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Medicare
Drexel Hill-Upper Darby, PA
News
Husband, Wife Led $20M Medicaid Fraud Ring At Pharmacy: PA AG
A husband and wife are accused of masterminding a $20 million Medicaid and Medicare fraud scheme from their South Philadelphia pharmacy, Pennsylvania Attorney General Michelle Henry announced on Thursday, Dec. 19. Elizabeth Thompson, 70, the registered owner of Broad Street Family Pharmacy, and her husband, Peter Dello Buono, 70, allegedly ran the scheme alongside pharmacist Frank Bengermino, 70, defrauding federal healthcare programs by faking prescriptions and pocketing the cash, investigators said. From 2016 to 2021, the couple and their co-conspirators allegedly billed Medicaid and Medi…
Newburgh, NY
News
$4.4M Medicaid Fraud Scheme: Five In Orange, Saratoga Counties Plead Guilty, NY AG Says
Five Hudson Valley and Capital Region residents and seven transportation companies have admitted to stealing millions from Medicaid. New York Attorney General Letitia James announced Thursday, Dec. 5, that five have pleaded guilty to stealing more than $4.4 million from New York’s Medicaid program through fake billing, illegal kickbacks, and engaging in money laundering and other fraudulent schemes to conceal their crimes. Muhammad Rizwan Khan, 38, Muhammad Usman Khan, 40, and Farhan Khan, 29, all of Orange County, and their related companies pleaded guilty on Wednesday, Dec. 4, in Or…
White Plains, NY
News
White Plains Nursing Home Among 4 In NY To Pay $45M Settlement After Mistreating Residents: AG
A Westchester County nursing home is one of four in New York that will be required to pay tens of millions of dollars following years of mistreating and neglecting its senior residents, officials announced. In an announcement on Thursday, Nov. 14, New York Attorney General Letitia James revealed that four New York nursing homes, including the Martine Center for Rehabilitation and Nursing at 12 Tibbets Ave. in White Plains, would pay a $45 million settlement to address years of alleged insufficient staffing and resident neglect. The other nursing homes, all managed by Centers for Care, …
White Plains, NY
Politics
Election 2024: Winner Projected In 16th Congressional District Representing Much Of Westchester
The votes are in, and New York's 16th Congressional District now knows its next representative in Congress. Democrat George Latimer has been projected as the winner for the House seat representing the southern portion of Westchester, including White Plains, Mount Vernon, Yonkers, New Rochelle, and Rye, and a small part of the northern Bronx, defeating Republican Miriam Flisser, according to the state Board of Elections. Latimer was leading Flisser by a margin of 72 to 28 percent, with 54 percent of the vote in as of 12:15 a.m. Wednesday, Nov. 6. The people of Westc…
Guilford, CT
News
Guilford Woman Who Pocketed $1.4M In Unpaid Business Taxes Gets 19 Months In Prison: Feds
A Connecticut businesswoman who admitted to withholding more than $1 million in payroll taxes to spend on her mortgage, home repairs, and casino trips will spend more than a year and a half behind bars, authorities announced. Michelle Ann Gilson, 38, of Guilford in New Haven County, was sentenced this week to 19 months in prison followed by three years of probation, and she must pay the IRS more than $1.4 million in restitution, the US Attorney for Connecticut said. Gilson co-owned and co-operated B&M Package Solutions, Inc. and formerly owned and operated Epic Empirez,…
Harrisburg, PA
News
Fake Urine Tests By Married PA Doctors Lead To Millions In Restitution:
Usdoj
A husband and wife team of Pennsylvania doctors have been sentenced for a urine drug test fraud, the US Department of Justice and Federal Bureau of Investigation announced on Tuesday, Sept. 24. Physician with specialized training in anesthesiology, John H. Johnson and his physician wife, Paula Z. Johnson, both age 62, of Hollidaysburg, were sentenced for committing fraud by U.S. District Court Judge Christopher C. Conner on Tuesday, Sept. 17, as detailed in the USDOJ release. Dr. John Johnson received a sentence of 97 months in prison, followed by three years of supervised release. D…
Upper Marlboro, MD
Politics
Biden, Harris Make Stop At Prince George's Community College For WH Event As Election Nears
President Joe Biden and Vice President made a pitstop in Prince George's County on Thursday afternoon, marking their first appearance together since he ended his re-election bid. The pair were at the Prince George's Community College in Largo on Aug. 15 to "deliver remarks on the progress they are making to lower costs for the American people," a key talking point in Harris' bid to tackle former President Donald Trump in November. Biden was scheduled to arrive in Prince George's County at around 12:40 p.m. on Thursday, spoke at 1:30 and were scheduled to head back to the White House before …
Cherry Hill, NJ
News
Poor Conditions, Fraud: State Seizes Control Of 2 NJ Nursing Homes
A pair of South Jersey nursing homes, riddled with poor conditions and alleged Medicaid fraud, have been turned over to the control of an independent receiver, authorities said. The state Comptroller previously suspended the owners of Deptford Center for Rehabilitation and Healthcare and Hammonton Center for Rehabilitation and Healthcare from New Jersey Medicaid. A Superior Court judge ordered the appointment of Allen Wilen of the Eisner Advisory Group, LLC to run the nursing homes effective June 17, according to the New Jersey Comptroller's Office. The judge's appointment means that the r…
Brentwood, NY
Politics
Journalist Vs. Chemist: Avlon, Goroff Face Off In Closely-Watched NY Congressional Primary Race
Among the New York races that political pundits are keeping an eye on this Primary Day is that of the journalist versus the chemist. On Long Island, Democrats John Avlon and Nancy Goroff are facing off to determine who will take on Republican Rep. Nick LaLota in November for the state’s 1st Congressional District, representing the eastern two-thirds of Suffolk County. The 51-year-old Avlon is a former political analyst at CNN who previously served as a columnist and associate editor for The New York Sun. He was also the chief speech writer for former New York City Mayor Rudy Giuliani. Ea…
Scarsdale, NY
News
$2M Scheme: Scarsdale Accounting Firm Partners Admit To Tax Fraud Conspiracy
Two New York accounting firm partners have pleaded guilty to a multi-million dollar tax evasion scheme. Click here for a new, updated story - Update: Scarsdale-Based Accountant Nabbed In Tax Fraud Scheme Was Longtime Firefighter Westchester County resident George Sanossian, age 70, of Scarsdale, and New Jersey resident Jack Sardis, age 66, of Englewood Cliffs, both certified public accountants, admitted to conspiracy to defraud the IRS by scheming with clients to reduce tax liabilities through a shell company, leading to over $2 million in unreported cash transactions. The tw…
Hartford, CT
News
Longtime CT Eye Doctor Sentenced For Bogus Brain Scan Scheme
A longtime ophthalmologist in Connecticut will have to pay back over $1 million and spend time in federal lockup after confessing that he ordered unnecessary brain scans to line his pockets. Hartford County resident Donald Salzberg, age 69, of Avon, was sentenced to one year in prison in Boston federal court on Thursday, May 9. It came nearly two years after Salzberg, who operated Salzberg, M.D. on Farmington Avenue in West Hartford for nearly 40 years, pleaded guilty to conspiracy to commit health care fraud and receive kickbacks. Earlier Report: Popular CT Eye Doctor Admits To Tak…
Pelham, NY
News
$50M Scheme: Pelham Manor Man Charged By Feds
A 44-year-old Westchester man has admitted to a healthcare fraud scheme that cost Medicare nearly $50 million in losses, federal officials announced. Pelham Manor resident Manishkumar Patel pleaded guilty on Friday, April 26 to charges connected to a healthcare fraud and kickback scheme involving the sale of fraudulent prescriptions, according to the US Attorney's Office for the Southern District of New York. Earlier Report - $10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say According to federal officials, between 2019 and 2022, Patel and a …
Newark, NJ
Police & Fire
Kickbacks Convinced Doc To Scam Medicare Out Of Nearly $21 Million: NJ Feds
A doctor pocketed cash kickbacks from lab companies and others for filing more than $20.7 million in bogus Medicare claims for medically unnecessary -- and often expensive -- COVID and cancer genetic tests, among other scams, a federal grand jury in Newark has charged. Alexander Baldonado, 68, of Queens already was awaiting trial dating back to charges brought a few years ago when grand jurors in Newark this week returned a superseding indictment that digs deeper into the allegations. Baldonado approved lab tests billed to Medicare in exchange for cash payoffs "from a laboratory representat…
Ridgewood, NJ
News
Bergen Doc Who Said He Treated Medicaid Patients When He Was Not Even In The U.S. Pays Up
A Bergen County doctor and former medical director of the New Jersey Veterans Memorial Home in Paramus busted for "up-coding" and lying about care provided has agreed to pay $700,000, federal authorities said. Arun Sehgal and his Ramsey practice, Preventive & Diagnostic Medical Center P.A., violated the "False Claims Act" by billing patients for more service than they could possibly provide in a single day, or for services that they never provided, U.S. Attorney Philip R. Sellinger said Thursday, Feb. 22. Sehgal and his practice agreed to pay $693,490 plus interest to resolve the three …
Bethlehem, PA
Police & Fire
PA Man Gets Prison Time For Concealing Dad's Death To Collect Social Security
A Monroe County man was sentenced to five years in federal prison this week for covering up his father's death and continuing to cash his checks, according to the US Attorney's Office. Timothy Gritman, 56, of Brodheadsville, pleaded guilty to Social Security and wire fraud in a federal court exactly one year ago, Feb. 14, 2023, Daily Voice reported. This year on Valentine's Day, Gritman was sentenced to five years plus three more of supervised release, prosecutors said in a release. Authorities have said Gritman's father Ralph was 79 and "in poor health" when he was l…
Pelham, NY
News
$10M Scheme: Pelham Manor Man Nabbed For Selling Fraudulent Prescriptions, Feds Say
A 44-year-old Westchester man faces healthcare fraud charges after generating fake prescriptions and using them to bill Medicare for at least $10 million of false claims, federal officials announced. Pelham Manor resident Manishkumar Patel, age 44, was arrested on Tuesday morning, Oct. 31 in connection with a healthcare fraud and kickback scheme involving the sale of fake prescriptions, the US Attorney's Office for Southern District of New York announced. According to federal officials, between 2019 and 2022, Patel and a co-conspirator would fraudulently sell the prescriptions an…
Monsey, NY
News
$127M Scheme: Business Owner From Rockland Admits To Being Major Figure In Scam, Feds Say
A 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, age 44, of Chestnut Ridge, participated in a “circular scheme of kickbacks and bribes” with doctors, durable medical equipment businesses, and telemedicine companies to pull off the massive con, US 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, a Lamborgh…
Newark, NJ
Police & Fire
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,…
Massapequa, NY
News
Pharmacy Owner From Long Island Engaged In $26M Health Care Fraud Scheme, Feds Say
Two pharmacy owners, including one from Long Island, are facing federal charges for their alleged roles in a massive health care fraud scheme, authorities said. Taesung Kim, age 58, of Great Neck and Dacheng Lu, age 44, of Flushing, Queens are each accused of submitting false and fraudulent claims to Medicare and Medicaid, according to an indictment unsealed Tuesday, May 2, in federal court in Brooklyn. The pair owned and operated four pharmacies located in Brooklyn and Queens. According to federal prosecutors, between January 2015 and December 2022 Kim and Lu conspired with others to subm…
Dorchester, MA
Business
'Cheated': Recovery Centers Across Mass Close, Operators Charged With Millions In Fraud: Feds
Instead of fostering recovery, the operator of a chain of addiction treatment centers used his position to launder money, steal millions of dollars, and write prescriptions under doctors' names without permission, said the US attorney's office. Michael Brier, of Newton, used his position as operator of Recovery Connections Centers of America to rake in millions of dollars from Medicare, Medicaid, and other such organizations by falsifying healthcare claims, back-dating documents, and writing prescriptions using the names of doctors without their permission, according to Unite…
Bethlehem, PA
Police & Fire
PA Man Disguised Himself As Late Dad To Get Social Security, Pension: Feds
A Pennsylvania man has admitted to fraudulently collecting his late father's retirement checks, and even disguising himself as an older man to sell the lie, federal authorities say. Timothy Gritman, a 55-year-old resident of Brodheadsville in Monroe County, pleaded guilty to Social Security and wire fraud in a federal court on Tuesday, Feb. 14, said US Attorney Jacqueline C. Romero in a statement. According to prosecutors, Gritman's father Ralph was 79 and "in poor health" when he was last seen alive by other family members in 2016. The next summer, authorities say Gritman moved with …
Middletown, NJ
News
Electrocution Survivor Loses Insurance Benefits, Jersey Shore Friends Rally To Pay His Bills
A Monmouth County man survived being electrocuted but suffered burns over 40 percent of his body. Now, he faces the painful task of paying medical bills after his Medicare coverage was cut. More than $28,000 has been raised in this GoFundMe page to support Paul Roberts, of Fair Haven, who accidentally hit a live wire while cutting a tree branch last August. Per a GoFundMe organized by Paul's friends, Carrie and Ron Drazin: "He was being electrocuted for approximately 20 minutes with his body literally in flames when the police arrived. When the power was turned off, he fell 25 feet f…
Massapequa, NY
News
Long Island Doctor Sentenced For Million-Dollar Medicare Fraud Scheme
A Long Island doctor is heading to federal prison after admitting that he bilked the Medicare system out of more than a million dollars as part of an elaborate fraud scheme. Morris Barnard, age 59, of Great Neck, was sentenced to 2 ½ years behind bars in federal court in Central Islip on Thursday, Jan. 5. It followed his March 2022 guilty plea to healthcare fraud. Earlier Report: New Details: Nassau Doctor Admits To Million-Dollar Medicare Scheme Prosecutors said between October 2015 and February 2020, Barnard, a gastroenterologist practicing in Great Neck, submitted over $3 million i…
Parsippany-Troy Hills, NJ
News
Ex-Con At Morris County Pharmacy Admits Bribing Jersey City Docs For $2.4M In 'Script Business
A former Morris County pharmacist once convicted of selling oxycodone without prescriptions admitted masterminding a kickback scheme that steered $2.4 million worth of business to his new employer, federal authorities said. Srinivasa Raju, 51, of Haskell, began the new scam at another Morris County pharmacy after serving three years probation -- and losing his pharmacist's license -- following his 2016 state conviction. SEE: Jurors Convict Clifton Pharmacist In Oxycodone Scheme While in that job, Raju "worked with other pharmacy personnel to pay kickbacks and bribes to medical employees in…
Massapequa, NY
News
Nursing Home Stole $22.6M In Government Funds, NY AG Says
Millions of dollars in public funding that should’ve gone to caring for residents of a New York nursing home were instead diverted into the pockets of its greedy owners, according to a lawsuit from Attorney General Letitia James. The suit, filed Friday, Dec. 16, alleges a years-long fraud scheme carried out by the owners of Long Island’s Cold Spring Hills Center for Nursing and Rehabilitation, located in Woodbury. Earlier Report: East Meadow Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, AG Says An investigation by the Office of the Attorney General (OAG) found that…
Massapequa, NY
News
NY Nursing Home's $16M Fraud Scheme Led To 'Devastating' Resident Abuse, Neglect, AG Says
Sexual abuse, unexplained bruising, unanswered call bells, and humiliating missed trips to the bathroom. Those were just some of the horrors experienced by residents at a New York nursing home stemming from a multimillion-dollar fraud scheme, according to a lawsuit from Attorney General Letitia James. Related Report: East Meadow Nursing Home Employee Sexually Assaulted Resident, Boss Covered Up Crime, DA Says The suit, filed Tuesday, Dec. 13, alleges that the owners of Long Island’s Fulton Commons Care Center, located in East Meadow, exploited New York’s Medicaid program to enrich themsel…
Cambridge, MA
Police & Fire
Lowell Nurse Pleads Guilty To $100M Medicare, MassHealth Fraud, Kickback Scheme: Feds
A 42-year-old Lowell nurse pleaded guilty in federal court earlier this month to a scheme that prosecutors say defrauded at least $100 million from Medicare and MassHealth. Winnie Waruru admitted in court on Sept. 8 to conspiracy to commit healthcare fraud, aiding and abetting healthcare fraud, conspiracy to pay and receive kickbacks, and multiple counts of lying to federal investigators, the U.S. Attorney's Office. Waruru worked as a licensed practical nurse for Arbor Homecare Services LLC, where investigators said she and a co-owner of the business, Faith Newton, failed to train staff,…
Dorchester, MA
News
Popular CT Eye Doctor Admits To Taking Kickbacks For Bogus Brain Scan Orders
A well-known Connecticut eye doctor admitted in Boston federal court to receiving kickbacks and racking up millions in bogus insurance and Medicare bills by ordering unnecessary brain scans, officials said. A licensed medical doctor in the State of Connecticut for 36 years, Donald Salzberg owned and operated Donald J. Salzberg, M.D., on Farmington Avenue in West Hartford, CT. Salzberg, who lives in Avon, conspired with a principal for a medical diagnostics company to order hundreds of transcranial doppler (TCD) scans in exchange for money between 2014 and 2019, …
Hartford, CT
News
CT Doctor Admits To Getting Kickbacks In Exchange For Ordering Unnecessary Procedures
A Connecticut eye doctor was paid handsomely from a five-year fraudulent medical billing scheme that netted millions of dollars. Hartford County resident Donald Salzberg, age 67, of Avon, pleaded guilty Thursday, July 14, to one count of conspiracy to commit health care fraud and one count of conspiracy to receive kickbacks in federal court in Boston. Prosecutors said that between 2014 and 2019 Salzberg, who owned and operated an ophthalmology practice in West Hartford, conspired with a principal for a medical diagnostics company to order hundreds of unnecessary brain scans. Salzburg and h…
Massapequa, NY
News
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…
Fort Lee, NJ
News
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…
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