FRAUD
Gary Kushner, Florida Psychiatrist, Sentenced
Gary Kushner PRESS RELEASE Medical Director for Miami-Based Health Care Clinic Sentenced to 144 Months in Prison for Role in $50 Million Medicare Fraud Scheme Friday, March 15, 2013 For Immediate Release Office of Public Affairs A former medical director for Biscayne Milieu, a Miami-based mental-health clinic, was sentenced today to serve 144 months in prison for his role in a fraud scheme involving the submission of more than $50 million in fraudulent billings to Medicare, announced Acting Assistant Attorney General Mythili Raman of the Justice Department’s Criminal Division; U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida; [...]
Jean Elie, Brooklyn shrink, busted for scam
New York Post B’klyn shrink busted for alleged $230K Medicaid scam --Excerpt A Brooklyn psychiatrist has been arrested for allegedly scamming Medicaid out of $230,000 in fake head-shrinking sessions, authorities said today. Jean Elie, 50, also wrote over $1 million worth of prescriptions for Seroquel, an antipsychotic popular among drug addicts, according to the state Attorney General’s office. Investigators believe some of Elie’s clients resold their prescriptions to on the street. “Crooked doctors who abuse their position and their privileges do tremendous harm to their patients,” said state Attorney General Eric Schneiderman. “In this case, Dr. Elie also ripped [...]
Michael Applebaum, Nampa Psychiatrist, Sentenced
Michael Applebaum The Idaho Statesman (Boise) Nampa doctor sentenced for Medicaid fraud November 22, 2011 -- Excerpt Michael Applebaum, a former licensed psychiatrist in Nampa, has been sentenced to two to five years in prison for Medicaid provider fraud and obstruction of an investigation. A jury convicted Applebaum in August of two counts each of provider fraud and obstructing an investigation... The jury said Applebaum altered documents before giving them to investigators for the Idaho attorney general's office and told the investigators that certain records were out of the office for dictation...
Dorval Gold, Pembroke Pines Psychiatrist, grand theft charge
Palm Beach Post (Florida) Dosed in juvie jail: Troubled doctors hired to treat kids in state custody --Excerpt By the time Florida started paying Dr. Gold Smith Dorval to counsel and medicate jailed children, the Pembroke Pines psychiatrist already had experience with kids in state custody. He had used them, authorities said, to bilk the government out of money for the poor. When Dorval pleaded no contest to a felony grand theft charge, it should have barred him, by law, from working for Florida's Department of Juvenile Justice. It didn't. And, like Dorval, other doctors have emerged from past [...]
Arturo Hernandez-Pena, Orange County Psychiatrist, arrested
Orlando Sentinel Jail psychiatrist is arrested over billing --Excerpt A psychiatrist who saw patients at the Orange County Jail before his arrest last week is accused of ripping off an insurance company by billing for unnecessary treatment, court records show. Dr. Arturo Hernandez-Pena, 52, an employee of the Orange County Department of Health and Human Services, was arrested at the jail Dec. 1. He was fired the next day, records show. Court records show Hernandez-Pena’s arrest stemmed from treatment he provided outside his jail job, at a business referred to in court records as Orlando [...]
Naseem Chaudhry, Downers Grove Psychiatrist, Indicted
United States Attorney U.S. Department of Justice Northern District of Illinois FORMER MEDICAL DIRECTOR AT ROCK CREEK PSYCHIATRIC FACILITY INDICTED IN ALLEGED $875,000 HEALTH CARE FRAUD SCHEME FOR IMMEDIATE RELEASE FRIDAY JUNE 30, 2006 CHICAGO – A suburban psychiatrist who was the medical director at the shuttered Rock Creek Center in Lemont was indicted for allegedly defrauding Medicare of more than $875,000 by falsely claiming to have provided services that he never performed and billing for more complex services than he actually provided. The defendant, Dr. Naseem Chaudhry, allegedly admitted patients to the privately-owned Rock Creek psychiatric facility, routinely kept [...]
Eric Ressner
Sun-Sentinel (Fort Lauderdale, Florida) PHARMACIST, PSYCHIATRIST ARE INDICTED; TWO ACCUSED IN $9.9 MILLION INSURANCE FRAUD --Excerpt Federal prosecutors Monday charged a pharmacist and a psychiatrist with orchestrating a multimillion-dollar insurance fraud scheme out of a Palm Beach Gardens pharmacy, court documents show... Two physicians, including psychiatrist Dr. Eric Ressner of Palm Beach Gardens, helped Sutera substantiate the fake prescriptions, while a chiropractor and a pharmacy technician assisted in the conspiracy, prosecutors said. Sutera provided Ressner with “cash payments delivered in envelopes on a regular basis” and a $34,000 check in August 2002 for a down payment on Ressner’s Bocce [...]
Nestor Garcia, Florida Psychiatrist, Sentenced to Prison
Nestor Garcia The Tampa Tribune Psychiatrist sentenced to prison April 8, 1998 By Keith Morelli -- Excerpt A judge sentences a psychiatrist to prison for billing Medicare and Medicaid for services he never performed. A psychiatrist convicted of submitting bills of more than $ 4.5 million to Medicare and Medicaid between 1994 and 1995 was sentenced Tuesday to 6+ years in federal prison. Nestor A. Garcia was found guilty at a December health care fraud trial. Garcia was ordered to repay nearly $ 1.7 million to federal health care programs. Garcia, 43, also was ordered to serve three years [...]
Simon Sanchez, West Islip psychiatrist, sentenced
Simon Sanchez Newsday (New York) Psychiatrist Gets Jail WEST ISLIP June 12, 1990 -- Excerpt A 62-year-old West Islip psychiatrist has been sentenced to 6 months in jail, 850 hours of community service and a $ 1,000 fine for overbilling Medicaid by exaggerating the amount of time he spent with Medicaid patients. The psychiatrist, Dr. Simon Sanchez, appeared yesterday before Suffolk County Supreme Court Justice Kenneth K. Rohl. He was jailed April 12 after pleading guilty to the crime of offering a false instrument for filing in the second degree, according to a news release from the Office [...]
Carlton Blake, Long Island psychiatrist, Pleads Guilty To Bilking Medicaid
Carlton Blake Newsday (New York) Doctor Pleads Guilty To Bilking Medicaid By Arnold Abrams November 16, 1989 -- Excerpt A Long Island psychiatrist has pleaded guilty to a charge of repeatedly inflating bills for treating a client he believed was a Medicaid patient. The psychiatrist, Dr. Carlton Blake, was arrested and arraigned Tuesday in First District Court, in Hauppauge, where he pleaded guilty before Judge Peter J. Newman to offering a false instrument for filing in the second degree. He also agreed to make restitution to Medicaid of $ 1,000 on the charge, a misdemeanor punishable by up to a [...]