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Medicaid & Medicare Fraud

Office of the Attor­ney Gen­er­al’s Civ­il Med­ic­aid Fraud Divi­sion Recov­ers $42.7 Mil­lion in Tax­pay­er Funds

The Office of the Attorney General’s (“OAG”) Civil Medicaid Fraud Division settled an enforcement action brought under the Texas Medicaid Fraud Prevention Act (“TMFPA”) against pharmaceutical drug manufacturers Shire PLC, Baxter International Inc., Baxalta Inc., Viropharma Inc., Takeda Pharmaceuticals U.S.A., Inc., and Takeda Pharmaceuticals America.

August 08, 2023 | Press Release

Office of the Attor­ney Gen­er­al Secures 16-Year Prison Sen­tence for Ambu­lance Com­pa­ny Own­er Run­ning Med­ic­aid Fraud Scheme

The Office of the Attorney General of Texas (“OAG”) has secured justice for Texas taxpayers by investigating and prosecuting Dennis Damian Anugwom, owner of ambulance services company Union Healthcare Services.

August 02, 2023 | Press Release

Texas Attor­ney General’s Med­ic­aid Fraud Con­trol Unit Helps Secure 49-Month Sen­tence and Over $5 Mil­lion Resti­tu­tion in Ortho­pe­dic Sup­plies Fraud Case

Kenric Wakeen Griffin, co-owner of New Horizons Durable Medical Equipment based in Frisco, TX, was sentenced to 49 months of federal incarceration to be followed by a year of supervised release for his role in a medical equipment fraud scheme.

July 31, 2023 | Press Release

Texas Attor­ney Gen­er­al’s Med­ic­aid Fraud Con­trol Unit Helps Dis­man­tle $142 Mil­lion Genet­ic Test­ing Fraud Scheme, Seizes $7.1M in Assets

The Office of the Attorney General’s Medicaid Fraud Control Unit (“MFCU”) has arrested Lily Tran Daniel, Kenneth Reynolds, and Lillian Thai, who are associated with the genetic testing company ApolloMDx, for their involvement in a major healthcare fraud scheme to fraudulently bill Medicare approximately $142 million.

July 28, 2023 | Press Release

Texas Attor­ney General’s Med­ic­aid Fraud Con­trol Unit Helps Take Down $6.9 Mil­lion Med­ic­aid Fraud Scheme

Christian Agno Aquino, 42, of Humble, was arrested for his role in a $6.9 million Medicaid fraud and kickback scheme, alongside Rene Gaviola, 67, and Ifeanyi Ndubisi Ozoh, 51, of Houston, who were previously arrested.

June 29, 2023 | Press Release

Office of the Attor­ney General’s Med­ic­aid Fraud Con­trol Unit Sends Own­er of Home Health Com­pa­ny to Prison for 57 Months for $1.4 Mil­lion Fraud Scheme

Efforts by the Medicaid Fraud Control Unit (“MFCU”) of the Office of the Attorney General of Texas (“OAG”) have led to a home health company owner being sentenced to prison for 57 months.

June 13, 2023 | Press Release

Paxton’s Med­ic­aid Fraud Con­trol Unit Helps Secure Swift Con­vic­tion of Health­care Mar­keter for Ille­gal Kick­back Scheme

Attorney General Paxton’s Medicaid Fraud Control Unit successfully secured a conviction against Patrick Osemwengie, of Richmond, Texas, in a Houston federal court.

May 16, 2023 | Press Release

Pax­ton Secures Jus­tice with Eight-Year Prison Sen­tence for Ambu­lance Own­er Who Per­pe­trat­ed $3.5 Mil­lion Fraud Scheme

Attorney General Paxton’s Medicaid Fraud Control Unit secured a conviction against Floyd Eugene Dixon, owner of Ambu-Care Transportation, on the charges of first-degree felony theft and health care fraud.

May 09, 2023 | Press Release

Inves­ti­ga­tion by Paxton’s Med­ic­aid Fraud Con­trol Unit Leads to 60-Month Prison Sen­tence for Home Health Care Fraud­ster and Over $3 Mil­lion in Restitution

Attorney General Paxton’s Medicaid Fraud Control Unit investigated and helped secure the conviction and sentencing of Joyce Agu, a Sugar Land resident, to 60 months in federal prison, followed by three years of supervised release.

April 28, 2023 | Press Release

Paxton’s Med­ic­aid Fraud Con­trol Unit Sends Two Nurs­es to Prison for Defraud­ing Medicare of Near­ly $1.5 Million

Attorney General Paxton’s Medicaid Fraud Control Unit secured a prison sentence for two Houston nurses who were paying kickbacks to marketers, patients, and a physician. 

April 25, 2023 | Press Release