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Jacksonville, FL - The United States of America sued Dr. Parveen Khanna qui tam theory claiming that she submitted false claims to TRICARE and Medicare programs that were incentivized by illegal kickbacks.

Dr. Parveen Khanna has paid the United States $850,000 to resolve a civil False Claims Act investigation into whether she submitted false claims to the TRICARE and Medicare programs tha... More...   $850000 (03-21-2020 - )

Gulfport, MS - The United States of America claimed Ted Cain, Julie Cain and Tommy Kuluz caused false claims to be made with Medicare.

Following a nine week trial, a federal jury in Gulfport returned a guilty verdict against Ted and Julie Cain of Ocean Springs, Ted Cain’s companies, Stone County Hospital (Wiggins) and Corporate Management, Inc. (Gulfport), and Tommy Kuluz, Chief Financia... More...   $0 (03-14-2020 - MS)

Philadelphia, PA - The United States of America charged Charles F. Kohlerman, IV with wire fraud and drug distribution.

Charles F. Kohlerman, IV, 50, of Media, PA, was sentenced to three years’ imprisonment and two years of supervised release by United States District Court Judge R. Barclay Surrick for one count of conspiracy to commit wire fraud and 14 counts of distributing and dispens... More...   $0 (03-13-2020 - PA)

Houston, TX - The United States of America charged George Phillip Tompkins with health care fraud, wire fraud and money laundering.

After a six-day trial, George Phillip Tompkins, 75, of Houston, Texas, was convicted on all charges - one count each of conspiracy to pay and receive kickbacks, conspiracy to commit health care fraud, conspiracy to commit money laundering as well as 11 counts... More...   $0 (03-11-2020 - TX)

Nashville, TN - The United States of America claimed that Diversicare Health Services, Inc. knowingly submitted false claims for Medicare services.

Diversicare Health Services, Inc., has agreed to pay $9.5 million to resolve allegations that it violated the False Claims Act by knowingly submitting false claims to Medicare for rehabilitation therapy services that were not reasonable, nece... More...   $9500000 (03-06-2020 - TN)

Brooklyn, NY - the United States of America charged Yuriy Barayev with health care fraud.

A federal jury in Brooklyn returned a guilty verdict last night against pharmacy owner Yuriy Barayev on one count of health care fraud and seven counts of money laundering for his role in a scheme to defraud Medicare by billing for prescription medications that were not provided to patients. The ve... More...   $0 (03-02-2020 - NY)

On April 10, 2017, S.H. went to a hospital emergency room
with “excruciating back pain.” A hospital emergency room
physician called Doctor Adebukola Onibokun for assistance.
Onibokun is the owner of SJN, a company that provides medical
treatment and care. Onibokun consulted with S.H. and
determined she had “lumbar disc herniations at 2 levels.” On the
same day, he performed... More...   $0 (03-01-2020 - CA)

Kansas City, KS - The United States of America sued Trina Health–Wichita NW, LLC and Jack West on a False Claims Act theory for submitting false claims to Medicare and TRICARE.

Trina Health–Wichita NW, LLC, located in Wichita, Kan., and Jack West of Dallas, Texas, one of the company’s principals, agreed to pay the United States $775,000 to resolve allegations that they violated the False... More...   $0 (02-29-2020 - KS)

Los Angeles, CA - United States of America charged Aleksandr Suris and Maxim Sverdlov with health care fraud.

Two owners and operators of a Los Angeles pharmacy were both sentenced to 144 months in prison for their roles in a health care fraud scheme where Medicare and CIGNA were billed more than $11.8 million in fraudulent claims for prescription drugs.

Aleksandr Suris, 51, of S... More...   $0 (02-27-2020 - CA)

Detroit, MI - The United States of America charged Anthony Vespa with wire fraud.

Anthony Vespa, 55, was sentenced to 36 months in prison after having pleaded guilty to charges of Wire Fraud in connection with his employment as CEO of Southeast Michigan Accountable Care (SEMAC).

The Honorable David M. Lawson sentenced Anthony Vespa to serve 36 months in federal prison following h... More...   $0 (02-26-2020 - MI)

Los Angeles, CA - United States of America charged Dr. Mark Wilfred Tamarin with Medicare fraud.

A urologist was sentenced today to 71 months in federal prison for submitting fraudulent billings totaling more than $700,000 to Medicare for medically unnecessary and nonexistent treatments, sometimes billing for purported patient visits miles apart and occurring at the exact same time.
<... More...   $0 (02-25-2020 - CA)

Sacramento, CA - The United States of America charged Jai Vijay with:

CONSPIRACY TO PAY AND RECEIVE HEALTH CARE KICKBACKS

Jai Vijay, 54, of Sacramento, pleaded guilty to conspiring with the owners of home health care agencies and a hospice agency to pay and receive illegal kickbacks in exchange for Medicare beneficiary referrals.

According to court documents, Jai Vijay’s... More...   $0 (02-09-2020 - CA)

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)

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)

Gainesville, FL - The United States of America charged Erik M. Schabert with health care fraud and money laundering.

Erik M. Schabert, 48, a physician, and his ex-wife, Mika Kamissa Harris, 49,
both of Gainesville, Florida. A jury found both guilty on health care fraud and money laundering charges involving more than $8 million.

While owning and operating Reliant Family Prac... More...   $0 (01-31-2020 - FL)

San Diego, CA - The United States of America sued Arch Health Partners, Inc. on a False Claims Act violation theory.

Arch Health Partners, Inc. (“Arch Health”) has agreed to pay the United States $2,910,370 to resolve allegations that it violated the False Claims Act by submitting false claims to Medicare. Arch Health is a San Diego-based medical organization that contracts with physicia... More...   $2900000 (01-29-2020 - )

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)

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 ½ 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)

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)

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)

Nashville, TN - The United States of America charged James L. Crabb, M.D., age 78, with conspiracy to commit healthcare fraud.

James L. Crabb, M.D., 78, of Loretto, Tennessee, was charged for his role in a $7 million healthcare fraud conspiracy. Crabb was charged in a criminal Information on December 20, 2019, and appeared before a U.S. Magistrate Judge.

According to the chargin... More...   $0 (01-16-2020 - TN)

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)

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)