Tag Archives: Insurance 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.

Click here to read the article.

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.

Click here to read the article.

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.

Click here to read the article.

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)

UPDATE: New Charges Filed Against Jacksonville Contractor & Suspected Fraudster

Eighteen new charges have been filed against Jacksonville contractor, Wyatt Green. Green was arrested in April on charges of organized fraud, forgery and grand theft. The list of Green’s victims has grown from a handful to 19. Homeowners contacted I-TEAM saying that their insurance companies had paid Storm RS to make repairs to their homes that were never completed.

Click here to read the article. (Previous post)

Filed under Fraud, Property (Homeowners)

Five People Charged in Mail-order Prescriptions Patient-Brokering Kickbacks

Five people have been charged with patient brokering, insurance fraud, money laundering, and racketeering in connection with a scam that raked in hundreds of thousands of dollars in kickbacks. Authorities allege that hundreds of prescriptions, many of them fraudulent, were sent to Express Care Pharmacy with prices ranging from $646 to $5,614. Many of the prescriptions were forged, unnecessary, or submitted without the patients or treating physician’s consent, according to the police report.

Click here to read the article.

Filed under Fraud, Healthcare