Counseling business owner pleads guilty to stealing thousands in Medicaid scheme

In 2019, it said, a medical provider asked Tomczak to use his own provider number to bill Medicaid for patients that the provider was allegedly seeing for psychotherapy sessions. In exchange, it said, he would retain 25 percent of the Medicaid claims paid and he would turn over 75 percent of the payments to the provider.

Tomczak agreed to do so, the U.S. attorney's office said, and from April 2019 through October 2022, based upon a spreadsheet provided to him by the provider, he billed Medicaid for psychotherapy and related services allegedly rendered by the provider as if he had personally rendered those services.

"Tomczak never met any of the provider's clients and did not review records and treatment notes for any services allegedly rendered by the provider," it said.

The U.S. attorney's office said Medicaid paid Tomczak approximately $338,000 for approximately 53 clients that the provider had allegedly treated. It said he retained about $84,000 of the claims money received from Medicaid per his agreement with the provider.

On Aug. 21, the U.S. attorney's office said, Tomczak waived his right to be indicted and pleaded guilty before to one count of making a false statement relating to a health care matter, an offense that carries a maximum term of imprisonment of five years. It said his sentencing is scheduled for Nov. 13, adding he is released on bond pending sentencing.

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