Dallas Doctor Sentenced for Medicare Fraud
A 60-year-old doctor from Rockwall, Texas, Jacques Roy, has been sentenced to 420 months in federal prison for his role in a large-scale health care fraud scheme. Roy was convicted in April 2016 of various health care fraud charges following a six-week-long trial.
The scheme, which targeted Medicare and Medicaid, involved Roy and his co-conspirators improperly recruiting individuals with Medicare coverage and falsifying medical documents to make it appear as though those beneficiaries qualified for home health care services. The government presented evidence at trial that Roy and his co-conspirators engaged in a sophisticated scheme to defraud Medicare and Medicaid through companies they owned/controlled, including Medistat Group Associates, P.A., Apple of Your Eye Health Care Services, Inc., Ultimate Care Home Health Services, and Charry Home Care Services.
Roy was convicted of one count of conspiracy to commit health care fraud, eight counts of health care fraud, two counts of making a false statement relating to healthcare matters, and one count of obstruction of justice. He has been in custody since his arrest in February 2012.
“The only thing more stunning than Jacques Roy and his co-conspirators’ shameless methods,” said U.S. Attorney John Parker, “is the staggering dollar amounts involved in this fraud scheme. This takes brazen to a whole new level.”
The following defendants have also been sentenced for their role in the health care fraud scheme:
- Wilbert James Vesey, Jr.: 210 months in federal prison and $23 million in restitution
- Cyprian Akamnonu: 120 months in federal prison and $25 million in restitution
- Patricia Akamnonu: 120 months in federal prison and $25 million in restitution
- Charity Eleda: 48 months in federal prison and $397,294.51 in restitution
- Teri Sivils: 3 years probation and $885,714.05 in restitution
Roy was ordered to pay $268,147,699.15 in restitution, joint and several with all codefendants, to Medicare and Medicaid. The government presented evidence that Roy and his co-conspirators falsified visit notes and submitted fraudulent claims to Medicare for unnecessary home health care services and other medical services.
The scheme was uncovered after a six-week-long trial, during which the government presented evidence that Roy and his co-conspirators engaged in a large-scale, sophisticated health care fraud scheme. The defendants used companies they owned or controlled to defraud Medicare and Medicaid, targeting individuals with Medicare coverage and falsifying medical documents to secure unnecessary home health care services.
With a total restitution of $268 million, this case represents one of the largest health care fraud schemes in U.S. history. The scheme’s brazen nature and staggering dollar amounts involved have left many stunned, as U.S. Attorney Parker noted.
Key Facts
- State: Texas
- Category: White Collar Crime
- Source: DOJ Press Release â†â€â€
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