2023-01-19 DOJ SDNY press_release 117 KB 4,070 chars

Man Pleads Guilty To Committing Multi-Million-Dollar Fraud Against Medicare By Selling Bogus Orders For Medical Equipment

Caption
United States v. Damian Williams, et al.
summary

Matthew Taylor Witkowski pleaded guilty to one count of conspiracy to commit health care fraud for orchestrating a scheme to defraud Medicare through the illegal sale of fraudulent orders for durable

paragraph

Matthew Taylor Witkowski pleaded guilty to one count of conspiracy to commit health care fraud for orchestrating a scheme to defraud Medicare through the illegal sale of fraudulent orders for durable medical equipment. Operating via a call center in the Dominican Republic, Witkowski and a co-conspirator generated unauthorized orders using the identities of actual Medicare beneficiaries and falsified physician signatures, resulting in over $8 million in fraudulent claims. During the scheme, Witkowski received more than $4 million in illegal kickbacks from suppliers through his controlled companies, True Prospects Marketing, Inc. and Sales Drive Marketing LLC. Witkowski is currently awaiting sentencing, which is scheduled for April 20, 2023.

narrative

Matthew Taylor Witkowski pleaded guilty to one count of conspiracy to commit health care fraud for orchestrating a scheme to defraud Medicare through the illegal sale of fraudulent orders for durable medical equipment. Operating via a call center in the Dominican Republic, Witkowski and a co-conspirator generated unauthorized orders using the identities of actual Medicare beneficiaries and falsified physician signatures, resulting in over $8 million in fraudulent claims. During the scheme, Witkowski received more than $4 million in illegal kickbacks from suppliers through his controlled companies, True Prospects Marketing, Inc. and Sales Drive Marketing LLC. Witkowski is currently awaiting sentencing, which is scheduled for April 20, 2023. Matthew Taylor Witkowski pleaded guilty to one count of conspiracy to commit health care fraud for orchestrating a scheme to defraud Medicare through the illegal sale of fraudulent orders for durable medical equipment. Operating a call center in the Dominican Republic, Witkowski generated unauthorized orders using the personal information of Medicare beneficiaries and falsified physician signatures, resulting in over $8 million in fraudulent claims. During the scheme, Witkowski received more than $4 million in illegal kickbacks from suppliers through his controlled companies, True Prospects Marketing, Inc. and Sales Drive Marketing LLC. Witkowski is scheduled to be sentenced on April 20, 2023, facing a maximum of 10 years in prison.

Enriched metadata

Scheme
health-care-fraud (100%)
Court
Southern District of New York
Outcome
pleaded · 2023-04-20
Victim loss
$8,000,000
Classified health-care-fraud(confidence 100%). No EDGAR filing fingerprint (criminal/DOJ-side scheme). detection rule →
Parties
damian williamsdurable medical equipmentmatthew taylor witkowskisales drive marketing llctrue prospects marketing, inc.
Keywords
medicareordersmedical equipmentwitkowskifraudfraudulent orderslinkfraudulentpleads committingcommitting multi-million-dollarmulti-million-dollar fraudfraud againstagainst medicaremedicare sellingselling bogus

Extracted insights

Dollar amounts 2
  • $8.00M $8 million $1M–$10M
  • $4.00M $4 million $1M–$10M
Entities 5
  • person damian williams
  • person durable medical equipment
  • person matthew taylor witkowski
  • company sales drive marketing llc
  • company true prospects marketing, inc.
Triples 12
  • Matthew Taylor Witkowski pled guilty to conspiracy to commit health care fraud
  • Matthew Taylor Witkowski engaged in scheme to defraud Medicare
  • Matthew Taylor Witkowski sold fraudulent orders for durable medical equipment
  • Fraudulent claims to Medicare totaled $8 million
  • Matthew Taylor Witkowski received illegal kickbacks of $4 million
  • Matthew Taylor Witkowski owned and operated call center in Dominican Republic
  • True Prospects Marketing, Inc. controlled by Matthew Taylor Witkowski and co-conspirator
  • Sales Drive Marketing LLC owned and controlled by Matthew Taylor Witkowski
  • Matthew Taylor Witkowski scheduled to be sentenced on April 20, 2023
  • Conspiracy to commit health care fraud charge carries maximum sentence of 10 years in prison
  • Damian Williams announced Matthew Taylor Witkowski pled guilty
  • Matthew Taylor Witkowski engaged in scheme from August 2019 through July 2022
View original DOJ press releasejustice.gov
Extracted body text (4,070c)
Press Release Man Pleads Guilty To Committing Multi-Million-Dollar Fraud Against Medicare By Selling Bogus Orders For Medical Equipment Thursday, January 19, 2023 Share FacebookLinks to other government and non-government sites will typically appear with the “external link” icon to indicate that you are leaving the Department of Justice website when you click the link. XLinks to other government and non-government sites will typically appear with the “external link” icon to indicate that you are leaving the Department of Justice website when you click the link. LinkedInLinks to other government and non-government sites will typically appear with the “external link” icon to indicate that you are leaving the Department of Justice website when you click the link. Email For Immediate Release U.S. Attorney's Office, Southern District of New York Damian Williams, the United States Attorney for the Southern District of New York, announced that MATTHEW TAYLOR WITKOWSKI pled guilty today to a one-count criminal Information charging him with conspiracy to commit health care fraud. WITKOWSKI is scheduled to be sentenced on April 20, 2023, before United States District Judge Denise Cote. U.S. Attorney Damian Williams said: “Medicare is a valuable, taxpayer-funded program designed to provide affordable health care to people over 65 or with disabilities, not to enrich those who would seek to benefit themselves through fraud. Today, Matthew Taylor Witkowski admitted to illegally selling orders for durable medical equipment, which were used to bilk Medicare out of millions of dollars.” According to the Information, statements made in court, and other publicly filed documents in this case: From at least August 2019 through the date of his arrest in July 2022, WITKOWSKI and a co-conspirator (“CC-1”) engaged in a scheme to defraud Medicare by illegally obtaining and selling fraudulent written orders for goods and services paid for by Medicare, including for durable medical equipment (“DME”). Using a call center that he owned and operated in the Dominican Republic, WITKOWSKI illegally generated and purchased fraudulent written orders for DME and then sold those fraudulent orders to pharmacies and DME suppliers, including in New York City. Those pharmacies and DME suppliers then used those fraudulent orders as the basis for more than $8 million in fraudulent claims to Medicare. Many of these fraudulent orders used names and personal health information of actual Medicare beneficiaries, without the beneficiaries’ authorization or prior knowledge. Many of these fraudulent orders also contained professional information of doctors and other health-care providers enrolled in the Medicare program, as well as the purported electronic signatures of these providers, which were falsified and created without the authorization or knowledge of these providers. During the course of the scheme, WITKOWSKI took more than $4 million in illegal kickbacks from DME suppliers, who made these payments to True Prospects Marketing, Inc., a company controlled by Witkowski and CC-1, and to Sales Drive Marketing LLC, a company owned and controlled by WITKOWSKI. * * * WITKOWSKI, 37, an American citizen who has been residing in the Dominican Republic, and is currently on bail in Florida, pled guilty today to a single count of conspiracy to commit health care fraud. That charge carries a maximum sentence of 10 years in prison. The maximum potential sentence is prescribed by Congress and is provided here for informational purposes only, as any sentencing of the defendant will be determined by the sentencing judge. Mr. Williams praised the investigative work of the Office of the Inspector General of the U.S. Department of Health and Human Services. This case is being handled by the Office’s Complex Frauds and Cybercrime Unit. Assistant U.S. Attorney David Raymond Lewis is in charge of the prosecution. Contact Nicholas Biase (212) 637-2600 Updated January 19, 2023 Topic Healthcare Fraud Component USAO - New York, Southern Press Release Number: 23-016
OCR text (4,070c · html-text · 99% conf)
Press Release Man Pleads Guilty To Committing Multi-Million-Dollar Fraud Against Medicare By Selling Bogus Orders For Medical Equipment Thursday, January 19, 2023 Share FacebookLinks to other government and non-government sites will typically appear with the “external link” icon to indicate that you are leaving the Department of Justice website when you click the link. XLinks to other government and non-government sites will typically appear with the “external link” icon to indicate that you are leaving the Department of Justice website when you click the link. LinkedInLinks to other government and non-government sites will typically appear with the “external link” icon to indicate that you are leaving the Department of Justice website when you click the link. Email For Immediate Release U.S. Attorney's Office, Southern District of New York Damian Williams, the United States Attorney for the Southern District of New York, announced that MATTHEW TAYLOR WITKOWSKI pled guilty today to a one-count criminal Information charging him with conspiracy to commit health care fraud. WITKOWSKI is scheduled to be sentenced on April 20, 2023, before United States District Judge Denise Cote. U.S. Attorney Damian Williams said: “Medicare is a valuable, taxpayer-funded program designed to provide affordable health care to people over 65 or with disabilities, not to enrich those who would seek to benefit themselves through fraud. Today, Matthew Taylor Witkowski admitted to illegally selling orders for durable medical equipment, which were used to bilk Medicare out of millions of dollars.” According to the Information, statements made in court, and other publicly filed documents in this case: From at least August 2019 through the date of his arrest in July 2022, WITKOWSKI and a co-conspirator (“CC-1”) engaged in a scheme to defraud Medicare by illegally obtaining and selling fraudulent written orders for goods and services paid for by Medicare, including for durable medical equipment (“DME”). Using a call center that he owned and operated in the Dominican Republic, WITKOWSKI illegally generated and purchased fraudulent written orders for DME and then sold those fraudulent orders to pharmacies and DME suppliers, including in New York City. Those pharmacies and DME suppliers then used those fraudulent orders as the basis for more than $8 million in fraudulent claims to Medicare. Many of these fraudulent orders used names and personal health information of actual Medicare beneficiaries, without the beneficiaries’ authorization or prior knowledge. Many of these fraudulent orders also contained professional information of doctors and other health-care providers enrolled in the Medicare program, as well as the purported electronic signatures of these providers, which were falsified and created without the authorization or knowledge of these providers. During the course of the scheme, WITKOWSKI took more than $4 million in illegal kickbacks from DME suppliers, who made these payments to True Prospects Marketing, Inc., a company controlled by Witkowski and CC-1, and to Sales Drive Marketing LLC, a company owned and controlled by WITKOWSKI. * * * WITKOWSKI, 37, an American citizen who has been residing in the Dominican Republic, and is currently on bail in Florida, pled guilty today to a single count of conspiracy to commit health care fraud. That charge carries a maximum sentence of 10 years in prison. The maximum potential sentence is prescribed by Congress and is provided here for informational purposes only, as any sentencing of the defendant will be determined by the sentencing judge. Mr. Williams praised the investigative work of the Office of the Inspector General of the U.S. Department of Health and Human Services. This case is being handled by the Office’s Complex Frauds and Cybercrime Unit. Assistant U.S. Attorney David Raymond Lewis is in charge of the prosecution. Contact Nicholas Biase (212) 637-2600 Updated January 19, 2023 Topic Healthcare Fraud Component USAO - New York, Southern Press Release Number: 23-016