A man stole the identities of people with mental disorders

The US Attorney’s Office in South Carolina announced Friday that a South Carolina man started a company and used the stolen identities of people with mental disabilities to take Medicaid out of more than $1 million. Greer was sentenced to more than seven years in federal prison after pleading guilty to theft of government funds for his scheme to defraud South Carolina Medicaid. “Using identities stolen from the most defenseless of people to steal money from the hardworking people of South Carolina is unacceptable,” said US Attorney Adair Borough. Extensive evidence was brought to court in the case brought by Assistant U.S. Attorney T. DeWayne Pearson, and showed that Sumter founded Primary Health Care Services as a company supposedly providing rehabilitative behavioral health services to people with disabilities and low-income people in South Carolina through Medicaid. . Instead, between 2015 and 2019, the company paid South Carolina Medicaid more than $1 million for services that were not provided, officials said. The evidence also showed that primary health care had no actual clients or service providers. Instead, Sumter billed Medicaid repeatedly using stolen National Provider ID (NPI) numbers for nine healthcare professionals to create fake bills to Medicaid, and then Sumter used the stolen identities of 196 Medicaid members with severe mental and emotional health disorders without their knowledge. or approval. The caregivers and clients contacted by the investigators indicated that they had not received any services from Sumter or the PHC. The providers Sumter used also indicated on their invoices that they did not work in primary care and did not provide medical services to the company. “We will continue to prosecute perpetrators who steal programs designed to provide much-needed care to our most vulnerable citizens,” Borough said. Attorney General Alan Wilson issued this statement about the case: “This sentence warns bad actors in behavioral health care that South Carolina has citizens in need of these services; fraudulent behavior that abuses these programs or prevents our citizens from receiving needed services will not be tolerated.” “Our office will continue to partner with the United States Attorney’s Office to apprehend and prosecute those who commit Medicaid fraud. We thank our law enforcement partners in the Office of the Inspector General of the United States Department of Health and Human Services for their partnership during this investigation.” US District Judge Donald C. Coggins Sumter was sentenced to 92 months in prison. Sumter was also ordered to pay $1,055,373.66 in restitution to Medicaid in South Carolina. The case was investigated by the United States Department of Health and Human Services and the South Carolina Attorney General’s Office.

The US Attorney’s Office in South Carolina announced Friday that a California man set up a company and used the stolen identities of people with mental disabilities to extract more than $1 million in medical assistance.

Officials said in a statement that Jonathan W. Sumter, 51, of Greer, was sentenced to more than seven years in federal prison after pleading guilty to theft of government funds for his scheme to defraud South Carolina Medicaid.

“Using identities stolen from the most defenseless of people to steal money from the hardworking people of South Carolina is unacceptable,” said US Attorney Adair Borough.

Extensive evidence was presented to the court in the case brought by Assistant US Attorney T. Dewayne Pearson.

Show that Sumter founded Primary Health Care Support Services as a company supposed to provide rehabilitative behavioral health services to people with disabilities and low-income people in South Carolina through Medicaid. Instead, between 2015 and 2019, the company paid South Carolina Medicaid more than $1 million for services that were not provided, officials said.

The evidence also showed that primary health care had no actual clients or service providers.

Instead, Sumter’s company repeatedly billed Medicaid by using stolen National Provider Identifier (NPI) numbers for nine healthcare professionals to create fraudulent bills to Medicaid.

Sumter then used the stolen identities of 196 Medicaid members with severe mental and emotional disorders without their knowledge or consent.

The caregivers and clients contacted by the investigators indicated that they had not received any services from Sumter or the PHC.

The providers Sumter used also indicated on their invoices that they did not work in primary care and did not provide medical services to the company.

“We will continue to prosecute perpetrators who steal programs designed to provide much-needed care to our most vulnerable citizens,” Borough said.

Attorney General Alan Wilson issued this statement about the case:

“This sentence warns bad actors in behavioral health care that South Carolina has citizens who need these services; fraudulent behavior that abuses these programs or prevents our citizens from receiving needed services will not be tolerated. Our office will continue to partner with the State Attorney’s Office “We thank our law enforcement partners in the Office of the Inspector General of the United States Department of Health and Human Services for their partnership during this investigation.”

US District Judge Donald C. Coggins sentenced Sumter to 92 months in prison.

Sumter was also ordered to pay $1,055,373.66 in restitution to South Carolina Medicaid.

The case was investigated by the United States Department of Health and Human Services and the South Carolina Attorney General’s Office.

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