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Physician Partners of America to Pay $24.5 Million to Settle Allegations of Unnecessary Testing, Improper Remuneration to Physicians and a False Statement in Connection with COVID-19 Relief Funds
… Physician Partners of America LLC (PPOA), headquartered in Tampa, Florida, its founder, Rodolfo Gari, and its former … allegations that they violated the False Claims Act by billing federal healthcare programs for unnecessary medical … reasonable or necessary and safeguarding the FEHBP from fraudulent claims.” The civil settlement includes the …
[email protected] - 04/15/2022 - 08:13
El Paso Medical Equipment Supplier Sentenced to Federal Prison for $1.7 Million Healthcare Fraud Scheme
… 2, 2024 EL PASO, Texas – An El Paso woman was sentenced in a federal court in El Paso to 60 months in prison for … to court documents, Edelmira Marquez, 59, engaged in fraudulent billing practices as the owner of Marquez Medical Supply, a …
[email protected] - 12/09/2024 - 13:30
Houston doctor agrees to pay over $2 million to settle allegations of fraudulent billing of federal programs
… an anesthesiologist and pain medicine doctor who practices in Bellaire and Lake Jackson as well as Van Vleck. Ajay … that losses to federally funded healthcare programs from fraudulent billing, like what happened here, are recouped and that …
[email protected] - 08/19/2025 - 08:12
Texas clinics face potential $300M fine for submitting 20K false claims
… By Chad Van Alstin, November 23, 2024 A chain of clinics in Texas is facing a potential $300 million fine after a jury ruled it knowingly submitted more than 20,000 fraudulent reimbursement claims to Medicare. The lawsuit … and misrepresented care delivery during her time in the billing office. According to coverage from the Dallas Morning …
[email protected] - 12/03/2024 - 08:31
Attorney General Ken Paxton’s Investigation Leads to 10-Year Prison Sentence and Over $26 Million in Restitution for Texas Doctor
… Paxton’s Medicaid Fraud Control Unit has secured 10 years in federal prison and a $26,622,522 restitution payment for … seeing or treating patients. Young signed thousands of fraudulent prescriptions and medical records for unnecessary … posing as patients. The scheme resulted in the fraudulent billing of more than $70 million to healthcare programs. …
[email protected] - 03/10/2025 - 16:00
Tulsa Physician Pays Over $600k to Resolve Allegations of False Claims Act Violations
… physicians and health care providers accountable for fraudulent billing of government health care programs,” said U.S. … said Oklahoma Attorney General Gentner Drummond. “Healthcare providers have a responsibility to bill government …
[email protected] - 08/16/2024 - 15:42
Illinois Orthopedic Surgeon Indicted
… to trick insurance companies out of thousands, and even in some cases, millions of dollars. According to the FBI’s Financial Crimes Report , billing for services not rendered is one of the most … Crime Bureau’s assistance investigating the alleged fraudulent billing practices of an Illinois Orthopedic …
[email protected] - 08/04/2020 - 08:58
Former North Alabama doctor and wife plead guilty to health care fraud charges
… charges, according to the U.S. Department of Justice. In 2022, Francene Aretha Gayle and her wife, Schara Monique … to commit health care fraud for several years by billing insurers for office visits under Gayle’s name even … After this, Gayle reportedly promised to stop the fraudulent billing charges. The DOJ says the business …
[email protected] - 06/18/2024 - 07:45