DataBreaches.Net

Menu
  • About
  • Breach Notification Laws
  • Privacy Policy
  • Transparency Report
Menu

WI: Janesville Pharmacist Charged with Health Care Fraud & Identity Theft

Posted on August 6, 2016 by Dissent

Madison, Wis. – John W. Vaudreuil, United States Attorney for the Western District of Wisconsin, announced that Mark Johnson, 55, Janesville, Wis., was arrested without incident  in Janesville, by agents from the U.S. Department of Health and Human Services and the U.S. Postal Inspection Service, with assistance from the Janesville Police Department.  Johnson will make his initial appearance in federal court later today.

Johnson was charged in a 46-count indictment returned by a grand jury Wednesday in Madison.  The indictment was unsealed today following his arrest.  The indictment charges Johnson with health care fraud, making false statements in a health care fraud audit, and identity theft.  Each of the 39 health care fraud charges carries a maximum penalty of 10 years in federal prison; the false statements charge carries a maximum penalty of five years in federal prison; and the six identity theft charges each carries a mandatory penalty of two years in federal prison.

The indictment alleges that Johnson devised a scheme to defraud Medicare and Medicaid from approximately January 2008 to March 2014.  During this time period, Johnson was a licensed pharmacist, and the owner and president of Kealey Pharmacy and Home Care, Inc., a pharmacy located at 21 South Jackson Street, in Janesville.  Kealey Pharmacy was a retail pharmacy providing, among other things, prescription drugs to customers.  Kealey Pharmacy was reimbursed for these prescriptions in a number of ways, including reimbursement payments under Medicare and Medicaid.

The indictment alleges that Johnson submitted false and fraudulent claims to Medicare and Medicaid obtaining reimbursement for medication that was not, in fact, provided to beneficiaries.  The indictment also alleges that Johnson created false prescription orders for medication and submitted claims for reimbursement for medication pursuant to these false prescription orders.  The indictment alleges that Johnson caused the payment of approximately $1,000,000 by Medicare and Medicaid to him during the time period of the fraud.

The indictment also alleges that Johnson lied in August 2013 in his responses to an audit being conducted by the Wisconsin Department of Health Services of paid Medicaid claims for the period from January 2010 to December 31, 2011.  Finally, the indictment charges that Johnson used the DEA number and National Provider Identifier of two physicians to create false and fictitious physician’s prescription orders to support the submission of false claims to Medicare and Medicaid.

U.S. Attorney Vaudreuil stated that today’s arrest and the indictment are the result of a lengthy investigation conducted by the U.S. Department of Health and Human Services, Office of Inspector General, and the U.S. Postal Inspection Service.  Prosecution of this case is being handled by United States Attorney Vaudreuil and Assistant U.S. Attorney Meredith P. Duchemin.

You are advised that a charge is merely an accusation and that a defendant is presumed innocent until and unless proven guilty.

SOURCE: U.S.A.O. Western District of Wisconsin

Related posts:

  • 25 Defendants Charged In Separate Schemes That Resulted In Thousands Of Identities Stolen And Millions Of Dollars In Identity Theft Tax Filings
  • Seven Charged in North Texas as Part of Largest National Medicare Fraud Takedown in History
  • Medicaid fraud scheme used children's Medicaid numbers and misappropriated therapists' Medicaid provider numbers
  • CMS Responding to Data Breach at Subcontractor
Category: Breach IncidentsHealth DataID TheftInsiderU.S.

Post navigation

← Hack of former DST business exposes Blue Cross Blue Shield member info
Carle health system warns of data breach due to vendor error →

Now more than ever

"Stand with Ukraine:" above raised hands. The illustration is in blue and yellow, the colors of Ukraine's flag.

Search

Browse by Categories

Recent Posts

  • Texas Centers for Infectious Disease Associates Notifies Individuals of Data Breach in 2024
  • Battlefords Union Hospitals notifies patients of employee snooping in their records
  • Alert: Scattered Spider has added North American airline and transportation organizations to their target list
  • Northern Light Health patients affected by security incident at Compumedics; 10 healthcare entities affected
  • Privacy commissioner reviewing reported Ontario Health atHome data breach
  • CMS warns Medicare providers of fraud scheme
  • Ex-student charged with wave of cyber attacks on Sydney uni
  • Detaining Hackers Before the Crime? Tamil Nadu’s Supreme Court Approves Preventive Custody for Cyber Offenders
  • Potential Cyberattack Scrambles Columbia University Computer Systems
  • 222,000 customer records allegedly from Manhattan Parking Group leaked

No, You Can’t Buy a Post or an Interview

This site does not accept sponsored posts or link-back arrangements. Inquiries about either are ignored.

And despite what some trolls may try to claim: DataBreaches has never accepted even one dime to interview or report on anyone. Nor will DataBreaches ever pay anyone for data or to interview them.

Want to Get Our RSS Feed?

Grab it here:

https://databreaches.net/feed/

RSS Recent Posts on PogoWasRight.org

  • Germany Wants Apple, Google to Remove DeepSeek From Their App Stores
  • Supreme Court upholds Texas law requiring age verification on porn sites
  • Justices nix Medicaid ‘right’ to choose doctor, defunding Planned Parenthood in South Carolina
  • European Commission publishes its plan to enable more effective law enforcement access to data
  • Sacred Secrets: The Biblical Case for Privacy and Data Protection
  • Microsoft’s Departing Privacy Chief Calls for Regulator Outreach
  • Nestle USA Settles Suit Over Job-Application Medical Questions

Have a News Tip?

Email: Tips[at]DataBreaches.net

Signal: +1 516-776-7756

Contact Me

Email: info[at]databreaches.net

Mastodon: Infosec.Exchange/@PogoWasRight

Signal: +1 516-776-7756

DMCA Concern: dmca[at]databreaches.net
© 2009 – 2025 DataBreaches.net and DataBreaches LLC. All rights reserved.