NYC Medical Clinics Manager Found Guilty in Multi-Million-Dollar Medicaid and Medicare Fraud Scheme
A manager of medical clinics in Brooklyn and Queens arrested in 2016 by federal authorities following an OMIG-assisted investigation was convicted in federal court last week for his role in a multi-million-dollar health care kickback and money laundering scheme.
Aleksandr Pikus, manager of the medical clinics that employed doctors, physical and occupational therapists and other medical professionals who were enrolled in the Medicare and Medicaid programs, was convicted of conspiracy to commit money laundering, money laundering, conspiracy to receive and pay health care kickbacks and conspiracy to defraud the United States by obstructing the Internal Revenue Service (IRS). The conviction follows a two-week trial in U.S. Eastern District of New York court. Pikus faces a maximum sentence of up to 70 years’ imprisonment.
As alleged by prosecutors, Pikus and his co-conspirators submitted $100 million in Medicaid and Medicare claims from 2008 to 2016 tied to illegal kickbacks that he and four other co-conspirators paid to providers for referring patients to the medical clinics, and to patient recruiters and patients who received care at the clinics. Pikus, considered by prosecutors as the “architect” of the massive scheme, was also alleged to have laundered a substantial portion of the illegal proceeds of the scheme through check-cashing businesses and failed to report that cash income to the IRS.
Pikus is the fifth defendant convicted in the indictment. In December 2016, Malvina Yablonskaya pleaded guilty to money laundering conspiracy and conspiracy to defraud the IRS. In November 2017, Maksim Vernik pleaded guilty to money laundering conspiracy. In December 2017, Denis Satyr pleaded guilty to money laundering conspiracy and conspiracy to defraud the IRS. In September 2019, Mark Tsyvin pleaded guilty to conspiracy to receive and pay health care kickbacks and conspiracy to defraud the IRS. Pikus and his four co-conspirators await sentencing.
New York State Office of the Medicaid Inspector General
Our mission is to enhance the integrity of the New York State Medicaid program by preventing and detecting fraudulent, abusive, and wasteful practices within the Medicaid program and recovering improperly expended Medicaid funds while promoting high-quality patient care.
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