Brooklyn Owner Of Durable Medical Equipment Companies Pleads Guilty To Participating In $9 Million Health Care Fraud Scheme
summary
Greg Miller, the true owner of two Brooklyn DME companies, pled guilty to conspiring to defraud no-fault auto insurance providers of $9 million by billing for durable medical equipment that was never provided, medically unnecessary, or vastly more expensive than what was actually delivered, and agreed to forfeit $3.7 million and face up to 10 years in prison.
paragraph
Greg Miller pled guilty to one count of conspiring to commit health care fraud for orchestrating a $9 million scheme between 2014 and 2019, using straw owners to conceal his control of two Brooklyn-based durable medical equipment (DME) companies. He directed the submission of fraudulent insurance claims for equipment that was never provided, was medically unnecessary, or was significantly cheaper than what was billed—exploiting New York’s no-fault auto insurance system. As part of his plea, Miller agreed to forfeit $3,698,010 and pay at least that amount in restitution, facing a maximum sentence of 10 years in prison.
narrative
Greg Miller, the true owner and operator of two Brooklyn-based durable medical equipment (DME) companies, pled guilty to conspiring to commit health care fraud in a $9 million scheme that targeted New York’s no-fault auto insurance system between 2014 and 2019. To conceal his ownership, Miller employed straw owners to serve as nominal heads of the companies while he directed the submission of fraudulent insurance claims for DME that was never provided, medically unnecessary, or vastly more expensive than the low-cost equipment actually delivered to patients. These fraudulent bills exploited a legal requirement that insurers reimburse accident victims for necessary medical equipment regardless of fault. As part of his guilty plea, Miller agreed to forfeit $3,698,010 and pay at least that amount in restitution to the victims of the fraud. He faces a maximum sentence of 10 years in prison, though the final term will be determined by the judge. The case was investigated by the FBI’s Healthcare Fraud Task Force and prosecuted by the Southern District of New York’s Complex Frauds and Cybercrime Unit. Authorities emphasized that such fraud ultimately increases premiums and burdens consumers, making it a non-victimless crime with real financial consequences for the public.
Classified health-care-fraud(confidence 100%). No EDGAR filing fingerprint (criminal/DOJ-side scheme). detection rule →
Parties
dme supply companiesfraud schemeGeoffrey S. Bermangreg miller
Keywords
durable medicalmedical equipmenthealth caremillerprovidedprovided patientscompaniesequipmentparticipating millioncare fraudnewdmedurablemedicalhealth
Extracted insights
Dollar amounts 3
- $9.00M $9 Million $1M–$10M
- $9.00M $9 million $1M–$10M
- $3.70M $3,698,010 $1M–$10M
Entities 4
- person dme supply companies
- person fraud scheme
- person Geoffrey S. Berman
- person greg miller
Triples 12
- Greg Miller pled guilty to participating in $9 million health care fraud scheme
- Greg Miller billed insurance companies millions of dollars for durable medical equipment
- Greg Miller employed individuals to serve as nominal owners of DME supply companies in Brooklyn
- Greg Miller directed individuals to submit fraudulent bills to private insurance companies
- Greg Miller pled guilty to one count of conspiring to commit health care fraud
- Greg Miller agreed to forfeit $3,698,010
- Greg Miller agreed to pay at least $3,698,010 in restitution
- Greg Miller faces maximum sentence of 10 years in prison
- Geoffrey S. Berman announced Greg Miller pled guilty to $9 million fraud scheme
- William F. Sweeney Jr. announced Greg Miller pled guilty to $9 million fraud scheme
- Fraud scheme occurred between 2014 and 2019
- DME supply companies located in Brooklyn, New York
Extracted body text (4,313c)
Press Release Brooklyn Owner Of Durable Medical Equipment Companies Pleads Guilty To Participating In $9 Million Health Care Fraud Scheme Tuesday, February 18, 2020 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 Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and William F. Sweeney Jr., Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation (“FBI”), announced that GREG MILLER pled guilty today to participating in a $9 million scheme to defraud providers of “no-fault” insurance plans. As part of the scheme, MILLER and his co-conspirators billed insurance companies millions of dollars for expensive durable medical equipment that was never provided to patients. MILLER pled guilty before United States District Court Judge Katherine Polk Failla. U.S. Attorney Geoffrey S. Berman said: “As he admitted in court today, Greg Miller exploited New York’s no-fault auto insurance system by billing millions of dollars for durable medical equipment that was never actually provided to patients, was medically unnecessary, or was far more expensive than the equipment that was provided. Now Miller awaits sentencing for his crime.” FBI Assistant Director William F. Sweeney Jr. said: “When private health care programs are abused, the financial burden is typically passed on to consumers of these programs by way of increased premiums and other means of supporting services provided by the company. This is in no way a victimless crime, as it translates into very real numbers for those who pay into these health care programs. Miller’s conduct was just another way to make a quick profit at the expense of others, and this type of behavior can’t be tolerated.” As alleged in the Information filed today in Manhattan federal court: Between 2014 and 2019, GREG MILLER employed other individuals to serve as the nominal owners of at least two durable medical equipment (“DME”) supply companies located in Brooklyn, New York. MILLER, the true owner and operator of the companies, directed these individuals to submit fraudulent bills to private insurance companies that provided “no-fault” insurance plans. Under New York State law, a company that insures a vehicle involved in an accident is required to provide reimbursement for certain treatments and services provided to the vehicle occupants, regardless of who was at fault in the accident. These treatments and services may include DME if the DME is necessary and actually provided. The bills submitted by MILLER’s companies were fraudulent because, among other things, the bills were for DME that was never provided to patients, for DME that was medically unnecessary, or for expensive DME purportedly provided to patients when the DME in fact provided to patients was inexpensive DME. MILLER, 60, pled guilty to one count of conspiring to commit health care fraud and faces a maximum sentence of 10 years in prison. The maximum potential sentence in this case is prescribed by Congress and is provided here for informational purposes only, as any sentencing of the defendant will be determined by the judge. As part of his plea, MILLER agreed to forfeit $3,698,010 and to pay at least that amount in restitution. Mr. Berman praised the outstanding investigative work of FBI’s Healthcare Fraud Task Force. The prosecution of this case is being handled by the Office’s Complex Frauds and Cybercrime Unit. Assistant U.S. Attorney Timothy V. Capozzi is in charge of the prosecution. Contact Jim Margolin, Nicholas Biase (212) 637-2600 Updated February 18, 2020 Topic Healthcare Fraud Component USAO - New York, Southern Press Release Number: 20-068
OCR text (4,313c · plain-text · 99% conf)
Press Release Brooklyn Owner Of Durable Medical Equipment Companies Pleads Guilty To Participating In $9 Million Health Care Fraud Scheme Tuesday, February 18, 2020 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 Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and William F. Sweeney Jr., Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation (“FBI”), announced that GREG MILLER pled guilty today to participating in a $9 million scheme to defraud providers of “no-fault” insurance plans. As part of the scheme, MILLER and his co-conspirators billed insurance companies millions of dollars for expensive durable medical equipment that was never provided to patients. MILLER pled guilty before United States District Court Judge Katherine Polk Failla. U.S. Attorney Geoffrey S. Berman said: “As he admitted in court today, Greg Miller exploited New York’s no-fault auto insurance system by billing millions of dollars for durable medical equipment that was never actually provided to patients, was medically unnecessary, or was far more expensive than the equipment that was provided. Now Miller awaits sentencing for his crime.” FBI Assistant Director William F. Sweeney Jr. said: “When private health care programs are abused, the financial burden is typically passed on to consumers of these programs by way of increased premiums and other means of supporting services provided by the company. This is in no way a victimless crime, as it translates into very real numbers for those who pay into these health care programs. Miller’s conduct was just another way to make a quick profit at the expense of others, and this type of behavior can’t be tolerated.” As alleged in the Information filed today in Manhattan federal court: Between 2014 and 2019, GREG MILLER employed other individuals to serve as the nominal owners of at least two durable medical equipment (“DME”) supply companies located in Brooklyn, New York. MILLER, the true owner and operator of the companies, directed these individuals to submit fraudulent bills to private insurance companies that provided “no-fault” insurance plans. Under New York State law, a company that insures a vehicle involved in an accident is required to provide reimbursement for certain treatments and services provided to the vehicle occupants, regardless of who was at fault in the accident. These treatments and services may include DME if the DME is necessary and actually provided. The bills submitted by MILLER’s companies were fraudulent because, among other things, the bills were for DME that was never provided to patients, for DME that was medically unnecessary, or for expensive DME purportedly provided to patients when the DME in fact provided to patients was inexpensive DME. MILLER, 60, pled guilty to one count of conspiring to commit health care fraud and faces a maximum sentence of 10 years in prison. The maximum potential sentence in this case is prescribed by Congress and is provided here for informational purposes only, as any sentencing of the defendant will be determined by the judge. As part of his plea, MILLER agreed to forfeit $3,698,010 and to pay at least that amount in restitution. Mr. Berman praised the outstanding investigative work of FBI’s Healthcare Fraud Task Force. The prosecution of this case is being handled by the Office’s Complex Frauds and Cybercrime Unit. Assistant U.S. Attorney Timothy V. Capozzi is in charge of the prosecution. Contact Jim Margolin, Nicholas Biase (212) 637-2600 Updated February 18, 2020 Topic Healthcare Fraud Component USAO - New York, Southern Press Release Number: 20-068