Videotaped Clinic Owner Gets Prison for $77 Million Medicare Fraud Scheme

The owner of a Brooklyn medical clinic was sentenced to serve 15 years in prison for her leading role in a $77 million Medicare fraud scheme. The 50 year old woman from Brooklyn was sentenced by U.S. District Judge Nina Gershon of the Eastern District of New York. In addition to her prison term, she was sentenced to serve three years of supervised release with a concurrent exclusion from Medicare, Medicaid and all Federal health programs, ordered to forfeit $36,241,545 and ordered to pay $50,943,386 in restitution.


The clinic owner has been in custody since her arrest at the John F. Kennedy International Airport on June 15, 2012, after living as a fugitive in Ukraine for nearly two years. After serving her sentence, she faces deportation from the United States.


The clinic owner pleaded guilty on December 18, 2012, to one count of conspiracy to commit money laundering. Including this woman, thirteen individuals have been convicted in this case.


Court documents state that from 2005 to 2010, the woman owned and operated a clinic in Brooklyn that billed Medicare under three corporate names: Bay Medical Care PC, SVS Wellcare Medical PLLC, and SZS Medical Care PLLC (collectively, Bay Medical clinic). She and her employees at the Bay Medical clinic paid cash kickbacks to Medicare beneficiaries and used the beneficiaries’ names to bill Medicare for more than $77 million in services that were medically unnecessary or never provided. The defendants billed Medicare for a wide variety of fraudulent medical services and procedures, including physician office visits, physical therapy, and diagnostic tests.


According to trial testimony, the clinic owner masterminded the health care fraud at the Bay Medical clinic, which included hiring a medically unlicensed co-defendant to impersonate the clinic’s doctor and render medical care to patients. She also directed employees to create phony medical notes in an attempt to back up the false billing and to forge doctors’ names on prescriptions and charts.


The government’s investigation included the use of a court-ordered audio/video recording device hidden in a room at the clinic, which showed conspirators paying cash kickbacks to corrupt Medicare beneficiaries. The conspirators were recorded paying approximately $500,000 in cash kickbacks during a period of approximately six weeks from April to June 2010. This room was marked “PRIVATE” and featured a Soviet-era poster of a woman with a finger to her lips and the words “Don’t Gossip” in Russian. The purpose of the kickbacks was to induce the beneficiaries to receive unnecessary medical services or to stay silent when services not provided to the patients were billed to Medicare.


To generate the large amounts of cash needed to pay the patients, the clinic owner directed the recruitment and operations of a network of external money launderers who cashed checks for the clinic. She wrote clinic checks payable to various shell companies controlled by the money launderers. These checks did not represent payment for any legitimate service at or for the Bay Medical clinic, but rather were written to launder the clinic’s fraudulently obtained health care proceeds. The money launderers cashed these checks and provided the cash back to the clinic. She used the cash to pay illegal cash kickbacks to the Bay Medical clinic’s purported patients.


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