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Health Care Fraud

'Patient Broker' From Balto Goes To Federal Prison For Preying On NJ Drug Addicts 'Patient Broker' From Balto Goes To Federal Prison For Preying On NJ Drug Addicts
'Patient Broker' From Balto Goes To Federal Prison For Preying On NJ Drug Addicts A Baltimore man was sentenced to a year and a day in federal prison for paying people to bribe drug addicts in New Jersey to go to specific rehab centers -- some as far as California. John Devlin, 37, is one of seven people who took deals from the government and admitted participating in a plot to defraud health insurance companies through patient brokering in several states, U.S. Attorney for New Jersey Philip R. Sellinger said. The confessed schemers enlisted "recruiters" to pay users addicted to heroin and other drugs with "robust" private health insurance several thousand dollars to ent…
'Reckless' NJ Doc Sentenced For Defrauding Amtrak Out of $1.3 Million: Feds 'Reckless' NJ Doc Sentenced For Defrauding Amtrak Out of $1.3 Million: Feds
'Reckless' NJ Doc Sentenced For Defrauding Amtrak Out of $1.3 Million: Feds A 51-year-old Cedar Grove doctor was sentenced to 26 months in prison on Tuesday, May 7, for participating in a five-year health care fraud scheme to defraud Amtrack Muhammad Mirza had previously pleaded guilty to conspiracy to commit health care fraud, US Attorney Philip Sellinger said.   In 2021, Mirza was accused of recklessly injecting a hazardous dermal filler into patients seeking breast and penis enhancements — often with extremely harmful results — at dozens of offices in New Jersey, New York, Pennsylvania and Connecticut, as previously reported by Daily Voice. From April…
Crooked Cardio Doc Admits Pocketing $2 Million In Health Insurance Ripoffs Crooked Cardio Doc Admits Pocketing $2 Million In Health Insurance Ripoffs
Crooked Cardio Doc Admits Pocketing $2 Million In Health Insurance Ripoffs The owner and sole medical provider of a Middlesex County medical practice admitted in federal court that he pocketed nearly $2 million in a long-running series of blatant health insurance scams. Dr. Fazal Panezai, a 76-year-old cardiologist from Morganville, at one point submitted claims for a single day's worth of visits to his Matawan-Aberdeen Heart & Medical Center in May 2022 that totaled 27.9 hours, U.S. Attorney Philip R. Sellinger said. Hei also billed health insurance providers more than $80,000 for office visits when he was out of the country, the U.S. attorney said. Panezai …
NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More
NJ Mental Health Clinics Founded By Late Liberian Defendant Agree To Forfeit $6.4M, More UPDATE: New Jersey authorities have legally seized $6.4 million and other assets from a chain of mental health clinics founded by a recently deceased Liberian presidential candidate for billing Medicaid for more than 10,000 bogus claims. Daniel E. Cassell, formerly of Perkasie, PA was under a 17-count state indictment when he died of an apparent heart attack at 56 years old on Christmas Day 2022. The West African-born Cassell -- who was a psychologist, business consultant and politician and founding member of Liberia's People Liberation Party -- was the president and chief executive officer…
Jersey Shore Business Owner From NY Admits $127M Health Care Kickback Scheme: Feds Jersey Shore Business Owner From NY Admits $127M Health Care Kickback Scheme: Feds
Jersey Shore Business Owner From NY Admits $127M Health Care Kickback Scheme: Feds A New Jersey marketing company owner from Rockland County admitted in federal court that he was a major figure in scamming Medicare, TRICARE and other benefit programs out of $127 million. Eric Karlewicz, 44, of Chestnut Ridge, NY, participated in a “circular scheme of kickbacks and bribes” with doctors, durable medical equipment businesses and telemedicine companies to pull off the massive con, U.S. Attorney Vikas Khanna said. Karlewicz – also known as Anthony Mazza -- used his considerable cut from $63.8 million in payoffs to buy himself a fleet of luxury vehicles that included a Ferrari,…
TAPPIN' IT: Manager Admits Embezzling $4.5M From NJ Brain Injury Fund For Sex With Gal Pals TAPPIN' IT: Manager Admits Embezzling $4.5M From NJ Brain Injury Fund For Sex With Gal Pals
Tappin' IT: Manager Admits Embezzling $4.5M From NJ Brain Injury Fund For Sex With Gal Pals The now-former manager of a fund for traumatic brain injury patients in New Jersey admitted diverting more than $4.5 million in public money to women he was having sex with, authorities said. Harry Pizutelli, 64, of Edison, pleaded guilty by videoconference to conspiring to commit health care fraud before a federal judge in Trenton, U.S. Attorney Philip R. Sellinger announced on Wednesday, Jan. 4. One of the women who benefitted from the scheme, Maritza Flores, 45, of Toms River, pleaded guilty to the same charge, as well as to tax evasion, Sellinger said. In exchange, Pizutelli had amorou…
Theft Of $8.2M In HIV Meds From NJ Vets Hospital Gets Rx Tech 2½ Years Without Parole Theft Of $8.2M In HIV Meds From NJ Vets Hospital Gets Rx Tech 2½ Years Without Parole
Theft Of $8.2M In HIV Meds From NJ Vets Hospital Gets Rx Tech 2½ Years Without Parole UPDATE: A former pharmacy tech was sentenced to a plea-bargained 57 months in federal prison Thursday for stealing $8.2 million worth of HIV medications from a New Jersey veterans hospital to sell on the black market, authorities said. Lisa M. Hoffman, 50, of Orange, will have to serve just about all of the term because there’s no parole in the federal prison system. U.S. District Court Judge Esther Salas also sentenced Hoffman on Thursday to three years of supervised release while ordering her to pay the full $8.29 million in restitution – and to forfeit an additional $450,000. Hoffman wa…
Feds: Postal Supervisor In NJ Sold 400 Vax Cards That She Printed At Work Feds: Postal Supervisor In NJ Sold 400 Vax Cards That She Printed At Work
Feds: Postal Supervisor In NJ Sold 400 Vax Cards That She Printed At Work A U.S. Postal Service supervisor from New Jersey openly sold 400 bogus COVID vaccine cards that she printed at her job -- while claiming that a graphic design degree was "paying off" for her, federal authorities charged. Lisa Hammell, 39, of the South Jersey town of Turnersville, sold the cards for from $20 to $100 after advertising them on social media, an indictment returned by a grand jury in U.S. District Court in Newark says. Two of the buyers were from New Jersey and another was a federal employee in Virginia whose mother needed the card because she worked in a hospital and had to be …
GUILTY: Fort Lee Doc With Clifton Practice Convicted Of Multi-Million-Dollar Medicare Fraud GUILTY: Fort Lee Doc With Clifton Practice Convicted Of Multi-Million-Dollar Medicare Fraud
Guilty: Fort Lee Doc With Clifton Practice Convicted Of Multi-Million-Dollar Medicare Fraud A rheumatologist from Fort Lee was convicted of billing Medicare and other health insurance programs for nearly a decade for services that patients never got and expensive medication that her Clifton practice never bought, federal authorities said. Alice Chu, 64, went to trial in U.S. District Court in Newark after federal authorities accused her of submitting more than $8.8 million in bogus claims for "items and services that were medically unnecessary, ineligible for reimbursement, and/or not provided as represented," court papers show. Jurors found her guilty on Tuesday, March 8 of consp…
Ex-Employee Admits Stealing $10M Worth Of HIV Meds From NJ Veterans Hospital Ex-Employee Admits Stealing $10M Worth Of HIV Meds From NJ Veterans Hospital
Ex-Employee Admits Stealing $10M Worth Of HIV Meds From NJ Veterans Hospital A former pharmacy tech admitted stealing nearly $10 million worth of HIV medications from a New Jersey veterans hospital and selling them to a fence from Lyndhurst. Lisa M. Hoffman, 49, of Orange, used her authority to order excessive amounts of medication for the outpatient pharmacy from the Veterans Affairs Medical Center (VAMC) in East Orange, Acting U.S. Attorney Rachael A. Honig said. Surveillance cameras helped show how she “placed large orders for HIV medication, purportedly on behalf of the VAMC,” the U.S. attorney said. “After the medications arrived, Hoffman waited until co-worke…
HOOP SCHEMES: Onetime Phenom, Ex-NJ Net Among 18 Charged By Feds With $4M NBA Health Care Fraud HOOP SCHEMES: Onetime Phenom, Ex-NJ Net Among 18 Charged By Feds With $4M NBA Health Care Fraud
Hoop Schemes: Onetime Phenom, Ex-NJ Net Among 18 Charged By Feds With $4M NBA Health Care Fraud Disgraced onetime phenom Sebastian Telfair and more than a dozen other NBA veterans are charged with scamming the league's health plan out of millions of dollars, federal authorities announced Thursday. Darius Miles and Glen Davis are also among the 18 defendants named in an indictment returned by a grand jury in Manhattan that alleges they filed nearly $4 million in fake medical and dental claims to the NBA’s Health and Welfare Benefit Plan for active and retired players. Former New Jersey Nets shooting guard Terrence Williams ran the scam, supplying letters that justified medical services…
Feds: Ex-Lodi HS Teacher Admits Scamming Insurance Out Of $550,000 For Compound Meds Feds: Ex-Lodi HS Teacher Admits Scamming Insurance Out Of $550,000 For Compound Meds
Feds: Ex-Lodi HS Teacher Admits Scamming Insurance Out Of $550,000 For Compound Meds A now-former Lodi High School teacher admitted that he collected $550,000 worth of compound medications through bogus claims to an employee benefit program. Jason Nardachone, 51, of Nutley bribed three other teachers $500 a month each to obtain compounded medications that they, like him, didn’t need, Acting U.S. Attorney Rachael A. Honig said. Some of the unnecessary compounded medications – for vitamins and pain and scar creams -- cost the New Jersey School Employees’ Health Benefits Program (SEHBP) $3,300 to $22,800 apiece, she said. All told, Nardachone and his accomplices defrauded the…
Feds In NJ Charge Rockland Doc, Wife With $1.3M Genetic Testing Scheme Feds In NJ Charge Rockland Doc, Wife With $1.3M Genetic Testing Scheme
Feds In NJ Charge Rockland Doc, Wife With $1.3M Genetic Testing Scheme COVID-19 hardly fazed a Rockland doctor who, with his wife, continued to collect bribes and kickbacks in exchange for ordering millions of dollars in genetic tests from his offices in Pennsylvania, a federal grand jury in Newark charged. Yitzchok “Barry” Kurtzer, 61,and Robin Kurtzer, 60, both of Monsey, collected monthly cash kickbacks and bribes ranging in exchange for “collecting DNA samples from Medicare patients and sending them for genetic tests to clinical laboratories in New Jersey and Pennsylvania,” Acting U.S. Attorney for New Jersey Rachael Honig said. The payoffs ranged up $5,00…
Hudson Doctor's Employee Admits Role In $24.8M Kickback Scheme Hudson Doctor's Employee Admits Role In $24.8M Kickback Scheme
Hudson Doctor's Employee Admits Role In $24.8M Kickback Scheme UPDATE: Dominoes continued to fall in the federal takedown of a $24.8 million kickback scheme when a Jersey City woman who worked for a local doctor took a plea deal. Yudelka “Vicky” Ayala, 42, admitted conspiring with six co-defendants associated with the now-defunct Prime Aid Pharmacy in Union City to boost prescription sales through kickbacks and bribes to health care professionals in New Jersey and New York. Prime Aid, which also had a location in the Bronx, processed expensive medications used to treat various conditions, including Hepatitis C, Crohn’s disease, and rheumatoid arthritis…
Feds: NJ Veterans Hospital Employee Caught On Camera Stealing $8.2M Worth Of HIV Meds Feds: NJ Veterans Hospital Employee Caught On Camera Stealing $8.2M Worth Of HIV Meds
Feds: NJ Veterans Hospital Employee Caught On Camera Stealing $8.2M Worth Of HIV Meds A now-former employee stole $8.2 million worth of HIV medications from  a New Jersey veterans hospital pharmacy that she sold to a fence from Bergen County, federal authorities said Wednesday. Surveillance video showed pharmacy technician Lisa M. Hoffman of Orange “regularly taking dozens of bottles of HIV medications" from the shelves of the outpatient pharmacy at the Veterans Affairs Medical Center (VAMC) in East Orange, Acting U.S. Attorney Rachael A. Honig said. The video then shows her “placing them in a white mail bin, and then transferring the medications from the mail bin to he…
Ex-Middlesex Officer Admits Recruiting Brothers In Blue For Multi-Million-Dollar Drug Scam Ex-Middlesex Officer Admits Recruiting Brothers In Blue For Multi-Million-Dollar Drug Scam
Ex-Middlesex Officer Admits Recruiting Brothers In Blue For Multi-Million-Dollar Drug Scam A former North Brunswick police officer admitted Monday that he cashed in on a multi-million-dollar health insurance scam by recruiting patients to obtain prescriptions for drugs they didn’t need. Daniel Passafiume, 45, of Monroe took a plea deal from federal prosecutors after an unidentified co-conspirator agreed to cooperate with the government, records show. Passafiume and the accomplice cut deals with pharmacies to collect large commissions for each prescription they delivered for “compounded medications,” including vitamins and pain creams, Acting U.S. Attorney Rachael A. Honig said. …
Bergen Nurse In Multi-Million-Dollar Health Scheme: I Pushed, Prescribed Meds Without License Bergen Nurse In Multi-Million-Dollar Health Scheme: I Pushed, Prescribed Meds Without License
Bergen Nurse In Multi-Million-Dollar Health Scheme: I Pushed, Prescribed Meds Without License A Bergen County nurse admitted cashing in on a multi-million-dollar health insurance scam by pushing and writing prescriptions for customized drugs that patients didn’t need -- and doing it without a license. The co-owners of a pharmaceutical marketing company paid Jennifer Nash, 51, of River Vale, to pitch and prescribe the particular drugs, known as “compounded medications," Acting U.S. Attorney Rachael A. Honig said. “Not only did Nash write these prescriptions regardless of whether a health insurance plan beneficiary needed such a medication,” Honig said.  She also wrote them eve…
Hudson Pharmacy Owner's Son Admits Role In $99M Kickback Scheme Uncovered By Feds Hudson Pharmacy Owner's Son Admits Role In $99M Kickback Scheme Uncovered By Feds
Hudson Pharmacy Owner's Son Admits Role In $99M Kickback Scheme Uncovered By Feds The son of a former Union City pharmacy co-owner admitted his role Thursday in a multimillion-dollar scheme to boost prescription sales by paying kickbacks and bribes to health care professionals. Alex Fleyshmakher, 34, of Morganville, worked for his father, Igor Fleyshmakher of Holmdel, at Prime Aid in Union City. He was also an on-paper owner of Prime Aid Bronx, Acting U.S. Attorney Rachael A. Honig said. Operating out of both locations, the now-defunct Prime Aid Pharmacies processed expensive medications used to treat various conditions, including Hepatitis C, Crohn’s disease, and rheum…
Hudson Medical Office Manager From Bergen Admits Stealing $840,000 In Insurance Payments Hudson Medical Office Manager From Bergen Admits Stealing $840,000 In Insurance Payments
Hudson Medical Office Manager From Bergen Admits Stealing $840,000 In Insurance Payments A Wyckoff man admitted pocketing more than $840,000 in health insurance reimbursement payments to the North Bergen pain management clinic he managed. Nuno Fernandez, 38, told a federal judge in Newark via teleconference that he began stealing some of the checks sent to the medical office by “endorsing them in his own name and depositing them into his personal bank account using an application on his mobile telephone,” U.S. Attorney Craig Carpenito said. He continued doing it over the next four years, he admitted. Rather than go to trial after being caught by the FBI, Fernandez accepted a …
COVID-19: Feds Charge NYC-Area Pharmacy Owners In $30 Million Health Care Fraud COVID-19: Feds Charge NYC-Area Pharmacy Owners In $30 Million Health Care Fraud
Covid-19: Feds Charge Nyc-area Pharmacy Owners In $30 Million Health Care Fraud The owners of more than a dozen New York City-area pharmacies exploited the COVID-19 pandemic to scam Medicaid out of $30 million, then used the money to buy themselves real estate and luxury items, federal authorities charged. Peter Khaim, 40, and Arkadiy Khaimov, 37, both of Forest Hills, got others to pose as pharmacy owners or supervisors to take advantage of emergency override codes added to the Medicare system during the national state of emergency, an indictment returned by a grand jury in Brooklyn alleges. They used these to submit fraudulent claims for the expensive cancer medicati…
LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme
LI Moving Company Owner, North Jersey Employee Admit $540,000 Low-Ball Extortion Scheme A Nassau County moving company owner and a Passaic County woman who worked for him admitted in federal court that they extorted customers out of nearly $550,000 with the old “low-ball” scam. Lior Atiyas, 42, of Hewlett, Long Island began regularly low-balling estimates to move household goods, then jacking up the price by two to three times once the items were on the trucks, in early 2016, U.S. Attorney Craig Carpenito said Friday. He then refused to deliver the goods until the customers paid up, Carpenito said. Atiyas recruited Lola Larios, 37, of Haledon into the scheme when she joined t…
Feds Charge Jersey Shore Pain Management Doc With Massive $24.6M Billing Fraud Feds Charge Jersey Shore Pain Management Doc With Massive $24.6M Billing Fraud
Feds Charge Jersey Shore Pain Management Doc With Massive $24.6M Billing Fraud A Jersey Shore pain management doctor accused of running a $24.6 million fraud scheme billed insurance plans for more than 24 hours worth of services in a single day no fewer than 900 times, federal authorities said Monday. Morris Antebi, 68, of Long Branch, also billed Medicare, Medicaid, and private insurance companies frequently on dates when travel records show he was overseas -- including trips to China, Israel, Turkey, the Dominican Republic and across Europe – and at other times when he was otherwise out of state, U.S. Attorney Craig Carpenito said. Antebi, who specializes in pain ma…
Hudson 'Runner' In $3.5M Accident Insurance Fraud Scheme Gets Year And Day In Federal Prison Hudson 'Runner' In $3.5M Accident Insurance Fraud Scheme Gets Year And Day In Federal Prison
Hudson 'Runner' In $3.5M Accident Insurance Fraud Scheme Gets Year And Day In Federal Prison A Hudson County man is headed to federal prison for a plea-bargained year and a day for recruiting accident victims for an insurance fraud racket that racked up $3.5 million in bogus medical bills. Luis G. Aguirre, 57, of Kearny admitted in March that he worked as a “runner,” steering accident victims to various chiropractors, medical imaging centers and others who billed PIP insurance plans for medically unnecessary services. Health care providers gave Aguirre $500 in cash for each victim he delivered, U.S. Attorney Craig Carpenito said. Aguirre and an employee from an auto body shop…
‘Patient Brokers' Admit Bribing, Flying NJ Drug Addicts To Cali Rehab Clinics ‘Patient Brokers' Admit Bribing, Flying NJ Drug Addicts To Cali Rehab Clinics
‘Patient Brokers' Admit Bribing, Flying NJ Drug Addicts To Cali Rehab Clinics UPDATE: Two out-of-state men admitted paying “recruiters” to bribe drug addicts in New Jersey to go to rehab centers that they got business from -- some of which were as far as California. Seth Logan Welsh, 26, of Forest Hill, MD, and John C. Devlin, 33, of Baltimore told a U.S. District judge in Trenton via teleconference that they hired a Red Bank bank man, among others, to carry out the scheme so they could collect referral fees from the rehab centers. That man, Peter Costas, paid addicts several thousand dollars to use specific rehab centers in New Jersey and other states -- whether th…
Feds Charge More Retired NFL Players In $3.4 Million Health Fraud Feds Charge More Retired NFL Players In $3.4 Million Health Fraud
Feds Charge More Retired NFL Players In $3.4 Million Health Fraud Three more former NFL players, one of them from the Jersey Shore, were among several who federal authorities said illegally collected $3.4 million in a massive health care scam. Darrell Reid, 38, of Farmingdale, who played linebacker for the 2007 Super Bowl champion Denver Broncos and the Indianapolis Colts, was among the three additional players named in a U.S. District Court indictment. The others are former Tennessee Titans and Cincinnati Bengals defensive end Antwan Odom, 38, of Irvington, Alabama and Anthony Montgomery, 36, of Cleveland, who played defensive end for the team formerly k…
Feds: COVID Couldn't Slow Down Rockland Doc, Wife In Multi-Million Dollar Bribery Scam Feds: COVID Couldn't Slow Down Rockland Doc, Wife In Multi-Million Dollar Bribery Scam
Feds: COVID Couldn't Slow Down Rockland Doc, Wife In Multi-Million Dollar Bribery Scam The coronavirus pandemic hardly fazed a Rockland doctor who with his wife continued to collect bribes and kickbacks in exchange for ordering millions of dollars in genetic tests, federal authorities said Thursday. Yitzachok “Barry” Kurtzer, 60, of Monsey operated an office in Scranton, PA, as did another physician, Lee Besen, 64, of Waverly, PA, U.S. Attorney for New Jersey Craig Carpenito said. Both collected monthly cash kickbacks and bribes ranging from $500 to $5,000 in exchange for “collecting DNA samples from Medicare patients and sending them for genetic tests to clinical laboratorie…
‘Patient Broker’ Admits Bribing NJ Addicts To Fly To Cali Rehab Clinics That Paid Him Kickbacks ‘Patient Broker’ Admits Bribing NJ Addicts To Fly To Cali Rehab Clinics That Paid Him Kickbacks
‘Patient Broker’ Admits Bribing NJ Addicts To Fly To Cali Rehab Clinics That Paid Him Kickbacks A Jersey Shore man admitted Wednesday that he bribed drug addicts to enroll in rehab centers -- some in as far away as California -- in order to collect kickbacks. Peter J. Costas, 26, of Red Bank, told a federal judge via teleconference that he paid some addicts several thousand dollars to use specific rehab centers in New Jersey and other states. He and owners of a marketing company that he conspired with arranged for cross-country travel to the drug treatment centers in California and other states, U.S. Attorney Craig Carpenito said. In exchange, Carpenito said, the conspirators “could …
Bergen Accident Victim 'Runner' From Hudson Admits Role in $3.5M Insurance Fraud Bergen Accident Victim 'Runner' From Hudson Admits Role in $3.5M Insurance Fraud
Bergen Accident Victim 'Runner' From Hudson Admits Role in $3.5M Insurance Fraud A Hudson County man admitted in federal court on Tuesday that he recruited Bergen County traffic accident victims for an insurance fraud racket that racked up $3.5 million in bogus medical bills. Luis G. Aguirre, 59, of Kearny worked as a “runner,” identifying accident victims whom he then introduced to various chiropractors, medical imaging centers and others who billed PIP insurance plans for medically unnecessary services, U.S. Attorney Craig Carpenito said. Health care providers gave Aguirre $500 in cash for each victim he delivered, the U.S. attorney said. Aguirre and an employee from…
Health Insurance Fraud Sentence: Fed Pen, $1M Restitution For Fort Lee Broker From Old Tappan Health Insurance Fraud Sentence: Fed Pen, $1M Restitution For Fort Lee Broker From Old Tappan
Health Insurance Fraud Sentence: Fed Pen, $1M Restitution For Fort Lee Broker From Old Tappan A Fort Lee insurance broker must spend six months in federal prison -- followed by six months of home confinement -- and repay $1 million that was siphoned from a Horizon Blue Cross Blue Shield and the United Auto Workers (UAW) Local 2326 Health Care Plan. Lawrence Ackerman, 55, of Old Tappan originally was indicted by a federal grand jury on charges of conspiring to defraud Horizon Blue Cross Blue Shield of $5.6 million by covering 700 to 800 ineligible participants through bogus – or “shell’ – companies. Ackerman, in turn, pleaded guilty in December 2018 to health care fraud for deliverin…