Mohammed Sadiq, Medicare Fraud, Michigan 2023

Five individuals have been charged in a massive Medicare fraud scheme that bilked the government out of $24.7 million in Detroit. The scammers, who operated a network of home health and psychotherapy companies, allegedly submitted false claims to Medicare for services that were medically unnecessary and/or never provided.

According to court documents, Mohammed Sadiq, 65, Jamella Al-Jumail, 23, Firas Alky, 40, Clarence Cooper, 53, and Beverly Cooper, 58, were charged with conspiracy to commit health care fraud, among other crimes. The defendants allegedly paid kickbacks and bribes to recruiters to obtain Medicare beneficiaries’ information, which was used to submit false claims to Medicare.

The scheme, which operated from January 2007 through April 2012, involved the defendants and their co-conspirators incorporating multiple home health care, psychotherapy, and medical service companies to carry out the scheme. These companies included Reliance Home Care, LLC; First Choice Home Health Care Services Inc.; Associates in Home Care Inc.; Haven Adult Day Care Center LLC; Swift Home Care LLC; ABC Home Care Inc.; Accessible Home Care Inc.; and Be Well Home Care LLC.

The defendants allegedly submitted Medicare enrollment applications to permit these companies to bill Medicare. They then caused these companies to bill Medicare for home health and psychotherapy services, even though these services were not medically necessary and were often not provided. The scheme ultimately resulted in over $24.7 million in false claims being submitted to Medicare.

Four of the defendants, including Sachin Sharma, Dana Sharma, Abdul Malik Al-Jumail, and Felicar Williams, were previously charged and arrested in May 2012 for their roles in the scheme. The superseding indictment charges all defendants with conspiracy to commit health care fraud, conspiracy to pay and receive health care kickbacks, and other crimes.

Clarence and Beverly Cooper, Sadiq, and Jamella Al-Jumail were arrested yesterday. The case is being prosecuted by Fraud Section Assistant Chief Gejaa T. Gobena and Trial Attorney William G. Kanellis. The investigation was led by the FBI, with assistance from the Department of Health and Human Services.

The defendants’ scheme has left a trail of destruction in its wake, with many innocent people suffering as a result of their actions. The Grimy Times urges all individuals to remain vigilant and report any suspicious activity to the authorities.

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