DataBreaches.Net

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

Licensed professional counselor indicted in $2 million health care fraud scheme

Posted on September 17, 2024 by Dissent

A reminder to check your Explanation of Benefits (EOB) statements from your health insurers to see if you spot any visits, appointments, or services that you never got but were billed for. 

McALLEN, Texas – A 46-year-old resident of Mission has been taken into custody on charges of health care fraud and aggravated identity theft in connection with a scheme to defraud the Texas Medicaid Program, announced U.S. Attorney Alamdar S. Hamdani.

Juan Martin Flores, 46, is set to make his initial appearance before U.S. Magistrate Judge J. Scott Hacker at 9 a.m.

The indictment, returned Aug. 7 and unsealed upon his arrest Sept. 12, alleges he submitted or caused the submission of over 15,000 fraudulent claims to Medicaid for services that were never provided. Between 2018 and 2022, the claims resulted in approximately $2 million in Medicaid payments, according to the charges. The indictment further alleges Flores used the personal information of Medicaid beneficiaries without their consent to facilitate the fraudulent billing scheme.

According to the charges, Flores submitted claims under his national provider identifier number, representing that he provided counseling services at his office in Brownsville. However, he allegedly never actually rendered those services. The indictment details multiple instances in which he unlawfully used Medicaid beneficiaries’ identities in the fraudulent claims.

Flores is charged with 10 counts of health care fraud, each carrying a possible 10-year-maximum sentence and up to a $250,000 fine. He is also facing three counts of aggravated identity theft. If convicted, he faces a mandatory two years in federal prison which must be served consecutively to any other sentence imposed.

The FBI, Department of Health and Human Services – Office of Inspector General and Texas Attorney General’s Medicaid Fraud Control Unit conducted the investigation. Assistant U.S. Attorney Andrew R. Swartz and Eric D. Flores are prosecuting the case.

An indictment is a formal accusation of criminal conduct, not evidence. A defendant is presumed innocent unless convicted through due process of law.

Source: U.S. Attorney’s Office, Southern District of Texas

Category: Health DataID Theft

Post navigation

← RansomHub releases 487GB of data allegedly stolen from Kawasaki
UK: Data on nearly 1 million NHS patients leaked online following Qilin ransomware attack on London hospitals →

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

  • Why Dumping Sensitive Data on Network Shares is a Liability
  • A militarily degraded Iran may turn to asymmetrical warfare – raising risk of proxy and cyber attacks
  • Pro-Russian hackers disrupt Dutch government websites ahead of NATO summit
  • Iran-Linked Threat Actors Leak Visitors and Athletes’ Data from Saudi Games
  • UK: Oxford City Council still investigating cyberattack from earlier this month
  • Steelmaker Nucor Says Hackers Stole Data in Recent Attack
  • People’s Republic of China cyber threat activity: Cyber Threat Bulletin
  • Ukrainian Web3 security auditing company Hacken suffered an attack that allowed a hacker to create 900 million HAI tokens
  • McLaren provides written notice to 743,131 patients after ransomware attack in July 2024 (2)
  • A state forensics lab was leaking its files. Getting it locked down involved a number of people.

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

  • Sky Views Personal Data as a Potential Weapon in IPTV Piracy War
  • Florida Used a Nationwide Surveillance Camera Network 250 Times To Aid in Immigration Arrests
  • Federal Court Strikes Down HIPAA Reproductive Health Care Privacy Rule
  • The Markup caught 4 more states sharing personal health data with Big Tech
  • Privacy in the Big Sky State: Montana’s Consumer Privacy Law Gets Amended
  • UK Passes Data Use and Access Regulation Bill
  • Officials defend Liberal bill that would force hospitals, banks, hotels to hand over data

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.