United States of America v. Ty Mauldin

Wilmington, Delaware, criminal defense lawyer represented the Defendant charged with aggravated identity theft in violation of 18 U.S.C. 1028 and health care fraud in violation of 18 U.S.C. 1347.

Reported by Kent Morlan

Ty Mauldin, 35, used his access as a medical biller and credentialer—which allowed him to obtain medical professionals’ licensure information—to order himself thousands of opioid pills through wholesale pharmaceutical suppliers, all unbeknownst to the medical professionals who were the victims of his scheme.

Mauldin also exploited this access to electronic medical records by falsifying his own health information so that he could pose as a cancer patient and thereby obtain pain management services, including the installation of an intrathecal pain pump and the prescription of opioids, all of which were paid for by his private health insurer.

Additionally, Mauldin represented himself as a certified health professional to his colleagues and patients, including holding himself out as a licensed nurse. Based on these false representations, Mauldin convinced a Nurse Practitioner to allow him to perform Transcranial Magnetic Stimulation therapy on patients and then submitted false claims to Medicaid for reimbursement for performing said therapy.

Mauldin pleaded guilty to Aggravated Identify Theft and Obtaining Drugs (Oxycodone, a Schedule II controlled substance) by Fraud. He faces a mandatory minimum of 2 years in prison on the Aggravated Identity Theft charge, which would run consecutively to any term of imprisonment imposed on the Obtaining Drugs by Fraud charge.The maximum penalty for the Obtaining Drugs by Fraud Charge is 4 years of imprisonment. Actual sentences for federal crimes are typically less than the maximum penalties. A federal district court judge will determine the sentence after taking into account the U.S. Sentencing Guidelines and other statutory factors.