A Florida man was sentenced today to four years and six months in prison and ordered to pay $21.7 million in restitution for his role in a health care fraud and wire fraud conspiracy that resulted in over $50 million in false and fraudulent claims being submitted to Medicare.
According to court documents and evidence presented at trial, Steven King, 45, of Miramar, was the chief compliance officer of a pharmacy holding company that fraudulently billed Medicare for dispensing lidocaine and diabetic testing supplies that Medicare beneficiaries did not need or want. King, along with his co-conspirators, operated A1C Holdings LLC, a holding company for a number of pharmacies in various states, including All American Medical Pharmacy in Warren, Michigan. The pharmacies operated by A1C Holdings LLC secured prescriptions and refills for medically unnecessary prescriptions for lidocaine and diabetic testing supplies, in violation of Medicare’s rules and regulations, as well as the pharmacy benefit managers’ rules and regulations with which the pharmacies had contracts.
The evidence presented at trial also showed that King and his co-conspirators took several steps to conceal their scheme, including enrolling their mail order pharmacies as brick-and-mortar retail pharmacies to evade more rigorous oversight, shipping prescription refills for high-reimbursing medications and supplies without patient consent, concealing the ownership of A1C Holdings LLC and its pharmacies, and...
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