Wednesday, January 19, 2022

Seeing Fraud for What It Is

An ophthalmologist from Rye, N.Y., has pleaded guilty to perpetrating a seven-year healthcare fraud scheme. Ameet Goyal admitted to falsely billing for millions of dollars in procedures he did not perform and to fraudulently obtaining two Government-guaranteed loans intended to help small businesses during...

A Failed Eight-man Defense

Alberto Orian Gonzalez-Delgado, 46, of Miami, Fla., has been sentenced after conspiring to commit health care fraud and wire fraud. Co-conspirators including Eduardo Rubal, 41, Vicente Gonzalez Acosta, 50, Alexander Fernandez, 49, Yaxing Tapanes, 24, Jose Carlos Valladares Rivera, 43, Hector Suarez Gonzalez, 45, and...

Oath-breaking for Money-making

A Pennsylvania cardiologist risked the health of his patients to fill his pockets with taxpayer dollars. Dr. Samirkumar J. Shah, 58, of Fox Chapel, was convicted of two counts of healthcare fraud following an eight-day jury trial and sentenced for his oath-breaking actions. Between 2008...

A $20 Million Lie

Dr. Richard Davidson, 42, of Florida has been sentenced to six years behind bars for conspiring with others to commit healthcare fraud. (Unfortunately, he is just one among many fraudsters who enjoy taking government healthcare benefits from those who truly need them.) Davidson worked with...

Bracing for Prison

Janae Nicole Harper, 34, of Kalispell, Mont., has been sentenced for conspiring to defraud Medicare. The licensed nurse practitioner worked in multiple states including Montana, Missouri, Nevada, South Carolina, and Wyoming. She was enrolled as a medical provider with Medicare. (Can you guess how...

Kickback and Relax in Prison

Akop Atoyan, 48, of California has pleaded guilty to two counts of healthcare fraud. Atoyan and his wife, Liana Karapetyan, owned ANG Health Care Inc., Excel Home Healthcare Inc., and Excel Hospice Inc. As owners of these Sacramento-based home healthcare and hospice agencies, the husband-and-wife...

One Count of Careless Physician

Physician Grigoriy Rodonaia, 45, of Port Neches, Tex., has been convicted of committing federal healthcare fraud after using patient identities to issue prescriptions without their knowledge. The fraudulent plan involved stealing the identities of military service members and their families to collect money from...

Taking Care of Business

A nurse practitioner from Waxahachie, Tex., was sentenced for his role in a healthcare fraud conspiracy. Trivikram Reddy, 39, pleaded guilty to conspiracy to commit wire fraud in October 2020 after participating in a scheme that defrauded Medicare and private insurance providers out of...

Two Doctors, A Nurse, and a CEO

Two doctors and a nurse from Gainesville, Tex., have been convicted of healthcare fraud and could face up to 35 years in federal prison. Consequently, Dr. Mark E. Gibbs, Dr. Laila Hirjee, and nurse Tammie Little face decades behind bars in federal prison. A federal...

Double-dealing Scammers

While many honest pharmacy owners would see operating several pharmacies as a way to earn a living while serving the community, Mohamed Abdalla, the New Jersey owner of several Virginia pharmacies, saw his businesses as vehicles for lucrative fraud. He concocted and carried out...

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