Rivas Goldstein, LLP Call : 646-859-3790

New York doctor accused of submitting false statements

The United States Attorney’s Office for the Western District of New York has charged a New York physician with health care fraud and submission of false claims for health care matters. The physician provided care for patients who battled opioid addiction.

The government released the charges, according to the indictment, in 2014. Essentially, the charges involve allegations of stealing an estimated $800,000 from health care benefit programs including HealthNow, Independent Health and Univera. The government has accused the physician of submission of claims for a more expensive service than provided. The physician allegedly billed for higher cost individual counseling sessions when the sessions were conducted in the less expensive group setting format. The Attorney’s Office also accused the physician of submitting claims for services provided in his clinic at a time he was not in the clinic. The government had evidence to support this claim, showing submission dates that were in line with the physician’s trip abroad.

The original charges came with a penalty of up to 10 years imprisonment and a $250,000 fine. In May of this year, the physician chose to accept a plea deal.

Why did the physician accept a plea deal? In this case, it appears the physician chose to accept a plea deal to reduce the possible penalties. Instead of the above noted decade imprisonment he now faces a maximum of one year in prison. The government would now impose a reduced monetary penalty as well, from $250,000 to $100,000.

The plea deal also resulted in a restitution payment of $550,000.

In some situations, a plea deal is a good legal strategy. In others, it is best to push forward through litigation to maintain the innocence of the accused. An attorney can review the situation and discuss the legal implications of each option.

No Comments

Leave a comment
Comment Information
Email Us For A Response

Schedule A Consultation With An Attorney

Bold labels are required.

Contact Information

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.


Privacy Policy

Austin Office
3345 Bee Cave Rd, Suite 104
Austin, TX 78746

Phone: 512-481-2916
Map & Directions

New York Office
By Appointment Only
405 Lexington Ave 26th Floor
New York, NY 10174

Phone: 646-859-3790
Map & Directions

New Jersey Office
By Appointment Only
1 Gateway Center, Suite 2600
Newark, NJ 07102

Phone: 646-859-3790
Map & Directions

Review Us