conspiracy to submit false and fraudulent claims for reim... More...
   $0 (07-30-2020 - FL)

United States of America v. Progenity, Inc. d/b/a Ascendant MDx, Inc.





San Diego, CA - The United States of America sued Progenity, Inc. d/b/a Ascendant MDx, Inc. for submitting fraudulent bills to TRICARE, the Department of Defense health care benefit program that covers military service members and their dependents, and to the Federa... More...
   $0 (07-29-2020 - CA)

United States of America v. Michael Shramowiat, M.D.





Charleston, WV - The United States of America charged United States of America v. Michael Shramowiat, M.D., with omitting material information as required as part of his controlled substance reporting requirements to the U.S. Drug Enforcement Administ... More...
   $0 (07-28-2020 - wv)

United States of America v. Indivior Solutions, Indivior, Inc. and Indivior, PLC





Abingdon, VA - The United States of America charged Indivior Solutions, Indivior, Inc. and Indivior, PLC with with conspiracy to commit health care fraud.

Indivior Solutions today pleaded guilty ... More...
   $0 (07-25-2020 - VA)

United States of America v. Tony Garrett Taylor

Charlotte, NC - The United States of America charged Tony Garrett Taylor, age 40, with tealing more than $6.1 million from Medicaid and committing tax evasion.

According to filed court documents and today’s sentencing hearing, from June 2015 to December 2017, Tony Taylor and his brother, Jerry Lewis Taylor, operated a scheme to defraud Medicaid of more $9.4 million by submitting false and... More...
   $0 (07-24-2020 - NC)

United States and State of Tennessee ex rel. Cox. v. Associated Pain Specialist, P.C. and Smoky Mountain Ambulatory Surgery Center LLC

Knoxville, TN - The United States and State of Tennessee ex rel. Cox. sued Associated Pain Specialist, P.C. and Smoky Mountain Ambulatory Surgery Center LLC. claiming that they violated the False Claims Act for knowingly billed Medicare and Tennessee Medicaid (TennCare) for medically unnecessary screening tests at higher costs than appropriate, when less costly or alternative tests were available.... More...   $400000 (07-16-2020 - TN)

United States of America, ex rel v. Universal Health Services, Inc., UHS of Delaware, Inc., and Turning Point Care Center, LLC

Atlanta, GA - The United States of America sued Universal Health Services, Inc., UHS of Delaware, Inc., and Turning Point Care Center, LLC on a False Claims Act violation theory.

Defendants agreed to pay a combined total of $122 million to resolve alleged violations of the False Claims Act for billing for medically unnecessary inpatient behavioral health services, failing to provide adeq... More...
   $122000000 (07-13-2020 - GA)

United States of America v. Janice Kay Schultz





Dubuque, IA - The United States of America charged Janice Kay Schultz, age 59, with wire fraud.

The manager of a Dubuque senior apartment complex, who used a power of attorney to defraud an elderly and disabled nursing home residents. In a plea agreement, Schultz admitted that she m... More...
   $0 (07-09-2020 - IA)

United States of America v. Grigoriy T. Rodonaia

Beaumont, TX - The United States of America charged Grigoriy T. Rodonaia with health care fraud.

According to the indictment, beginning in January 2015, Rodonaia is alleged to have 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 ... More...
   $0 (07-04-2020 - TX)

United States of America v. Shaun Thaxter

Abingdon, VA - The United States of America charged former Indivior, P.C. chief executive officer Shaun Thaxter with introducing into interstates commerce the opioid drug Suoxone Film in violation of the Federal Food, Drug and Cosmetic Act.

Thaxter served as Indivior’s top executive since 2009 (including the time period prior to December 2014 when Indivior was known as Reckitt Benckiser P... More...
   $0 (07-02-2020 - VA)

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