Tag Archives: Fraud

Man Arrested and Extradited to Florida for Posing as Doctor in Kissimmee

Ozioma Maduka was arrested and charged with allegedly diagnosing and treating patients as a health care professional with a license at Osceola Injury Center in Kissimmee. He is also accused of fraudulent billing for unlicensed medical treatments. Maduka’s medical license expired in 2017.

Click here to read the article.

Filed under Fraud, Healthcare

Florida Lawyer Collects Almost $1M in Fake Lawsuit Settlements

A Davie lawyer, Stuart Finkelstein, was arrested on Tuesday for collecting nearly $1M by filing over 300 unauthorized lawsuits on behalf of disabled Americans in New York and Florida. Finkelstein allegedly stole the identities of two individuals and filed lawsuits claiming they were unable to access public establishments that they had never tried to go in. Neither of the people had ever hired Finklestein as an attorney to represent them.

Finkelstein made false representations to small businesses, obstructed official judicial proceedings, and then settled the fake lawsuits to collect about $930,000 in attorney fees. Micheline Gaulin, a restaurant owner in Manhattan’s West Village, told the NY Post that she paid over $18,000 in a settlement to Finklestein in which she called “a legal shakedown.”

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Filed under Fraud

South Florida Insurance Agent Arrested in Senior Annuity Scam

South Florida insurance agent Alberto Soulier was arrested for allegedly selling a fictitious annuity policy to a senior citizen. Soulier presented false annuity documents and pocketed approximately $99,000 in premiums from the victim.

Soulier was charged with Misappropriated Insurance Funds, Organized Scheme to Defraud, and Grand Theft and could face up to 75 years in prison if convicted.

Click here to read the article.

Filed under Fraud

Unlicensed Florida Doctor Arrested For Unlicensed Medical Treatments and Fraudulent Billing

Ozioma Maduka of Osceola Injury Center, LLC was arrested for allegedly practicing healthcare without an active, valid Florida medical doctor’s license as well as fraudulently billing unlicensed medical treatments. Maduka billed two insurance companies for more than $4,400 in claims for unlicensed treatment of auto accident victims.

Maduka could face up to 5 years in prison if convicted.

Click here to read the article.

Filed under Fraud, Healthcare

Florida Doctor Arrested for Allegedly Defrauding Nine Auto Insurers

According to a statement from the Florida Department of Financial Services, Dr. Celestino Santi was arrested for allegedly defrauding nine auto insurance companies our of more than $500,000 in unlicensed medical billing.

Investigators reveal that Santi was allegedly acting as a “straw owner” of Accident Care Center of Boggy Creek to disguise the identity of the unlicensed, true owner of the motor vehicle accident medical treatment center.

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Filed under Fraud, Personal Injury Protection (PIP)

UPDATE: Roofer Convicted of Insurance Fraud in Duval Charged with Grand Theft in Clay

Jacksonville roofer Roger Van Den Bosch has been officially charged with grand theft in Clay County, just months after pleading guilty to insurance fraud, forgery and theft. In May, the Kinnecorps owner was convicted in Duval County and ordered to pay more than $50,000 in restitution, serve probation and do community service.

Prosecutors are now focusing on a Van Den Bosch’s felony grand theft charge, which he plead not guilty to in a case involving a Clay County homeowner.

Click here to read the article. (Previous post)

Filed under Fraud, Property (Homeowners)

Three South Floridians Arrested in Sober Home Health Care Fraud Scheme

Peter Port, 64, of Boca Raton; Brian Dublynn, 62, of Fort Lauderdale; and Jennifer Sanford, 57, Hollywood were arrested for allegedly billing health-insurance companies for services that were not performed or medically necessary. Port, Dublynn and Sanford made about $13 million in the scam through Safe Haven Recovery, a substance abuse treatment facility in Miami.

The trio was charged with conspiracy to commit health care fraud and wire fraud, health care fraud, conspiracy to commit money laundering and money laundering. They could face at least 20 years in prison if convicted.

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Filed under Fraud, Healthcare

Former Medical Clinic Bookkeeper Charged with Insurance Fraud

Teresa Johnson of Lecanto has been charged with insurance fraud for allegedly defrauding Medicare and Medicaid while working as a bookkeeper for the now-closed Christ Medical Center. According to Johnson’s plea statement, she knowingly billed Medicaid and Medicare for services the now deceased clinic owner did not perform. She also ordered tests she knew were not medically necessary.

Click here to read the article.

Filed under Fraud, Healthcare

Titusville Man Sets 300-Acre Brush Fire Trying to Defraud Insurer

Brevard County Sheriff’s Office arrested Roger Garrett for allegedly setting his car on fire and causing a 300-acre brush fire. Investigators determined that Garrett set his car on fire to defraud his insurance company and ended up starting a brush fire that quickly covered 300 acres.

Garrett is being charged with several crimes, including arson, burning with intent to defraud an insurer and insurance fraud.

Click here to read the article.

Filed under Fraud

Three Miami Arrests in Physical Therapy Clinic PIP Fraud Scheme

Three individuals from the Miami physical therapy clinic Professional Medical Practice have been arrested in an alleged personal injury protection (PIP) fraud scheme. The clinic owner Alean Machado, recruiter Barbarito Leyva-Claro, and physical therapist Yoandra Rodriguez-Pena were charged with Insurance Fraud, Grand Theft, Patient Brokering and Organized Scheme to Defraud.

An undercover investigation uncovered the scheme which paid $2,500 for patients that participated in the fraudulent physical therapy sessions. Two insurance companies were billed over $39,000 in fraudulent claims from the clinic. Machado, Rodriguez-Pena and Leyva-Claro could face up to 45 years in prison if proven guilty.

Click here to read the article.

Filed under Fraud, Personal Injury Protection (PIP)