Physician pleads guilty in $13 million healthcare fraud scheme

Okon Umana, MD, pleaded guilty to participating in a scheme that fraudulently billed Medicare and Medicaid more than $13 million from 2009 to 2012 for physical therapy, diagnostic testing, and other services that were unnecessary or did not actually occur.

 

The services were billed by Cropsey Medical Care PLLC clinic in Bensonhurst, Brooklyn, where Umana was medical director. Eight other defendants were charged for their role in the scheme, which was investigated by the FBI and the U.S. Department of Health and Human Services Office of Inspector General.

 

At his sentencing on April 15, 2015, Umana faces up to five years in prison, a $250,000 fine, paying nearly $6.5 million in restitutions.