Pennsylvania Podiatrist Charged In $5M Health Care Fraud Scheme

PHILADELPHIA -- Stephen A. Monaco, D.P.M., 59, of Broomall PA was charged by criminal information, unsealed today, in connection with a $5 million scheme to defraud Medicare, Medicaid and four private victim insurance companies, announced United States Attorney Zane David Memeger. The information alleges that Dr. Monaco committed the fraud through his practice, A Foot Above Podiatry, Inc. ("A Foot Above"), located in Havertown PA.

According to the information, between January 2008 and October 31, 2014, Dr. Monaco submitted fraudulent claims to Medicare, Medicaid and four private victim insurance companies for podiatric procedures that were not provided, and podiatric procedures that were not performed, including injections, debridement (removal of dead, infected or foreign material to promote wound healing) and nail avulsions (removal of the entire or partial nail plate). In addition, according to the information, Dr. Monaco submitted fraudulent claims to Medicare, Medicaid and four private victim insurance companies for medically unnecessary procedures and services that were not reimbursable by Medicare or the other insurance carriers. In total, it is alleged that the defendant caused the submission of fraudulent claims to Medicare, Medicaid and the four private victim insurance companies that resulted in payments by the victim insurers to the defendant's practice totaling approximately $5 million.

If convicted, defendant Monaco faces up to 10 years in prison, $5 million restitution, substantial fines, and criminal forfeiture.

The case was investigated by the Federal Bureau of Investigation, the Department of Health and Human Services Office of the Inspector General, the Drug Enforcement Administration, the Office of Personnel Management Office of the Inspector General, and the United States Railroad Retirement Board Office of Inspector General. It is being prosecuted by Assistant United States Attorneys M. Beth Leahy and Jennifer B. Jordan.