A West New York man and a Newark physician face charges of defrauding New Jersey state and local health benefits programs and other insurers out of more than $3.4 million by submitting false claims for medically unnecessary prescriptions, according to U.S. Attorney Philip Sellinger.
Kaival Patel, a 53-year-old of West New York, and Saurabh Patel, 51-year-old of Woodbridge, are charged in a 12-count indictment with conspiracy to commit health care fraud, and wire fraud, and four counts of health care fraud. Kaival Patel is also charged with conspiracy to commit money laundering, substantive counts of money laundering, and making false statements to federal agents.
The defendants appeared on Jan. 21 by video conference before U.S. Magistrate Judge Sharon King and were released on $250,000 each unsecured bond.
Health care fraud conspiracy
According to the indictment, Kaival Patel and his wife, referred to in the indictment as “Individual 1,” operated a company called ABC Healthy Living LLC (ABC) to market medical products and services, including compound prescription medications.
Saurabh Patel is a medical doctor who owned and operated a clinic, referred to in the indictment as “Medical Practice 1,” in Newark. Saurabh Patel is related to Kaival Patel and Individual 1, according to Sellinger.
Paul Camarda, a pharmaceutical sales representative who is listed as a conspirator, pleaded guilty before Judge Kugler in Camden federal court on July 6, 2021, to health care conspiracy...
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