Service & Results.

nyc criminal lawyers over 30 years of experienceWe Know How To Win Cases

Spodek Law Group handles tough cases
nationwide, that demand excellence.

Get Free Consultation

Faced 5+ Years in Prison

People Vs Joseph Amico

Covered by NYDaily News. Las Vegas man accused of threatening a prominent attorney and making vile remarks.

Faced 10+ Years in Prison

People Vs. Anna Sorokin

Covered by New York Times, and other outlets. Fake heiress accused of conning the city’s wealthy, and has an HBO special being made about her.

Faced 3+ Years in Prison

People Vs. Genevieve Sabourin

Accused of stalking Alec Baldwin. The case garnered nationwide attention, with USAToday, NYPost, and other media outlets following it closely.

Faced Potential Charges

Ghislaine Maxwell Juror

Juror who prompted calls for new Ghislaine Maxwell trial turns to lawyer who defended Anna Sorokin.

Law in the Media

View All

Request Free Consultation

Please fill out the form below to receive a free consultation, we will respond to
your inquiry within 24-hours guaranteed.

new york medicare fraud lawyers

The federal government takes all cases of Medicare Fraud accusation seriously. Any doctor, office, or billing agency suspected of committing Medicare Fraud is immediately investigated. If found guilty, federal charges are filed, and punishments are severe for anyone found guilty of Medicare Fraud. It’s considered a White-Collar crime in New York, and accusations are on the rise. Many cases of Medicare Fraud are found to be simple mistakes made by someone who misread important information, mistyped information, or even confused the files of two patients on a busy day. These cases are fixed, and no criminal charges are brought against the person or business accused of Medicare Fraud.

What is Medicare Fraud?

Understanding the severity of Medicare Fraud is imperative. Loosely defined, Medicare fraud is the intentional act of submitting information, falsifying documents, and working illegally and unethically to make more money by defrauding the Medicare system. It occurs regularly in many offices, and it’s a federal offense in every state. Most cases in this category fall within a specific list of accusations:

– Submitting duplicate bills for the same patient
– Charging patients for services not rendered
– Submitting fraudulent cost reports
– Mispresenting services performed intentionally and willfully

The unfortunate aspect of any of these charges is it simply doesn’t matter if it was a simple mistake or an intentional act. The federal government doesn’t take kindly to attempts to defraud them and contribute to the tens of billions of dollars they pay out annual for fraudulent charges. They will investigate, and they will look for a way to prosecute the doctor or office accused of fraud.

If a company or person is found guilty of Medicare Fraud, the penalties are substantial. Both fines and imprisonment are a possibility if you commit Medicare Fraud, and the length of time and amount of money a guilty party is issued is based on the number of charges he or she is found guilty of.

– Fines begin at $10,000 per charge. This is for charging for services an office did not perform on a patient.
– Kickbacks are subject to a $25,000 fine.
– Fines can reach as high as a half million dollars depending on the severity and type of Medicare Fraud a person is accused of.
– Restitution is required in all cases of Medicare Fraud. Every dime stolen as a result of fraud is required to be paid back to the patients and the government it was stolen from.
– Prison time varies based on the fraud committed, the number of charges filed, and the severity of the crime. The average amount of time a doctor or medical professional faces is 5 years per offense.
– Probation and the loss of a medical license are other punishments doctors and their practices face if they are charged with Medicare Fraud and found guilty in a court of law.

While doctors who own practices of their own are typically the ones investigated for Medicare Fraud, it’s not uncommon for the doctor to have no knowledge of the crime as their administrative staff is the entity responsible for handling billing and healthcare issues. If the investigation is able to prove someone in administration committed Medicare fraud on purpose or due to gross negligence, the doctor is still at risk for being punished. Administrative sanctions could be issued, and the office could still face fines, restitution, and even suspension of their health, medical, and business licenses in New York.

Medicare Fraud is one of the most serious charges filed against a doctor or doctor’s office, and it requires the experience of an attorney who has worked with cases of Medicare Fraud in the past. Doctors are at risk for facing jail time, the loss of their professional license, and a tarnished reputation. When a formal complaint is filed regarding Medicare Fraud, the doctor or office is notified immediately and required to file a response to the complaint. It’s advised no one takes legal action into their own hands without full knowledge of the law, their legal rights, and the potential ramifications of not using their legal counsel in a situation such as this one.


[pagelist child_of=”parent” class=”page-list-cols-3″]

Free Consultation


I was searching for a law firm with some power to help me deal with a warrant in New York . After 6 days I decided to go with Spodek Law Group. It helped that This law firm is well respected by not only the top law firms in New York , but the DA , Judge as well. I...

~Fonder Brandon

5 Stars
It was my good fortune to retain Spodek Law Group for representation for my legal needs. From the beginning, communication was prompt and thorough. Todd, Kenneth and Alex were the first people I worked with and they all made me feel comfortable and confident that the team was going to work hard for me. Everything was explained and any concerns...

~A G

5 Stars
After meeting with several law firms, I chose the Spodek Law Group not only for their professionalism and experience, but for the personal attention given to me right from the initial consultation. It is important to recognize how crucial having the right legal team is when faced with potentially life altering events that impact families and the lives of loved...

~George Cherubini

Spodek Law Group

White Glove Service

We Provide Superior Service, Excellent Results, At A Level Superior To Other Criminal Defense Law Firms. Regardless Of Where Your Case Is, Nationwide, We Can Help You.
View More

Request Free Consultation

Please fill out the form below to receive a free consultation, we will respond to
your inquiry within 24-hours guaranteed.


85 Broad St 30th Floor, New York, NY 10004


get directions

Los Angeles

611 S Catalina St Suite 222, Los Angeles, CA 90005


get directions


35-37 36th St, 2nd Floor Astoria, NY 11106


get directions


195 Montague St., 14th Floor, Brooklyn, NY 11201


get directions
Call Now!