South Carolina’s federal attorney’s office announced Friday that an upstate man founded a company and used stolen identities of people with mental disorders to extract more than $1 million from Medicaid. Greer was sentenced to more than seven years in federal prison after pleading guilty to a case of theft of government funds for his scheme to defraud South Carolina’s Medicaid. It is unacceptable to use the stolen IDs of the most vulnerable people to steal money from vulnerable people,” said U.S. Attorney Adair Boroughs. Extensive evidence was presented to the court in the case, which was indicted by Assistant U.S. Attorney T. Dewayne Pearson. Instead, between 2015 and 2019, the company billed South Carolina Medicaid more than $1 million for services that weren’t performed. It also proves that PHC never had a real client or service provider. Instead, Sumter used his National Provider Identifier (NPI) numbers of nine of his stolen medical professionals to repeatedly bill Medicaid and create fraudulent bills to Medicaid. Sumter then unwittingly used the stolen IDs of 196 of his Medicaid members with severe mental and emotional health problems. Agree. Caregivers and clients contacted by investigators indicated that they had never received services from Sumter or PHC. Also, the services Sumter used on his bill indicated that his provider did not work for PHC and did not provide medical services to the company. “We will continue to aggressively prosecute criminals who stole from programs designed to provide much-needed care to our most vulnerable citizens. South Carolina needs these services.” We do not tolerate fraud that abuses these programs or prevents citizens from receiving the services they need.Our office will not allow anyone to commit fraud against Medicaid programs. We will continue to partner with the U.S. Department of Justice for prosecution, and we thank our law enforcement partners at the U.S. Department of Health and Human Services’ Office of the Inspector General for their cooperation during this investigation.”South To reimburse Carolina Medicaid for $1,055,373.66 in damages. This case was investigated by the U.S. Department of Health and Human Services and the Office of the South Carolina Attorney General.
South Carolina’s federal attorney’s office announced Friday that an upstate man founded a company and used stolen mentally ill IDs to extract more than $1 million from Medicaid.
Greer’s Jonathan W. Sumter, 51, was sentenced to more than seven years in federal prison after pleading guilty to stealing government funds in a scheme to defraud South Carolina Medicaid, officials said in a release. said to have been declared.
“Using stolen IDs of the most vulnerable people to steal money from hardworking South Carolina people is unacceptable,” said U.S. Attorney Adair Boroughs.
Extensive evidence was presented to the court in the case filed by Assistant US Attorney T. DeWayne Pearson.
It indicated that Sumter founded PHC Supportive Services as a company to provide rehabilitation and behavioral health services to low-income people with disabilities in South Carolina through the Medicaid program. Instead, between 2015 and 2019, the company billed South Carolina Medicaid more than $1 million for services that weren’t performed.
It also proves that PHC never had a real client or service provider.
Instead, Sumter used the stolen National Provider Identifier (NPI) numbers of nine medical professionals to create fraudulent bills to Medicaid and repeatedly billed Medicaid.
Sumter then used the stolen IDs of 196 Medicaid members with severe mental and emotional health problems without their knowledge or consent.
Caregivers and clients contacted by investigators indicated that they had never received services from Sumter or PHC.
Also, the service provider Sumter used on the bill indicated that he did not work for PHC and did not provide medical services to the company.
“We will continue to aggressively prosecute criminals who steal from programs designed to provide desperately needed care to our most vulnerable citizens.
Attorney General Alan Wilson released the following statement regarding the incident:
“This sentence warns bad actors in the behavioral health field that South Carolina has citizens who need these services. Fraudulent practices that impede or impede the Medicaid program will not be tolerated.Our office will continue to support the U.S. Department of Justice in apprehending and prosecuting those who commit fraud against the Medicaid program. We thank our law enforcement partners at the Office of the Inspector General of Human Services.”
US District Court Judge Donald C. Coggins sentenced Sumter to 92 months in prison.
Sumter was also ordered to return $1,055,373.66 to South Carolina Medicaid.
The case was investigated by the U.S. Department of Health and Human Services and the Office of the South Carolina Attorney General.
