Tag: Medicare
Jahangeer Ali, Medicare Fraud, Oregon 2026
⏱ 2 min read In a brazen scheme, two individuals were charged in Oregon for defrauding Medicare, the Department of Health and Human Services, the Veterans Health Administration, and private insurance companies. The scam, which cost over $15 million, was part of a larger national health care fraud takedown. Jahangeer Ali, 34, a citizen of…
Tonya Crowder, Demetrius Onuaguluchi, Marlene Durham, Health Care Fraud, Texas 2026
⏱ 2 min read Nine individuals in the Houston area and one from Nevada have been indicted for their roles in various health care fraud schemes, including pill mill clinics and attempts to defraud Medicare, Medicaid, and TRICARE. The alleged fraud totals over $1 billion. The schemes involved illegal drug diversion, improper wound care treatment…
James Thomas Foley, Medicare Fraud, North Carolina 2026
⏱ 2 min read A massive healthcare fraud conspiracy has been uncovered in North Carolina, with Irish citizen James Thomas Foley, 45, at its center. The scheme, which targeted Medicare and other insurance programs, involved the distribution of unnecessary durable medical equipment (DME) to beneficiaries. Foley, residing in Youngsville, North Carolina, allegedly partnered with marketing…
Dr. Shayasta S. Mufti, Unlawful Medical Billing, Delaware 2019
⏱ 2 min read Wilmington, DE – Between April 2019 and November 2019, Dr. Shayasta S. Mufti, a former physician in Newark, ordered medically unnecessary genetic tests for over 100 Medicare patients, often after brief or no consultations. These tests cost Medicare thousands of dollars per patient. There was no physician-patient relationship, no examinations, and…
Dr. Michael Johnson, Medicare False Claims, Wisconsin 2022
⏱ 2 min read An Appleton clinic and its principal doctor, Dr. Michael Johnson, are facing the music after bilking Medicare for over $380,000. Apple Medical Clinic offered a lucrative treatment package that included electric muscle stimulation, vitamin injections, and other fancy-sounding services – but none of it was medically necessary. In fact, the combined…
Felipe Ruiz, Healthcare Fraud, California 2020
⏱ 2 min read A Fresno podiatrist and a pharmaceutical sales rep conspired to commit $3.2 million in healthcare fraud, sentencing them to 63 months in prison. Felipe Ruiz, 52, and Jose Gabriel Aguirre, 53, allowed an unlicensed person to perform skin grafts on vulnerable Medicare beneficiaries. The scam involved debridement, a procedure that requires…
Robert Tassin, Medicare Healthcare Fraud, Louisiana 2018
⏱ 3 min read A Slidell doctor got 3 years in a healthcare fraud scheme that bilked Medicare out of $6.6 million. Robert Tassin, 67, orchestrated the scam by ordering unnecessary cancer tests for patients he never met. Tassin worked with telemedicine companies, signing orders for genetic tests in exchange for a $30 fee per…
Dr. Michael David, Healthcare Fraud, California 2019
⏱ 2 min read A St. Louis chiropractor and his partners in crime peddled pain pills to unsuspecting patients, ripping off Medicaid, Medicare, and Tricare for millions. Jerry Leech, 53, of Clayton, got 100 months in the slammer for his role in the racket. Leech, along with co-conspirators Dr. Stanley Librach of Chesterfield and Dr.…
Tamara Yvonne Motley, Medicare Fraud, California 2023
Get the latest details on the Redondo Beach woman found guilty of leading a $24 million Medicare scam. Discover the scheme details and potential prison time.
Irina Segal, Medicare Bill Inflation, Pennsylvania 2023
PHILADELPHIA – Bucks County’s Segal Arts, LLC, and owner Irina Segal avoided criminal charges, but will repay $200,000 to Medicare after a federal investigation revealed a scheme to inflate bills. The company allegedly billed the program for one-on-one occupational therapy that never happened, instead offering group art sessions at nursing homes in Pennsylvania and New…
