NEW ORLEANS - U.S. Attorney Peter G. Strasser announced that
JOHN ANTHONY MARSH, age 55, of Atlanta, Georgia pled guilty yesterday to a
one-count bill of information charging him with identity theft in violation of
Title 18, United States Code, Section 1028(a)(7).
According to court documents, in 2016, MARSH opened a
business in New Orleans called Magazine Medical Group & Associates, LLC
(“Magazine Medical”) that provided ophthalmological services. MARSH opened Magazine Medical at the same
location as another medical clinic that had provided ophthalmological services,
Business 1. Between June 2016 and
September 2016, MARSH used Business 1’s name when submitting claims for medical
services to Medicare and other health care benefit programs to make it appear
that those purported medical services were performed at Business 1.
Additionally, according to court documents, during that same
time period, MARSH used the National Provider Identifier of Physician 1, who
previously worked for Business 1, to submit claims to Medicare and other health
care benefit programs making it appear as though Physician 1 performed medical
services at Magazine Medical. Physician
1 neither worked for MARSH or Magazine Medical nor treated any patients for
ophthalmological services at that clinic.
As reimbursement for the fraudulent claims that MARSH was
responsible for submitting through Magazine Medical, Medicare and other health
care benefit programs issued checks to Business 1 and Physician 1. MARSH received and deposited these checks into
his bank account. In total, between June
2016 and September 2016, MARSH fraudulently caused billings to Medicare and
other health care benefit programs totaling approximately $77,198 for medical
services that were not provided by Physician 1, and received approximately
$20,669.67 for these fraudulent claims.
MARSH faces a possible maximum sentence of 15 years
imprisonment and a $250,000 fine.
U.S. Attorney Strasser praised the work of the Federal
Bureau of Investigation and the Department of Health and Human Services for
their work investigating the case.
The case is being prosecuted by Trial Attorney Jared Hasten
of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Duane A.
Evans.
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