Corporate Compliance

Fake physician pleads guilty in $1.2M fraud scheme

Compliance Monitor, September 21, 2011

A fake physician who treated more than 1,000 people in two states, collected approximately $1.2 million for the "care" he provided, and then tried to sell individuals’ health information, pleaded guilty in federal court in Atlanta last week to charges related to the scheme, according to a Department of Justice release.

Matthew Paul Brown, 30, formerly of Atlanta, GA, and Nashville, TN, worked with licensed physicians in both states from November 2009 to April 2011 and used their provider numbers to collect approximately $1.2 million in false claims with Medicare, Medicaid, and private insurance companies, federal prosecutors said.

Brown, who has never held a license to practice medicine, administered care in the physicians' offices and at health fairs, with the physicians agreeing to pay Brown between 50% and 85% of the take. Federal prosecutors found no indication that the physicians who worked with Brown knew he was a fraud.

Brown was indicted in April. He pleaded guilty Tuesday, September 13, in U.S. District Court in Atlanta to charges that include 17 counts of healthcare fraud, each of which carries a maximum sentence of 10 years in prison and a fine of up to $250,000.

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