Health care fraud
Coverage of Health care fraud in the Nexus archive.
- Greensboro woman pleads guilty to fraud in $1.7 million urine drug testing scheme
Gwendolyn Singleton, owner of Joelle’s Center of Hope in Greensboro, pleaded guilty to health care fraud after defrauding North Carolina Medicaid of approximately $1.7 million through fraudulent urine drug testing claims.
- Charlotte man charged in $735,000 scheme to defraud Medicaid
Ronnie Lorenzo Robinson Jr., a Charlotte man, faces federal charges for allegedly defrauding Medicaid of $735,000 by submitting false claims for mental health services through his company, The Fisher of Men Project, LLC. Prosecutors allege he used stolen personal information to file unauthorized reimbursement claims, resulting in $440,000 in payments to his company for services that were never provided.
- Tennessee pharmacy owner ordered to pay $1.4M in opioid health care fraud scheme
The owner of two pharmacies in Celina, Tennessee, has been sentenced to federal prison for a years-long scheme involving the illegal distribution of opioids. The individual was ordered to pay $1.4 million in a healthcare fraud case related to opioids.
- Charlotte man charged with Medicaid fraud scheme
Ronnie Lorenzo Robinson, Jr. of Charlotte was charged with health care fraud, making false statements related to health care matters, and aggravated identity theft for submitting false Medicaid reimbursement claims for psychotherapy services that were never provided.
- 7 Minnesota providers among 455 charged in nationwide $6.5B ‘health care fraud takedown’
Seven Minnesota health care providers are among 455 individuals charged nationwide in a $6.5 billion health care fraud and opioid abuse scheme. The Minnesota Fraud Control Unit (MFCU) alleges the seven local providers fraudulently billed over $700,000 through methods including fake services, unlicensed practice, and billing for services not provided.
- Acting AG Todd Blanche announces 455 people charged for $6.5B in health care fraud schemes
Acting Attorney General Todd Blanche announced that 455 individuals have been charged in connection with health care fraud schemes targeting taxpayer-funded programs, seeking to defraud them of $6.5 billion.
- Fraud Division Announces Federal–State Partnership in Ohio to Prosecute Fraud
The Justice Department and state authorities in Ohio announced a federal-state partnership to combat fraud, including data sharing agreements and charges against 9 defendants for over $42 million in fraud. Three defendants were detained, two are pending extradition in connection with an additional $15 million in fraud, and the FBI launched a Most Wanted Fraudsters list.
- Three Sentenced to Prison for Laundering Medicare Fraud Proceeds
Three South Florida men were sentenced to prison for their role in a Medicare fraud scheme that laundered over $2.2 million in proceeds.
- There’s no place like home — for health care fraud
State-subsidized home health care programs that employ relatives to provide care are performing worse in practice than intended. The article highlights concerns that these programs may facilitate health care fraud despite their theoretical benefits.
- APRN Charged with Defrauding Connecticut’s Medicaid Program
APRN Marisol Rodriguez, also known as Marisol Colon, age 49 from Lehigh Acres, Florida, was arrested on federal charges of health care fraud related to Connecticut's Medicaid program. The arrest follows an investigation into fraudulent activities involving the state's Medicaid system.
- Georgian Citizen Sentenced to Over Three Years in Prison for International Money Laundering Conspiracy
A Georgian citizen was sentenced to 37 months in prison for laundering over $1.1 million in health care fraud proceeds to foreign co-conspirators. The case involved international money laundering conspiracy.
- Three Sentenced to Prison for Laundering Medicare Fraud Proceeds
Three Florida men were sentenced to prison for participating in a Medicare fraud scheme and laundering over $2.2 million in illicit health care fraud proceeds. The sentencing took place on Tuesday as part of federal prosecution efforts against health care fraud.
- Minnesota Health Care Fraud Takedown Results in Charges Against 15 Defendants for Over $90M in Fraud
Federal authorities charged 15 defendants in Minnesota for a health care fraud scheme involving over $90 million in fraudulent claims. The takedown represents a significant enforcement action against health care fraud in the state. The charges target individuals and organizations accused of submitting false medical billing claims to insurance providers.
- Michigan Pharmacist Sentenced to 46 Months in Prison for $4 Million Health Care Fraud Scheme
A former Michigan pharmacist was sentenced to 46 months in prison for operating a $4 million health care fraud scheme at his pharmacy. The case involves significant financial crimes within the health care system.
- Corporation and Former Chief Executive Officer Sentenced for Health Care Fraud and Tax Conspiracy
KBWB Operations LLC and its former CEO Kevin Breslin were sentenced for health care fraud and tax conspiracy following guilty pleas. The case involved criminal conduct related to fraudulent health care practices and tax evasion by company leadership.
- Texas Doctor Who Falsely Diagnosed Patients Sentenced to 10 Years’ Imprisonment in Connection with $118 Million in Fraudulent Health Care Claims
A Texas rheumatologist was sentenced to 10 years in prison for perpetrating a health care fraud scheme involving false patient diagnoses and $118 million in fraudulent health care claims. The doctor also received three years of supervised release as part of the sentence.
- Dianne Shaffer: Pittsburgh Field Office
Dianne Shaffer is a special agent with the Pittsburgh Field Office who has 18 years of experience investigating white-collar crimes. Her specialization includes health care fraud and securities fraud investigations.
- A. Cynthia Santana: Las Vegas Field Office
A. Cynthia Santana joined the FBI as a special agent in January 2001, where she worked on public corruption and health care fraud cases while serving as a certified crisis negotiator. In May 2020, she was promoted to assistant special agent in charge of the Las Vegas Field Office with responsibility for national security and intelligence matters.
- Kimberly Vagos Blackwood: Boston Field Office
Kimberly Vagos Blackwood is an FBI special agent at the Boston Field Office who began her career as a file clerk in 1996 and became an agent in 2001. Born in 1972, the first year women were permitted to become FBI special agents, she has specialized in investigating complex financial crimes, health care fraud, and white-collar cases.