Tag Archives: Insurance Fraud

Boca Raton Doctor Charged with Insurance Fraud

A Boca Raton osteopathic physician Dr. Max Citrin has been charged with insurance fraud for allegedly copying and pasting false symptoms for his patients. Citrin was charged with three felonies for submitting fraudulent claims to Blue Cross Blue Shield, Cigna and Humana, totaling nearly 1 million dollars.

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Filed under Fraud, Healthcare

Tampa Police Detective Under Fire for Alleged Insurance Fraud Scheme

Sergeant Shane Gadoury of the Tampa Police Department was arrested for allegedly insuring his boat after it had already capsized. Gadoury is charged with filing a false and fraudulent insurance claim for knowingly insuring his capsized boat and submitting a claim. The detective has been placed on administrative leave and faces an internal investigation by the police department as well.

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Filed under Fraud

Four Arrested for Staged Automobile Accident Scheme in Hillsborough County

Following an investigation by the DFS Bureau of Insurance Fraud and the Largo Police Department, four people were arrested for allegedly staging automobile accidents between June of 2016 and April 2019. Aymen Salti, Faiz Salti, Mohammed Salti, and Ayiha Salti were arrested on charges of racketeering and conspiracy to commit racketeering for staging these accidents in order to file fraudulent insurance claims totaling almost $230,000. They could be facing up to 30 years in prison if convicted.

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Filed under Fraud, Personal Injury Protection (PIP)

Tallahassee Doctor Accused of Billing Insurers for Phony Medical Procedures

Dr. Moses D. Degraft-Johnson of the Heart and Vascular Institute of Northern Florida in Tallahassee is accused of taking $26 million from health insurance agencies for phony medical procedures. According to federal prosecutors, Dr. Degraft-Johnson allegedly went to hospitals, scheduled patients for unnecessary visits, and billed for the services that never occurred. In some cases, the doctor was traveling when he claims to have done procedures in his office.

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Filed under Fraud, Healthcare

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.

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Filed under Fraud, Healthcare

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.

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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)

Perry Police Searching for Possible Windshield Scammers

Police in Perry, FL are receiving reports about possible scammers billing insurance companies for windshield repairs but not completing the work. The reports say that two people claim to work for “At Home Auto Glass” out of Sarasota. Police are working to identify the suspects.

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Filed under Fraud

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