Medicaid Law
 
United States of America v. Rachel Peay-Goodman

Boise, Idaho criminal defense lawyer represented Defendant charged with unlawfully prescribing controlled substances and submitting false claims to Medicare while working for AmeriHealth in Pocatello.

Rachel Peay-Goodman, a nurse practitioner in eastern Idaho, wrote prescriptions for dangerous combinations of drugs to at least one patient, including simultaneous prescriptions for oxycodo... More...
   $0 (06-13-2023 - ID)

Brittany L. Mogan v. Social Security Administration

Rochester, New York social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW benefits by HHS.

"DIWC and DIWW are types of Social Security Disability benefits that are available to certain disabled workers and their widows or widowers.

DIWC stands for Disabled Individual with Children. To qualify for DIW... More...
   $0 (06-12-2023 - NY)

United States of America v. Billy Joe Taylor

Fort Smith, Arkansas criminal defense lawyer represented Defendant charged with conspiracy to commit health care fraud and money laundering.

Billy Joe Taylor, age 44, pleaded guilty to conspiracy to commit health care fraud and money laundering on October 27, 2022. According to court documents, Taylor and his co-conspirators submitted more than $134 million in false and fraudulent claims... More...
   $0 (06-09-2023 - AR)

United States of America v. Akintunde Oyewale

Houston, Texas criminal defense lawyer represented Defendant charged with conspiracy to commit health care fraud.

Akintunde Oyewale, Richmond, pleaded guilty Feb. 1, 2022.

U.S. District Judge David Hittner ordered he serve 57 months in federal prison to be immediately followed by three years of supervised release. At the hearing, the defense requested a reduced sentence due to ... More...
   $0 (05-30-2023 - TX)

United States of America v. Kenneth Wiseman, P.D. and Steven Schmidt, D.O.

Philadelphia, Pennsylvania civil litigation lawyers represented Defendants accused to violating the False Claims Act allegations that they caused the submission of false claims by misrepresenting the severity of illness and services rendered to increase reimbursement from the Medicare Part C (Medicare Advantage) and Part B programs.

Defendants did business as "CPA," a primary care phy... More...
   $1500000 (05-26-2023 - PA)

United States of America v. Complete Physician Services, Kenneth Wiseman, DO, and Steven Schmidt, DO

Philadelphia, Pennsylvania criminal defense lawyer represented Defendants accused of submitting false claims by misrepresenting the severity of illness and services rendered to increase reimbursement from the Medicare Part C (Medicare Advantage) and Part B programs.

CPS, a primary care physician practice located in Philadelphia, treated patients under the Medicare Advantage program and ... More...
   $0 (05-25-2023 - PA)

United States of America v. Kevin A. Clay

Toldeo, Ohio criminal defense lawyer represented Defendant charged with conspiracy, healthcare fraud, and making a false statement on an application for charitable tax-exempt status with the IRS.

Kevin A. Clay, age 39, of Perrysburg, Ohio, was the co-owner of Theramedical, LLC, a pharmaceutical marketing company specializing in compounded pain and scar cream. The evidence showed that Clay... More...
   $0 (05-25-2023 - OH)

United States of America v. Stamatina Bourrett a/k/a Nina Bourret

Columbia, South Carolina criminal defense lawyer represented Defendant charged with medicaid fraud.

Bourret, through her company Agapi Behavior Consultants, billed Medicaid for services to treat Autism Spectrum Disorder that were either not rendered and/or a portion of the services billed to Medicaid were not provided.

Stamatina Bourret a/k/a Nina Bourret, 41, of Greenville, Sou... More...
   $0 (05-17-2023 - SC)

United States of America v. Krystal Lopez, et al.

Baltimore, Maryland criminal defense lawyer represented Defendant charged with participation in a scheme that created an illegal licensing and employment shortcut for aspiring nurses have pled guilty to wire fraud conspiracy.

Krystal Lopez and Damian Lopez (both of Palm Beach County, Fla.); Francois Legagneur (of Nassau County, N.Y.), Reynoso Seide (of Union County, N.J.); and Yelva Sain... More...
   $0 (05-16-2023 - FL)

United States of America v. Gary S. Winn, D.O.

Portland, Maine civil litigation lawyers represented Plaintiff who sued Defendant on a False Claims Act violation theory.

Gary S. Winn, D.O., the false former medical director and owner of a family medical practice in Biddeford and Sanford, Provider’s Care, submitted false claims to Medicare and MaineCare (Maine’s Medicaid program) from January 2014 through November 2017. MaineCare is... More...
   $0 (05-12-2023 - Me)

United States of America v. Kelly McCallum

Memphis, Tennessee criminal defense lawyer represented Defendant charged with unlawfully distributing controlled substances and health care fraud.

Kelly McCallum, 41, of Dyersburg, was an advance practice registered nurse who operated Convenient Care Clinic and held a registration from the DEA, which allowed her to prescribe controlled substances. From January 2017 until early 2021, McCal... More...
   $0 (05-09-2023 - TN)

United States of America v. United Wound Healing P.S.

Seattle, Washington civil litigation lawyers represented Defendant accused for fraudulently billing the federal government for health care services that were never performed.

The U.S. Department of Justice, the Washington State Attorney General’s Medicaid Fraud Control Division, accused United Wound Healing, P.S. with violating the False Claims Act by improperly billing Medicare and Med... More...
   $0 (05-08-2023 - WA)

United States of America v. 1st Adult & Pediatrics Healthcare Services

Lynchburg, Virginia civil litigation lawyers represented Defendant accused of violating the False Claims Act.

From 2017 and continuing through May 2021, 1st Adult & Pediatrics. headquartered in Fairfax, Virginia, billed Virginia Medicaid for reimbursements for in-home health care services for pediatric patients who were actually hospitalized at the time the in-home services were billed. I... More...
   $0 (05-03-2023 - VA)

Aaron Shiloh, ex rel. United States of America v. Philadelphia Vascular Institute, LLC, et al.

Philadelphia, Pennsylvania civil litigation lawyers represented the Plaintiff who sued Defendants claiming that Dr. James McGuckin violated the False Claims Act by billing Medicare and the Federal Employees Health Benefits Program for medically unnecessary invasive peripheral artery procedures in patients’ legs between at least January 1, 2016 and December 31, 2019, and for which McGuckin and h... More...   $0 (05-02-2023 - PA)

United States of America, et al. v. Dr. Joel Aronowitz, et al.

Los Angeles, California civil litigation lawyers represented Defendant accused of violating the False Claims Act by submitting or causing the submission of false claims to both Medicare and Medicaid.

The settlement announced today resolves allegations that Dr. Joel Aronowitz; Daniel Aronowitz; Joel A. Aronowitz, M.D., a medical corporation; Tower Multi-Specialty Medical Group; Tower Wound... More...
   $0 (04-29-2023 - CA)

United States of America v. Jennifer L. Adams

Indianapolis, Indiana criminal defense lawyer represented Defendant charged with tampering with consumer products.

From October 1, 2018, to February 18, 2020, Jennifer L. Adams, age 38, from Whitestown, Indiana, repeatedly tampered with vials of injectable pain medications, including fentanyl, morphine, hydromorphone, and ketamine, while employed as a registered nurse in the emergency dep... More...
   $0 (04-12-2023 - IN)

Brittanie Henry ex rel., United States of America v. Pharmacy Holdings, LLC, et al.

Charlotte, North Carolina whistleblower lawyer represented Plaintiff who sued Defendant on a False Claims Act villaton theory claiming that it knowingly billed federal health care programs for medications that were never dispensed.

The United States alleged that, from Jan. 1, 2016, through Dec. 31, 2019, MedCare billed both Medicare Part D and North Carolina Medicaid for 200 prescription... More...
   $0 (04-10-2023 - NC)

United States of America v. Howard Jackson

East St. Louis, Illinois criminal defense lawyer represented Defendant charged with health care fraud.

Howard Jackson, 69, of Florissant, Missouri, admitted he routinely billed Medicare and Medicaid for procedures he did not perform.

“Health care providers who commit fraud for financial gain threaten the integrity of our health care system and the basic expectation of competen... More...
   $0 (04-07-2023 - IL)

United States of America v. Julio Alvarado

New York, New York criminal defense lawyer represented Defendant charged with leading a sprawling scheme to defraud Medicaid of millions of dollars through the billing of fraudulent transportation claims.

From August 2017 to February 2020, KJ Transportation C Services Inc. (“KJ”) was paid more than $20 million for providing transportation services for Medicaid enrollees in the New Y... More...
   $0 (03-29-2023 - NY)

United States of America v. Arlington Ophthalmology Association, P.L.L.C. d/b/a Kleiman Evangelista Eye Centers (“K&E”)

Sherman, Texas civil litigation lawyers represented Defendant accused of paying kickbacks to optometrists to induce referrals of patients who were candidates for cataract surgery in in violation of the False Claims Act and Anti-Kickback Statute.

Arlington Ophthalmology Association, P.L.L.C. d/b/a Kleiman Evangelista Eye Centers (“K&E”), with offices located in Arlington, Dallas, Plano... More...
   $0 (03-24-2023 - TX)

United States of America v. Dr. Oliver Jenkins and Sherry-Ann Jenkins

Toledo, Ohio criminal defense lawyers represented Defendants charged with conspiracy, mail fraud, wire fraud, and health care fraud.





Federal Courthouse - Toledo, Ohio


Federal Courthouse - Toledo, Ohio


More...   $0 (03-24-2023 - OH)

United States of America v. Mark A. Ellis, M.D., at al.

Athens, Georgia whistleblower lawyers represented Plaintiff who sued Defendants claiming that they violated the False Claims Act by billing Medicare for medical services not actually performed.





Clarke County Courthouse - Athens, Georgia


Clark... More...   $0 (03-22-2023 - GA)

United States ex rel. Cairns, et al. v. DS Medical, LLC, et al.

Cape Girardeau, Missouri civil litigation lawyers represented Defendants accused of violation the False Claims Act by soliciting and receiving kickbacks from spinal implant companies.





Federal Courthouse - Cape Girardeau, Missouri


... More...   $0 (03-22-2023 - MO)

United States of America v. Djonibeck Rahmankulov

New York, New York criminal defense lawyer represented Defendant charged with laundering millions of dollars in in criminal proceeds obtained from computer hacking, healthcare fraud, and Small Business Administration loan fraud, as well as operating an international unlicensed money transmitting business.

More...   $0 (03-17-2023 - NY)

United States of America v. Steven A. St. Lucia and Union Foot Solutions, LLC

Albany, New York civil litigation lawyer represented Defendant accused of violating the False Claims Act.




Federal Courthouse - Albany, New York


Federal Courthouse - Albany, New York


More...   $0 (03-14-2023 - NY)

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