A superseding indictment was unsealed today charging two Texas men and a Louisiana man for conspiracy to defraud the United States and to pay and receive health care kickbacks, resulting the submission of over $107 million in false and fraudulent genetic testing claims to Medicare.
According to court filings, John Grisham, 49, of Hickory Creek, Texas, Rob Wilburn, 51, of San Antonio, Texas, and Richard Speights Jr., 52, of Lake Charles, Louisiana, and their co-conspirators, were allegedly responsible for the submission of at least $107 million in genetic testing claims to Medicare and Medicare Advantage as the result of a sophisticated and nationwide health care kickback scheme.
The defendants allegedly owned and operated a genetic testing laboratory, Trinity Clinical Laboratories LLC, located in Lewisville, Texas. From January 2018 through October 2019, in exchange for kickbacks and bribes, Grisham, the chief executive officer, Wilburn, the chief financial officer, Speights Jr., a co-owner, and their co-conspirators, allegedly acquired thousands of Medicare beneficiaries’ DNA specimens and corresponding prescriptions that Trinity Clinical Laboratories used to fraudulently bill Medicare and Medicare Advantage for genetic testing. To conceal the nature of the kickback payments, the defendants and their co-conspirators allegedly utilized sham contracts for purported marketing and other services. During the same time frame, Medicare allegedly reimbursed Trinity Clinical...
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