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Brooklyn, NY - Ten Arrested In Connection With Medical Fraud Mill

Published on: July 16, 2008 03:05 PM
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Brooklyn, NY - Ten individuals associated with a Brooklyn-based medical clinic—including the clinic’s owners and several of its medical practitioners—were arrested yesterday and today on charges of conspiracy to commit health care and mail fraud.

According to the three criminal Complaints unsealed earlier today Samuel Vilshanetski, a/k/a “Dima,” Sviatoslav Jadan, a/k/a “Slava,” and a third individual owned and operated a medical clinic located at 3003 Avenue K in Brooklyn, New York.

The Avenue K Clinic was primarily engaged in the treatment of individuals who filed nofault automobile insurance claims with insurance companies.

Under New York State Law, no-fault insurance enables the driver and passengers of a vehicle registered and insured in New York to obtain benefits of up to $50,000 per person for injuries sustained in an automobile accident, regardless of fault.

The Avenue K Clinic was a medical fraud mill which routinely billed automobile insurance companies under the nofault program for medical “treatments” which were either never provided or unnecessary, because the person being “treated” did not medically need the treatments.

According to the Complaints, the operators of the Avenue K Clinic paid thousands of dollars to “runners” who would recruit patients who were in car accidents—sometimes staged solely to commit insurance fraud—but who often suffered little or no injury from the accidents. These patients would undergo weeks or months of unnecessary “treatments”—such as physical therapy, chiropractory and acupuncture—at the Avenue K Clinic. The Avenue K Clinic then billed automobile insurance companies under the no-fault program for these unnecessary medical treatments.

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In the first two years of its operation, the Avenue K Medical Clinic billed insurance companies a total of approximately $3.6 million for no-fault medical services on behalf of more than 500 patients and, as of June 2008, had received approximately $1.2 million from these insurance companies.


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Read Comments (7)  —  Post Yours »

1

 Jul 16, 2008 at 04:01 PM Anonymous Says:

Ah shandeh in ah beesheh! Zolin zei zitzin!!!!!

2

 Jul 16, 2008 at 08:03 PM Anonymous Says:

That's not nice: to say to a jew "they should go to jail"

3

 Jul 16, 2008 at 10:24 PM bigwheeel Says:

What went through their head when they [allegedly] perpetrated this fraud! Ah! a "victimless" crime?! Beside the fact that defrauding the insurance companies is itself wrong! They [these fraudulent acts] cause insurance rates to skyrocket! For everyone!!!

4

 Jul 16, 2008 at 10:26 PM Anonymous Says:

One word, !! Russkies !!

5

 Jul 16, 2008 at 10:47 PM Anonymous Says:

NOT NICE????

Have you paid for NY car insurance? Lock them all up for life and make the Runners pay back.

6

 Jul 17, 2008 at 09:55 AM deepthinker Says:

So, how does this differ from overbilling by "legitimate" hospitals, who perform unnecessary tests (often dangerous) and--even worse--unnecessary operations on unsuspecting patients?

The whole "Healthcare" industry is a mess!

7

 Jul 18, 2008 at 03:41 AM Anonymous Says:

Is it the medical place that's on Utica & Ave K?

8

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