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Livonia Gynecologist Charged with Medicare Fraud

Nov 13 | 2012  by

A five-year sentence and $3 million in restitution await Jonathan Agbebiyi, the Michigan gynecologist behind a $5.4 million Medicare fraud scheme. Between 2007 and 2010, Agbebiyi practiced at three different clinics in Livonia, running a Medicare Fraud scheme from each.

However, it is not just Agbebiyi’s fraudulent use of the Medicare system that draws concern, but his recruitment practices raise alarms as well. Rather than being referred to the clinic by a primary care physician, Agbebiyi recruited patients with promises of cash, fast food, and prescriptions for illicit substances.

Once recruited, patients underwent medically unnecessary neurological tests during which they received electrical impulses through their arms and legs. Agbebiyi then billed Medicare for these tests, while patients never received any type of neurological follow-up.  Clearly, a legitimate purpose for the tests was non-existent.

After the FBI investigated the scheme, Agbebiyi was charged with one count of conspiracy to commit health care fraud and six counts of health care fraud. U.S. Attorney Barbara McQuade hopes that cases such as Agbebiyi’s will “deter other doctors from using patients as commodities for personal gain.”

Cases such as these are common. The prosecution of Agbebiyi was a direct result of the federal government’s Medicare Fraud Strike Force operations, which is responsible for charging over 1,330 defendants since 2007, reigning in over $4 billion in fraudulent Medicare billing practices.

If you need to discuss Medicare or fraud issues with an attorney, please contact Mark Mandell or Tariq Hafeez at (248) 380-0000. To learn more about this investigation, please visit the Federal Bureau of Investigation website.