National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Billion in False Claims

Press Release

Four Defendants Charged in the Northern District of California

Today, Assistant U.S. Attorney Matthew Yelovich, Deputy Chief of the Criminal Division of the U.S. Attorney's Office for the Northern District of California, announced criminal charges against four defendants in connection with an alleged scheme to defraud federal health care benefit programs including Medicare and Medicaid. The charges filed in federal court are part of the Department of Justice's 2024 National Health Care Fraud Enforcement Action. The charges stem from an alleged conspiracy to provide prescriptions for Adderall and other stimulants to customers of an online health care service without a legitimate medical purpose for doing so. According to the several informations and the indictment filed against the defendants, they each had a role in enabling members of an online telehealth company to obtain Adderall and other stimulants from pharmacies by illegitimate means including making false and fraudulent representations to pharmacies, seeking to obstruct efforts by pharmacies to exercise their corresponding responsibility, and causing pharmacies to submit false and fraudulent claims for reimbursement to health care insurance plans.

"It does not matter if you are a trafficker in a drug cartel or a corporate executive or medical professional employed by a health care company, if you profit from the unlawful distribution of controlled substances, you will be held accountable," said Attorney General Merrick B. Garland. "The Justice Department will bring to justice criminals who defraud Americans, steal from taxpayer-funded programs, and put people in danger for the sake of profits."

"We allege that each defendant played a role in a scheme to submit fraudulent requests to Medicare and Medicaid to obtain reimbursements for drugs that were improperly prescribed through online services," said Deputy Chief Yelovich. "Making controlled substances available to persons without a legitimate medical purpose is drug dealing and knowingly facilitating bogus reimbursements from federal programs is fraud. This office will vigorously prosecute both."

The charges announced today by Deputy Chief Yelovich are part of a strategically coordinated, two-week nationwide law enforcement action that resulted in criminal charges against 193 defendants for their alleged participation in health care fraud and opioid abuse schemes that resulted in the submission of over $2.75 billion in alleged false billings. The defendants allegedly defrauded programs entrusted for the care of the elderly and disabled to line their own pockets, and the Government, in connection with the enforcement action, seized over $231 million in cash, luxury vehicles, gold, and other assets.

The Health Care Fraud Unit's National Rapid Response, Florida, Gulf Coast, Los Angeles, Midwest, Northeast, and Texas Strike Forces; U.S. Attorneys' Offices for the Southern District of Alabama, District of Arizona, Central District of California, Northern District of California, Southern District of California, District of Connecticut, Middle District of Florida, Southern District of Florida, Northern District of Illinois, Eastern District of Kentucky, Western District to Kentucky, Eastern District of Louisiana, Middle District of Louisiana, Western District of Louisiana, Eastern District of Michigan, Western District of Michigan, Southern District of Mississippi, District of Montana, District of New Jersey, Eastern District of New York, Eastern District of North Carolina, Western District of Oklahoma, District of Rhode Island, Eastern District of Tennessee, Middle District of Tennessee, Eastern District of Texas, Northern District of Texas, Southern District of Texas, Eastern District of Virginia, Western District of Virginia, Southern District of West Virginia, and Eastern District of Wisconsin; and State Attorney Generals' Offices for Arizona, California, Illinois, Indiana, Louisiana, New York, Oklahoma, Pennsylvania, Puerto Rico, Rhode Island, and South Dakota are prosecuting the cases in the National Enforcement Action, with assistance from the Health Care Fraud Unit's Data Analytics Team. Descriptions of each case involved in today's enforcement action are available on the Department's website here.

The Northern District of California, in particular, worked with the Department's Criminal Division and the following law enforcement organizations to investigate and prosecute the cases filed during the enforcement period: Drug Enforcement Administration, Homeland Security Investigations, the U.S. Department of Health and Human Services Office of Inspector General, and IRS Criminal Investigation.

The following individuals are charged in the Northern District of California:

• Riley Levy, 30, of Peoria, Arizona, was charged by information with conspiracy to distribute controlled substances in connection with his role in an unlawful scheme to distribute Adderall and other stimulants. As alleged in the information, in the course and scope of his work for Done Health, P.C. and Done Global Inc. ("Done"), Levy, Done's Executive Leader, Operations and Strategy, conspired to distribute Adderall and other stimulants by means of the Internet that were not for a legitimate medical purpose in the usual course of professional practice. Health Care Fraud Unit Principal Assistant Deputy Chief Jacob Foster, Trial Attorney Raymond Beckering III of the National Rapid Response Strike Force, and Assistant U.S. Attorneys Kristina Green and Katherine Lloyd-Lovett of the U.S. Attorney's Office for the Northern District of California are prosecuting the case.
• Christopher Lucchese, 58, of Plano, Texas, was charged by information with conspiracy to defraud the United States and distribute controlled substances in connection with his role in an unlawful scheme to distribute Adderall and other stimulants. As alleged in the information, in the course and scope of his work for Done Health, P.C. and Done Global Inc., Lucchese, a medical doctor, issued prescriptions for Adderall and other stimulants that were not for a legitimate medical purpose in the usual course of professional practice. Health Care Fraud Unit Principal Assistant Chief Jacob Foster, Trial Attorney Raymond Beckering III of the National Rapid Response Strike Force, and Assistant U.S. Attorneys Kristina Green and Katherine Lloyd-Lovett of the U.S. Attorney's Office for the Northern District of California are prosecuting the case.
• Yina Cruz, 37, of Glenwood, New Jersey, was charged by information with conspiracy to defraud the United States and distribute controlled substances in connection with her role in an unlawful scheme to distribute Adderall and other stimulants. As alleged in the information, in the course and scope of her work for Done Health, P.C. and Done Global Inc., Cruz, a nurse practitioner, issued prescriptions for Adderall and other stimulants, including to Medicare and Medicaid beneficiaries, that were not for a legitimate medical purpose in the usual course of professional practice. Health Care Fraud Unit Principal Assistant Chief Jacob Foster, Trial Attorney Raymond Beckering III of the National Rapid Response Strike Force, and Assistant U.S. Attorneys Kristina Green and Katherine Lloyd-Lovett of the U.S. Attorney's Office for the Northern District of California are prosecuting the case.
• Katrina Pratcher, 70, of Altadena, California, was charged by information with conspiracy to defraud the United States and distribute controlled substances in connection with her role in an unlawful scheme to distribute Adderall and other stimulants. As alleged, in the course and scope of her work for Done Health, P.C. and Done Global Inc., Pratcher, a nurse practitioner, issued prescriptions for Adderall and other stimulants, including to Medicare and Medicaid beneficiaries, that were not for a legitimate medical purpose in the usual course of professional practice. Health Care Fraud Unit Principal Assistant Chief Jacob Foster, Trial Attorney Raymond Beckering III of the National Rapid Response Strike Force, and Assistant U.S. Attorneys Kristina Green and Katherine Lloyd-Lovett of the U.S. Attorney's Office for the Northern District of California are prosecuting the case.

A complaint, information, or indictment is merely an allegation. All defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

Updated July 1, 2024