Feds bust doctors, law firm workers, NYPD officer in $100M fraud scheme

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Two gangs that enlisted trusted professionals to steal $100 million {dollars} from insurance coverage firms have been taken down Wednesday in what the feds are calling one of many largest fraud busts in historical past.

More than a dozen suspects, together with a New York City cop, have been arrested following an investigation by the Justice Department, the NYPD and Westchester County District Attorney’s workplace, officers mentioned.

Both felony enterprises would bribe police dispatchers and well being care employees for details about automobile accident victims, who they linked with crooked docs that carried out unneeded medical procedures, officers mentioned in a news release. The gangs would then overbill insurance coverage firms to take advantage of car insurance coverage legal guidelines in New York and New Jersey that require them to pay for sufferer’s medical payments in sure conditions.

The first felony enterprise, led by Alexander “Little Alex” Gulkarov, stole greater than $30 million since 2014 by paying greater than a dozen medical organizations to make use of their official licenses, the feds mentioned.

NYPD Officer Albert Aronov allegedly scoured division computer systems for details about accident victims as a gaggle of “runners” bribed public servants for confidential info that was used to steer sufferers to the gang’s docs.

Rear View Of Female Motorist With Head Injury Getting Out Of Car After Crash.
The two gangs would overbill insurance coverage firms to take advantage of car insurance coverage legal guidelines, incomes the fraudsters over $100 million.
Getty Images/iStockphoto

Doctors Rolando “Chuma” Chumaceiro and Marcelo Quiroga then “incorporated medical practices as part of the scheme, prescribed unnecessary and excessive medical treatments and overbilled insurance companies under the No-Fault Laws,” investigators mentioned.

New York lawyer Robert Wisnicki was enlisted to launder cash and misdirect law enforcement, in keeping with the feds.

Gulkarov and co-conspirators Roman Israilov, Peter Khaimov, and Anthony DiPietro all face greater than three a long time behind bars if convicted. Wisnicki faces 25 years in jail whereas the docs face 10 years and Aronov 5, in reference to the conspiracy.

A second crew, led by Bradley Pierre, ran the same however extra profitable racket, fraudulently proudly owning and working 5 well being care firms by way of bribes and kickbacks to the tune of $70 million in earnings over 13 years, in keeping with prosecutors.

Allegedly in cahoots with Pierre have been Dr. Marvin Moy, who performed “unnecessary and painful electrodiagnostic testing on patients,” and Dr. William Weiner, who falsified “findings of clinical injuries in MRIs in order to boost patient referrals,” authorities mentioned.

Arthur Borgoraz, a paralegal and supervisor at a private harm law firm, and runner Andrew Prime have been tasked with paying off officers to gather info that perpetuated the scheme, in keeping with the discharge.

Pierre was dealing with 37 years behind bars if convicted of fraud and conspiracy, whereas the docs have been taking a look at a 30-year sentence, prosecutors mentioned. Borgoraz and Prime every confronted a 5-year sentence.

“No-fault accident schemes, like the one alleged today, can cost insurance companies millions of dollars in payouts to doctors and clinics who provide phony or unnecessary services to unwitting accident victims,” FBI Assistant Director Michael Driscoll mentioned.

“This cost is almost always passed to consumers of private insurance or subsidized programs established to help those in need.”

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