Complex healthcare fraud scheme boils down to two things — money and jail.
HARRISBURG – The United States Attorney’s Office for the Middle District of Pennsylvania announced that Rodney L. Yentzer, age 55, formerly of Carlisle, Pennsylvania and currently in Chuluota, Florida, was sentenced to 42 months imprisonment on charges of conspiracy to commit health care fraud, conspiracy to commit money laundering, and theft of public money. He was also ordered to pay an additional $2,993,386.19 in restitution after having paid $900,000 toward a civil settlement with the United States in 2022. https://www.justice.gov/usao-mdpa/pr/former-owner-york-pain-management-practice-sentenced-42-months-health-care-fraud-money
According to Acting United States Attorney John C. Gurganus, Yentzer previously admitted to defrauding Medicare and the U.S. Department of Health and Human Services between 2016 and 2020 and pleaded guilty to the three offenses for which he was sentenced. Yentzer agreed with others to defraud Medicare by submitting medically unnecessary urine drug tests for chronic opioid patients at medical clinics he controlled, including a group of clinics known as Pain Medicine of York or “PMY” (also known as All Better Wellness).
“This defendant’s only interest was in his own wealth, and he exploited patients and defrauded a state healthcare system designed to promote wellness for vulnerable residents in order to line his pockets,” Pennsylvania Attorney General Dave Sunday said. “I commend our federal partners for collaborating with our team on a comprehensive investigation that culminated in a significant prison sentence.”
PMY billed Medicare for more than $10 million in urine drug tests from mid-2017 through the end of 2019, and Medicare paid out over $4 million for these urine drug tests. Pennsylvania’s Medicaid program was also billed for urine drug tests during this same time period. The urine drug tests ordered by PMY were sent to an in-house laboratory at PMY whenever possible. As a result, when medically unnecessary tests were billed to Medicare, Medicaid, or, in some cases, private insurance companies, the proceeds from them went to PMY itself.
The proceeds from the health care fraud scheme were then used for the benefit of Yentzer, Johnson, Johnson’s wife, and Florentina Mayko, the former CEO of PMY. Yentzer bought a number of luxury items with those funds, such as a Rolex Submariner with a retail price of almost $37,000 for himself and a four-carat diamond ring worth over $40,000 for his wife, in addition to a set of approximately $7,000 Rolex watches for himself, John H. Johnson, and another friend and business associate. Yentzer also bought luxury vehicles for himself and his family members, such as a Porsche Boxster, a custom-built car trailer for almost $290,000, and an RV for approximately half a million dollars. Yentzer also made substantial upgrades to his home in Carlisle, PA, which he sold for approximately $1.3 million in 2022 to make restitution and civil settlement payments to the United States.
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