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Health Care Fraud

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Westchester Pharmacies Tied To $11.5M Medicaid Fraud Scheme, Former Owner Gets Prison Time Westchester Pharmacies Tied To $11.5M Medicaid Fraud Scheme, Former Owner Gets Prison Time
Westchester Pharmacies Tied To $11.5M Medicaid Fraud Scheme, Former Owner Gets Prison Time The owner of several pharmacies in Westchester County and New York City has been sentenced to prison for running a multimillion-dollar Medicaid fraud scheme that endangered vulnerable HIV patients, officials said. Aftab Hussain was sentenced to two to six years in prison for stealing over $11.5 million through a scheme involving illegal kickbacks and black market medications, the Attorney General’s Office announced on Wednesday, Nov. 20.  According to the AG's Office, Hussain owned or controlled more than 20 pharmacies, including some in Westchester County, where he exploited low-…

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by Ben Crnic
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NY Chiropractor Admits To $1 Million Health Care Fraud NY Chiropractor Admits To $1 Million Health Care Fraud
NY Chiropractor Admits To $1 Million Health Care Fraud A New York chiropractor has admitted to fraudulently obtaining nearly $1 million in insurance payouts for services that were never provided. Long Island resident Peter Adamczack, age 65, of Huntington, pleaded guilty to health care fraud Monday, Aug. 15, in federal court in Central Islip. Prosecutors said Adamczack, a licensed chiropractor in East Meadow, submitted over $1 million in fraudulent acupuncture claims to a private insurance company between 2016 and 2020. Adamczack was not licensed to perform acupuncture, but claimed that the services were provided by an unaffiliated acupuncturi…

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by Michael Mashburn
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NY Doctor Charged For $1.3 Million Fraud Scheme NY Doctor Charged For $1.3 Million Fraud Scheme
NY Doctor Charged For $1.3 Million Fraud Scheme A New York doctor is accused of defrauding Medicare and Medicaid of over $1.3 million. Federal prosecutors allege that Dr. Perry Frankel, age 64, of Roslyn, in Nassau County, submitted false billing claims to Medicare and Medicaid for office visits that were never performed for patients who received COVID-19 tests. The tests were done at mobile sites across Long Island through Frankel’s cardiology clinic, Advanced Cardiovascular Diagnostics PLLC, located in Great Neck. Frankel was not even in New York when some of the alleged office visits occurred, prosecutors said. “As alleged, exploiti…

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by Michael Mashburn
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Worker Accused Of Defrauding Hudson Valley Town Out Of Thousands Of Dollars Worker Accused Of Defrauding Hudson Valley Town Out Of Thousands Of Dollars
Worker Accused Of Defrauding Hudson Valley Town Out Of Thousands Of Dollars A former employee of a Hudson Valley town was arrested and accused of defrauding the town of more than $14,000 in health care buyout payments he wasn't entitled to. Kyle Fletcher, a former heavy equipment operator who worked for the Ulster County Town of Gardiner, was arraigned on Tuesday, Oct. 5, according to an announcement from New York State Comptroller Thomas DiNapoli. “Mr. Fletcher allegedly deceived the Town to pocket over $14,000 in public funds," DiNapoli said. “Thanks to my office’s partnership with the New York State Police and Ulster County District Attorney Clegg he is bei…

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by Nicole Valinote
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Six Physical Therapists, Two Acupuncturists Charged In $20M Fraud Scheme, SDNY Says Six Physical Therapists, Two Acupuncturists Charged In $20M Fraud Scheme, SDNY Says
Six Physical Therapists, Two Acupuncturists Charged In $20M Fraud Scheme, Sdny Says Six physical therapists and a pair of acupuncturists in New York are facing charges for their roles in a $20 million health care fraud scheme during the COVID-19 pandemic. US Attorney for the Southern District of New York Audrey Strauss announced that nine suspects have been indicted for operating an over $20 million health care fraud scheme at fraudulent medical offices in Manhattan, Brooklyn, and Queens. It is alleged that as part of the fraud scheme, co-conspirators paid a kickback to some patients who were insured by Medicare and other insurance providers to fraudulently bill them for p…

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by Zak Failla
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Ex-Doctor From Area Admits To Posing As Westchester Orthopedic Surgeon Ex-Doctor From Area Admits To Posing As Westchester Orthopedic Surgeon
Ex-Doctor From Area Admits To Posing As Westchester Orthopedic Surgeon A convicted felon from the Hudson Valley who previously surrendered his medical license is facing more prison time after posing as a credible orthopedic surgeon and collecting nearly a million dollars to review patient files. Hopewell Junction resident Spyros Panos, a former surgeon who practiced in Poughkeepsie, pleaded guilty to charges of wire fraud, health care fraud, and aggravated identity theft, in connection with a scheme in which he obtained more than $876,000 to review files related to healthcare appeals and Workers Compensation cases.  Panos was previously been convicted of …

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by Zak Failla
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Westchester Residents Charged With Submitting Millions Of Dollars In Fake Claims To Medicaid Westchester Residents Charged With Submitting Millions Of Dollars In Fake Claims To Medicaid
Westchester Residents Charged With Submitting Millions Of Dollars In Fake Claims To Medicaid A pair of Westchester residents are facing criminal charges for their roles in a multi-million dollar Medicaid scheme. Yonkers residents Jorgelina Abreu Gil, 32, the owner of KJ Transportation C Services Inc., and her husband, Julio Alvarado, 59, the manager of the company, were among 13 charged with participating in a scheme to steal millions of dollars from New York State Medicaid program by making fraudulent claims related to transportation services. U.S. Attorney Geoffrey Berman said that beginning in 2017, KJ began submitting claims to Medicaid for purported medical transportation serv…

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by Zak Failla
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Doctor From Rye Billed Patients $8M For Surgeries He Didn't Do, Feds Say Doctor From Rye Billed Patients $8M For Surgeries He Didn't Do, Feds Say
Doctor From Rye Billed Patients $8M For Surgeries He Didn't Do, Feds Say A Westchester eye doctor who had practices throughout the Hudson Valley and Fairfield County is facing charges for health care fraud. Ameet Goyal, 56, of Rye, who operates The Eye Associates Group, with practices in Rye, Mount Kisco, Wappingers Falls and in Greenwich, was arrested and charged by federal officials for allegedly fraudulently billing patients. The indictment alleges that between 2010 and 2017, Goyal was billing patients, Medicare, and private insurance programs millions of dollars for complex eye surgeries that were never actually performed. The complaint states that Goyal and…

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by Zak Failla
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Two Doctors Among Five Charged In Northeast Regional Health Care Fraud Takedown Two Doctors Among Five Charged In Northeast Regional Health Care Fraud Takedown
Two Doctors Among Five Charged In Northeast Regional Health Care Fraud Takedown Two doctors, a pharmacy owner, pharmacist who lost his license and a registered nurse are facing charges for their roles in a $17 million fraud scheme. The United States Attorney’s Office in the Eastern District of New York announced that Anna Steiner, 63, Denny Martin, 46, Andrew Barrett, 60, Phyllis Pincus, 58, and Kevin McMahon, 31, have been charged for defrauding the Medicare and Medicaid programs by overbilling them by millions of dollars. It is alleged that Steiner, a licensed anesthesiologist from Valatie in Columbia County, New York, was involved in a $17.4 million scheme related …

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by Zak Failla
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Former Union VP From Area Faces Bribery Charge, U.S. Attorney Says Former Union VP From Area Faces Bribery Charge, U.S. Attorney Says
Former Union VP From Area Faces Bribery Charge, U.S. Attorney Says A former vice president of a teamsters labor union in the Hudson Valley is facing bribery charges for allegedly using his influence soliciting tens of thousands of dollars in bribe payments. Newburgh resident John Ulrich the former vice president of the International Brotherhood of Teamsters Local 812 allegedly solicited the bribes in exchange for allowing a third-party continue to provide the union health care benefits. The indictment unsealed on Thursday alleges that in 2013, while he was facing financial hardships, Ulrich solicited bribe payments of $5,000 per quarter in exchange for usi…

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by Zak Failla
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Doctor Admits To Her Role In $2.5M Medicaid Fraud Scheme To Patients In Fairfield County Doctor Admits To Her Role In $2.5M Medicaid Fraud Scheme To Patients In Fairfield County
Doctor Admits To Her Role In $2.5M Medicaid Fraud Scheme To Patients In Fairfield County A doctor in Fairfield County has admitted to her role in a pair of schemes to defraud Medicaid out of more than $2.5 million. Juliet Jacob, formerly of Bridgeport, pleaded guilty this week in Bridgeport District Court to one count of health care fraud stemming from a scheme that lasted several years. Beginning in January 2012, Jacob and another person operated Traditional Development and Training and It Takes A Promise in Bridgeport. Their businesses provided social and psychotherapy services to patients in Fairfield County. Jacob admitted to using those companies to bill Medicaid for psych…

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by Zak Failla
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Westchester Doctor, Pharmacist Illegally Sold Oxycodone Pills, Feds Say Westchester Doctor, Pharmacist Illegally Sold Oxycodone Pills, Feds Say
Westchester Doctor, Pharmacist Illegally Sold Oxycodone Pills, Feds Say A doctor and pharmacist from Westchester were among seven medical professionals that have been accused of illegally distributing millions of oxycodone pills. Yonkers resident Nadem Sayegh, a doctor with offices in Westchester and the Bronx, and Marc Klein, who owns a pharmacy in White Plains, are each facing time behind bars for their roles in a pill mill that has been under investigation. Both are scheduled to appear in Manhattan federal court on Thursday. According to investigators who announced their arrests, Sayegh wrote illegal prescriptions in order to live a life of luxury.  He “mai…

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by Zak Failla
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Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud
Brothers Among Four Charged In Multi-Million Dollar Hudson Valley Health Insurance Fraud A pair of Hudson Valley brothers were among four charged in federal court for their roles in an extensive, multi-million dollar scheme to defraud Medicare and health insurance providers through false billing. Middletown residents James Spina, 59, and Jeffery Spina, 56, participated “in a widespread health care fraud scheme through their fraudulent operation of Dolson Avenue Medical, a multi-disciplinary medical clinic located in (Orange County).” From 2011 through September last year, Dolson Avenue Medical was a registered medical service that “purported to provide a variety of pain managem…

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by Zak Failla
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Hudson Valley Physician Arrested For Fraud, Aggravated Identity Theft Hudson Valley Physician Arrested For Fraud, Aggravated Identity Theft
Hudson Valley Physician Arrested For Fraud, Aggravated Identity Theft A disgraced former Hudson Valley doctor is back in hot water after being busted for obtaining more than $750,000 by assuming the identity of a licensed orthopedic surgeon as part of an elaborate scheme. Geoffrey Berman, the United States Attorney for the Southern District of New York announced the arrest of former physician Spyros Panos - a former orthopedic surgeon from Hopewell Junction who pleaded guilty to stealing millions of dollars from health insurance companies in 2013 - was arrested on Tuesday and is facing new charges for allegedly obtaining more than $860,000 in payments for revi…

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by Zak Failla