Gary S. Winn, False Claims Act Violations, Maine 2023

Arundel Doctor Settles False Claims Act Case

PORTLAND, Maine: In a shocking case of medical malfeasance, Gary S. Winn, D.O. of Arundel, has agreed to pay $330,607 to settle allegations that he had violated the False Claims Act.

The civil settlement agreement between Winn and the United States and the State of Maine resolves allegations that Winn, the former medical director and owner of a family medical practice in Biddeford and Sanford, Provider’s Care, submitted false claims to Medicare and MaineCare from January 2014 through November 2017.

MaineCare is funded primarily by the federal government, which pays approximately two-thirds of all reimbursed claims.

As alleged in the Complaint against Winn, Medicare and MaineCare statutes, regulations and guidelines make clear that participating providers may only bill for services actually provided and which are medically reasonable and necessary.

The United States and Maine contended in their Complaint that from January 2014 through November 2017, Winn knowingly submitted to Medicare and MaineCare claims for payment for medical services that were not provided or were not medically reasonable or necessary, including osteopathic manipulation treatment (OMT) services, evaluation and management services, tobacco use cessation counseling visits, outpatient visits, and patient drug testing services.

The U.S. Department of Health & Human Services, Office of Inspector General, the U.S. Attorney’s Office for the District of Maine, and the Office of the Maine Attorney General investigated the case.

The civil action is docketed United States & State of Maine v. Gary S. Winn, 23-cv-00186-JDL (D. Me.).

Defendant Information:

Defendant: Gary S. Winn, D.O.

Crime: Violation of the False Claims Act

City and State: Arundel, Maine

Exact Date: N/A (settlement agreement)

Sentence or Outcome: Agreed to pay $330,607

Dollar Amount: $330,607

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