Medicare Law
 
United States ex rel. Herbold v. Doctor’s Choice Home Care Inc., et al.

Tampa, Florida Qui tam lawyer represented plaintiff on a False Claims Act claim against Doctor's Choice Home Care, Inc. and former executives paying financial inducements to doctors for referrals.

Doctor’s Choice Home Care, Inc. and its former executives, Timothy Beach and Stuart Christensen, have agreed to pay $5.15 million to resolve allegations that the home health agency provided impr... More...
   $0 (12-01-2020 - FL)

Planned Parenthood of Greater Texas Family Planning and Preventative Health Services, et al. v. Sylvia Hernandez Kaufmann

In this interlocutory appeal of a preliminary injunction, the dispositive issue is whether 42 U.S.C. § 1396a(a)(23) gives Medicaid patients a right to challenge, under 42 U.S.C. § 1983, a State’s determination that a health care provider is not “qualified” within the meaning of § 1396a(a)(23). Our decision rests primarily on two independent bases: (1) the Supreme Court’s decision in O’Bannon v. To... More...   $0 (11-25-2020 - TX)

United States of America v. Grigoriy T. Rodonaia

Beaumont, Texas health care fraud criminal defense lawyer represented Grigoriy T. Rodonaia, age 43, who was charged with 12 counts of health care fraud, three counts of aggravated identity theft, one count of making a false statement, and two counts of accepting kickbacks.

Rodonaia, a physician practicing in Beaumont with Rodonaia Family Medicine and Aesthetics, was indicted on March 18,... More...
   $0 (11-25-2020 - TX)

Dr. Mark A. Berry v. Johnson & Johnson (“J&J”) subsidiary Medical Device Business Services, Inc. (“MDBS”)

Philadelphia, Pennsylvania qui tam lawyer represented plaintiff who sued Johnson & Johnson (“J&J”) subsidiary Medical Device Business Services, Inc. (“MDBS”) for violating the False Claims Act.

Johnson & Johnson (“J&J”) subsidiary Medical Device Business Services, Inc. (“MDBS”) agreed to pay $10 million to settle allegations under the False Claims Act that Therakos, Inc., a former J&J sub... More...
   $10000000 (11-22-2020 - PA)

United States of America v. Lawrence J. Valdez, M.D.

Nashville, Tennessee drug distribution charge criminal defense lawyer represented Dr. Lawrence J. Valdez, M.D., who was charged with unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 51, was sentenced after pleading guilty in November 2019 to one count of unlawful distribution of controlled substances.

Valdez admitted that in February 2017 he knowingly d... More...
   $0 (11-17-2020 - TN)

United States of America v. Dr. Eranga Haththotuwa

Wilmington, Delaware false claims act lawyer represented Eranga Cardiology, P.A. and Dr. Eranga Haththotuwa who were accused with committing health care fraud arising under the False Claims Act. Eranga Cardiology is a cardiology practice with locations in Milford and Dover.

From April 2014 to March 2020, the practice submitted claims for reimbursement to Medicare and Medicaid that requi... More...
   $0 (11-13-2020 - DE)

United States of America v. Lawrence J. Valdez, M.D.

Nashville, Tennessee drug distribution lawyer represented defendant doctor charged with unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 51, of Hendersonville, Tennessee, was charged in November 2019 to one count of unlawful distribution of controlled substances.

Pursuant to his guilty plea, Valdez admitted that in February 2017 he knowingly distributed ... More...
   $0 (11-13-2020 - TN)

United States of America v. Richard Farmer

Memphis, Tennessee criminal defense lawyer represented defendant charged with distributing opioids.

Richard Farmer, 83, of Memphis, Tennessee, was with three counts of distribution of controlled substances outside the scope of professional practice and without a legitimate medical purpose.

The defendant was charged in an April 2019 indictment as part of the first Appalachian Regi... More...
   $0 (11-05-2020 - TN)

United States ex rel. Bechtold, et al. v. Asfora, et al.

Sioux Falls, South Dakota Qui Tam False Claims Act violation lawyer represented Medtronic.

“Kickbacks undermine the integrity of federal healthcare programs and increase costs borne by taxpayers,” said Acting Assistant Attorney General Jeffrey Bossert Clark of the Department of Justice’s Civil Division. “This case demonstrates the Department of Justice’s commitment to ensure that medical... More...
   $0 (10-30-2020 - SD)

United States of America v. Onkur Lal

Alexandria, Virginia health care fraud conspiracy criminal defense lawyer represented Onkur Lal, who was charged by the United States of America with conspiracy to commit health care fraud that resulted in losses of over $3.5 million.

According to court documents, Onkur Lal, 29, worked in various roles at MedEx Pharmacy, MedEx Health Pharmacy, and Royal Care Pharmacy, which were all owned... More...
   $0 (10-24-2020 - VA)

United States of America v. Edward Stephen

Charleston, West Virginia health care fraud criminal defense lawyer represented Edward Stephen, age 61, who was charged by the United States of America with health care fraud.

“When federal workforce programs are defrauded, it comes at great cost to taxpayers,” said United States Attorney Mike Stuart. “I appreciate the work of the U.S. Department of Transportation OIG and Office of Perso... More...
   $0 (10-24-2020 - WV)

United States of America v. Purdue Pharma, L.P.

New York, NY - The United States of America charged Purdue Pharma, L.P. on civil and criminal theories relating to the manufacture and sale of opoids by the Sackler family.

“The abuse and diversion of prescription opioids has contributed to a national tragedy of addiction and deaths, in addition to those caused by illicit street opioids,” said Deputy Attorney General Jeffrey A. Rosen. “... More...
   $0 (10-21-2020 - NY)

United States of America v. Rezik Saqer

Houston, Texas fraud criminal defense lawyer represented Rezik Saqer with health care fraud.

Rezik Saqer, 66, of Houston, Texas, was charged with conspiracy to commit health care fraud. Defendant, an area physician and anesthesiologist at two registered pain clinics, Texas Pain Solutions and Integra Medical Clinic, accused of fraudulently billing health care programs for at least $5 mill... More...
   $0 (10-13-2020 - TX)

United States of America v. Dr. Lorraine De Blanche

Little Rock, Arkansas obstruction of justice criminal defense lawyer represented defendant charged with obstruction of justice.

Patient complaints and a surge in claims for durable medical equipment (DME) and compounded prescription drugs triggered investigations into telemedicine fraud targeting federal insurers, including TRICARE, CHAMPVA, and Medicare. This prompted federal inves... More...
   $0 (10-07-2020 - AR)

United States of America v. Advanced Pain Management

Milwaukee, Wisconsin False Claims Act lawyer represented Advanced Pain Management, which was sued by the United States of America on a False Claims Act wrongfully paying kickbacks and and performing medically unnecessary laboratory tests.

Advanced Pain Management (“APM”) has agreed to pay $1 million to settle claims asserting violations of the False Claims Act by paying kickbacks and by p... More...
   $1000000 (10-07-2020 - WI)

Arash Alborzi v. University of Southern California

Plaintiffs Arash Alborzi, M.D., and Arash Alborzi, M.D.,
Inc. sued defendants University of Southern California, Keck
School of Medicine of USC, and USC Verdugo Hills Hospital
(collectively, USC); as well as Concord Hospitalist Group and
Elevate Health Group. Alborzi and his corporation were part of a
panel of on-call physicians at Verdugo Hills Hospital. Plaintiffs
alleged... More...
   $0 (10-01-2020 - CA)

United States of America ex. rel. Jennifer Stuart Miller v. Eastern Tennessee Recovery, P.L.L.C. and Dr. Chambless Johnston

Knoxville, Tennessee criminal defense lawyer represented defendant charged with violating the False Claims Act.

Addiction Recovery physician Dr. Chambless Johnston and his practice, East Tennessee Recovery, have paid $530,000 to resolve several allegations that they violated the False Claims Act. The allegations include billing for individual and group psychotherapy provided by unlicense... More...
   $0 (09-27-2020 - TN)

United States of America v. Ann Sonderman Giles and Lu Anne Wallace

Lexington, Kentucky criminal defense lawyers represented the defendants who were charged with conspiracy to defraud the United States.

Giles and Wallace operated various health care related companies in the Commonwealth of Kentucky, Giles as the Chief Executive Officer and Wallace as the Chief Financial Officer. They admitted to knowingly failing to pay over to the IRS mandated trust fun... More...
   $0 (09-27-2020 - KY)

United States of America v. Gilead Sciences, Inc.

Boston, MA - False Claims Act Violation Lawyer, Medicare Fraud





The United States of America sued Gilead Sciences, Inc. on a False Claims Act violation theory claiming that it illegally using a foundation as a conduit to pay the copays of thousands of Medicare pat... More...
   $0 (09-24-2020 - )

United States of America v. Jami L. Mayhew

East St. Louis, IL - Criminal Law, Health Care Fraud





The United States of America charged Jami L. Mayhew with health care fraud.

Mayhew carried out the fraudulent scheme by seeing nursing home residents... More...
   $0 (09-19-2020 - IL)

United States ex rel. Kimberly Throgmorton v. Shreveport Prosthetics, Inc.

Shreveport, LA - Qui Tam, Whistleblower Claims, False Claims Act





The United States ex rel. Kimberly Throgmorton sued Shreveport Prosthetics, Inc. on a False Claims Act violation theory claiming that it wrongfully billed Medicare for services not performed.... More...
   $1600000 (09-17-2020 - )

Crista Ramos, et al. v. Chad F. Wolf

San Francisco, CA - Immigration





The Temporary Protected Status (TPS) program is a congressionally created humanitarian program administered by the Department of Homeland Security (DHS) that provides temporary relief to nationals of designated foreign coun... More...
   $0 (09-15-2020 - CA)

Van Nguyen ex rel. United States of America v. Victoria Transcultural Clinical Center, VTCC, LLC (“VTCC”)

Alexandria, VA - Felony, Health Care Fraud, False Claims Act, Qui Tam






United States of America sued Victoria Transcultural Clinical Center, VTCC, LLC (“VTCC”) on a False Claims Act theory claiming that it engaged in a scheme to obtain payments from the... More...
   $263280 (09-14-2020 - )

United Auburn Indian Community of the Auburn Rancheria v. Gavin C. Newsom, as Governor, etc.

This is a case about how California law applies to the
delicate juncture of executive power, federalism, and tribal
sovereignty. Under the federal Indian Gaming Regulatory Act
(IGRA; 25 U.S.C. § 2701 et seq.), the United States Secretary
of the Interior (Interior Secretary) may permit casino-style
gaming on certain land taken into federal trust for an Indian
tribe, so long ... More...
   $0 (09-08-2020 - CA)

United States of America v. Aleksandr Pikus

Brooklyn, NY - Felony, Healthcare Kickbacks, Money Laundering





The United States of America charged Aleksandr Pikus, age 45, with healthcare kickback and money laundering conspiracy.

“The defendant’s key role in an elaborate scheme to steal and conceal... More...
   $0 (09-02-2020 - NY)

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