Medicaid Law
 
United States of America v. Arturo Archuleta

Albuquerque, New Mexico criminal defense lawyer represented the Defendant charged with tax evasion.


Archuleta was also ordered to pay approximately $90,000 in restitution



Arturo Archuleta, 50, of Albuquerque, paid approximately $140,000 in ... More...   $0 (03-25-2024 - NM)

United States of America v. Lambert Mbom

Greenbelt, Maryland criminal defense lawyer represented the Defendant charged with a Health Care Fraud Scheme.



U.S. District Judge Paula Xinis sentenced Lambert Mbom, age 50, of Riverdale, Maryland, to five years in federal prison, followed by three years of supervised release, for conspiracy to commit healt... More...
   $0 (02-12-2024 - MD)

United States of America v. Adeyanju Adewale

Baltimore, Maryland criminal defense lawyer represented the Defendant charged with being a Serial Fraudster.





U.S. District Judge Richard D. Bennett sentenced Adeyanju Adewale, age 40, of Reisterstown, Maryland, to five years in federal prison, followed by o... More...
   $0 (02-01-2024 - MD)

United States of America v. Eric King

Cleveland, Ohio criminal defense lawyer represented the Defendant charged withFraudulent Medicaid Billing Practices.




Eric King, 35, of Cleveland, Ohio, was sentenced today to 36 months in prison by U.S. District Judge Pamela A. Barker, U.S. Attorney Rebecca C. L... More...
   $0 (01-31-2024 - OH)

United States of America v. Jessica Joyce Spayd

Anchorage, Alaska Criminal Defense Lawyer represented the Defendant with Illegally Prescribing Millions of Opioids Causing Five Deaths



Former Advanced Nurse Practitioner Jessica Joyce Spayd (52) was sentenced in U.S. District Court to 30 years (360 months) imprisonment for illegally prescribing and dispensin... More...
   $0 (01-14-2024 - AK)

United States of America v. RDx Bioscience Inc. (RDx)

Camden, New Jersey qui tam lawyers represented the Defendant accused for violating the False Claims Act.


Clinical laboratory RDx Bioscience Inc. (RDx), of Kenilworth, New Jersey, and its owner and Chief Executive Officer Eric Leykin, of Brooklyn, New York, have agreed to pay to the United States $10,315,023 to resolve False Claims Act allegations involving illegal kickbacks and medic... More...
   $0 (01-10-2024 - NJ)

United States of America v. H. Lee Moffitt Cancer Center & Research Institute Hospital Inc.

Tampa, Florida civil litigation lawyers represented the Defendant accused of violation the False Claims Act by charging for making improper claims submitted to federal healthcare programs for certain patient care items and services provided during research studies that were not eligible for reimbursement.

H. Lee Moffitt Cancer Center & Research Institute Hospital Inc. (Moffitt), a non-pr... More...
   $0 (01-04-2024 - FL)

United States of America v. Nina Bourret

Columbia, South Carolina Medicaid lawyer represented the Defendant for making fraudulent statements to Medicaid in connection with the delivery of autism spectrum disorder services.




COLUMBIA, S.C. — Nina Bourret, 41, of Greenville, was sentenced to one year and one day in federal prison after pleading guilty to making fraudulent statements t... More...
   $0 (01-03-2024 - SC)

United States of America v. Lesa Chaney & James Alvin Chaney (“Ace”)

London, Kentucky criminal defense lawyer represented the Defendant charged with drug trafficking.

James Alvin Chaney (“Ace”) and Lesa Chaney owned and operated a highly profitable clinic in Hazard, Kentucky called Ace Clinique of Medicine. Eventually, the clinic attracted suspicion that it was a “pill mill”: a clinic that
distributes addictive prescription pills without a ... More...
   $0 (12-28-2023 - OH)

United States of America v. James L. Luketich, M.D.

Pittsburgh, Pennsylvania civil defense lawyer represented the Defendant accused of fraud.

Dr. Luketich, UPMC, and UPP agreed to pay $8.5 million to the United States to resolve the claims against them. The Defendants also agreed to create and effectuate a Corrective Action Plan for Dr. Luketich, and to submit to a year-long, third-party audit of Dr. Luketich’s physician fee services bil... More...
   $0 (12-20-2023 - PA)

Wyatt Keenan v. Caresource Corp., et al.

Indianapolis, Indiana personal injury lawyers represented the Plaintiff who sued the Defendant on a negligence theory.

CareSource offers a lifetime of health coverage to over 2.3 million members through plan offerings including Marketplace, Medicare products and Medicaid.

"Indiana personal injury law is based on the principle of negligence. This means that a person who has been ... More...
   $0 (11-28-2023 - IN)

C.S. v. Social Security Administration

Dayton, Ohio social security disability lawyer represented the Plaintiff seeking review of the denial by HHS of her application for 42:405 Review of HHS Decision (DIWC) benefits.

08/30/2022 1 MOTION for Leave to Proceed in forma pauperis by Plaintiff Carrie Search. (Attachments: # 1 Complaint, # 2 Civil Cover Sheet, # 3 USDC) (Walter, Robert) (Entered: 08/30/2022)
08/30/2022 2 CLERK... More...
   $0 (11-22-2023 - OH)

United States of America v. Wendell Lewis Randall

Roanoke, Virginia criminal defense lawyer represented the Defendant charged with conspiring with others to use, in the course of dispensing and distributing controlled substances, a DEA registration number issued to another person. DEA registration numbers are unique identifiers issued to medical providers in order to track who issues drug prescriptions and to ensure only qualified providers pres... More...   $0 (11-22-2023 - VA)

United States of America v. Nostrum Laboratories Inc. and Nirmal Mulye, Ph.D.

Boston, Massachusetts qui tam lawyers represented the Defendant accused of violated the False Claims Act by knowingly underpaying Medicaid rebates due for Nostrum’s drug Nitrofurantoin Oral Suspension (Nitro OS).

Pursuant to the Medicaid Drug Rebate Program, drug manufacturers are required to pay quarterly rebates to state Medicaid programs in exchange for Medicaid’s coverage of the m... More...
   $0 (10-31-2023 - MA)

Lauren Osaki v. Social Security Administration

Honolulu, Hawaii social security disability lawyer represented the Plaintiff seeking review of the denial of her application for Social Security: SSID Tit. XVI benefits by HHS.

"Social Security Supplemental Security Income (SSI) is a federal income supplement program funded by general tax revenues that provides financial assistance to low-income individuals who are aged, blind, or disable... More...
   $0 (10-27-2023 - HI)

United States of America v. Debra Shaffer

Roanoke, Virginia criminal defense lawyer represented the Defendant charged with using the DEA Registration number of another while prescribing controlled substances.

Debra Shaffer, of New Castle, Virginia r was an important part of a years-long scheme to illegitimately distribute Suboxone by staff providers who lacked the training, experience, and legal authority to prescribe Suboxone... More...
   $0 (10-24-2023 - VA)

M.J.T. v. Social Security Administration

Pendleton, Oregon social security disability lawyer represented the Plaintiff seeking review of the denial by HHS of her applicaiton for Social Security: SSID Tit. XVI benefits.

"ocial Security Title XVI benefit law, also known as Supplemental Security Income (SSI), is a federal program that provides financial assistance to low-income individuals who are aged, blind, or disabled. SSI is a... More...
   $1 (10-20-2023 - OR)

United States of America v. Edgewater Systems for Balanced Living, Inc.

Hammond, Indiana qui tam lawyers represented the Defendant accused of fraudulently billing the Indiana Medicaid program.

The Government claimed that Edgewater Systems for Balanced Living, Inc., a healthcare provider in Gary, Indiana that provides mental health services, for fraudulently billing the Indiana Medicaid program.

The Indiana Medicaid program provides healthcare for low... More...
   $0 (09-29-2023 - IN)

United States of America v. The Cigna Group

Nashville, Tennessee civil litigation lawyers represented the Defendant accused of violating the False Claims Act by submitting to the Government false and invalid patient diagnosis codes to artificially inflate the payments CIGNA received for providing insurance coverage to its Medicare Advantage plan members.

The Government’s Complaint alleged that the invalid diagnosis codes were b... More...
   $37000000 (09-29-2023 - TN)

United States of America v. Moustafa Moustafa M.D., Nephrology and Hypertension Center Inc.

Newark, New Jersey civil litigation lawyers represented Defendants accused for violating the False Claims Act.

Moustafa Moustafa M.D. and his medical practice, South Carolina Nephrology and Hypertension Center Inc., of Orangeburg and Bamberg, South Carolina, agreed to pay $585,540 to resolve False Claims Act allegations that they received illegal kickbacks in violation of the Anti-Kickbac... More...
   $585650 (09-28-2023 - NJ)

United States of America v. Stanton Witherspoon, et al.

Miami, Florida criminal defense lawyers represented Defendants charged with participation in a wire fraud scheme, known as Operation Nightingale, that created an illegal licensing and employment shortcut for aspiring nurses.

According to public records, residents of Florida, along with individuals from other states, were charged for their involvement in a scheme to sell fraudulent nursi... More...
   $0 (09-28-2023 - FL)

United States of America v. Shalondria Simpson and Advance Pharmacy and TruCAre Pharmacy

Houston, Texas criminal defense lawyer represented the Defendant charged with health care fraud, kickback, and money laundering.

Shalondria Simpson, 45, of Houston, is a pharmacist who owned and operated two pharmacies in Houston: Advance Pharmacy (Advance) and TruCare Pharmacy (TruCare). Simpson’s twin sister, physician Lashondria Simpson-Camp, 45, of Allen, Texas, allegedly referred ... More...
   $0 (09-26-2023 - TX)

United States of America v. Justin G. LaMonda

St. Louis, Missouri criminal defense lawyer represented the Defendant who was charged with making false statements relating to health care matters.

Justin G. LaMonda’s crimes originated after the Missouri Board of Registration for the Healing Arts suspended his medical license for 30 days in 2017 after he was accused of engaging in sexual activity with his office manager and prescribing... More...
   $0 (09-14-2023 - MO)

Krystin Butler ex rel. United States of America, et al. v. Michael K. Chrism, II and Mile High Psychiatry, LLC

Denver, Colorado fraud claim defense lawyer represented Defendants charged with violating the False Claims Act.

Michael K. Chism, II and Mile High Psychiatry, LLC were accused of violating the False Claims Act by knowingly double-billing time in order to unlawfully obtain increased payments from Medicare and Medicaid.

Mile High Psychiatry is a Colorado company located in Aurora t... More...
   $0 (09-12-2023 - CO)

United States of America v. Rajendra Bothra, M.D., Pain Center USA, P.L.L.C. and Interventional Pain Center, P.L.L.C.

Detroit, Michigan civil litigation lawyer represented Defendant with violating the Qui Tam False Claims Act by billing Medicare and Medicaid for for unnecessary treatments, drug tests and braces.

A Michigan interventional pain management specialist, Rajendra Bothra, M.D., and two medical entities that he owned and operated, The Pain Center USA, PLLC, and Interventional Pain Center, PLLC,... More...
   $0 (08-30-2023 - MI)

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