Doctors, landlord arrested in $2M pill mill scheme that stole Medicaid information from homeless and veterans - Insurance News | InsuranceNewsNet

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March 10, 2020 Newswires
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Doctors, landlord arrested in $2M pill mill scheme that stole Medicaid information from homeless and veterans

Philly.com

Four people, including two doctors, were charged Tuesday with operating a pill mill scheme by stealing the Medicaid information of homeless people and veterans living in North Philadelphia group home properties and then writing faulty prescriptions in their names, Pennsylvania Attorney General Josh Shapiro announced Tuesday.

Between 2015 and 2017, the two physicians allegedly wrote 1,009 fraudulent prescriptions of Oxycodone and Xanax, equating to 99,753 pills with a street value of nearly $2 million, under the names of more than a hundred tenants living in the properties. The scheme cost Medicaid nearly $30,500, officials said.

Emmanuel Okolo, 53, and Mohanad Fallouh, 51, doctors at Carriage House Medical Group in Flourtown, were each charged with 388 total counts of Medicaid fraud, identity theft, conspiracy to administer a controlled substance, and related charges.

Evelyn “Tracie” Smith, 54, who owned and managed multiple “group home” properties on the 3500 block of North 18th Street in North Philadelphia, was also charged with the same crimes for allegedly working with the doctors and providing them with the personal identification and Medicaid numbers of hundreds of tenants living in her row homes.

Kent Hunter, Smith’s cousin, is facing 193 counts, including conspiracy to deliver a controlled substance, identity theft, and related crimes for allegedly working as an accomplice to Smith and the doctors.

Smith, of Camden, required her tenants to provide their IDs, Social Security, and Medicaid cards upon moving in, according to court records, then gave the information to the doctors. Tenants told investigators that in some cases, their residences were ransacked and their IDs stolen while they weren’t home.

“They poured fuel on to the fire of the opioid crisis,” Shapiro said at a Tuesday press conference.

“This was a massive operation that breached good faith and breached the Pennsylvania law," he said. “And they did so knowing they were preying on some of the most vulnerable.”

Neither Okolo’s attorney, Michael Ryan of Ryan, Brown, Berger, & Gibbons, nor Fallouh’s attorney, Mohamad Bakry of Marshall Dennehey could be reached for comment. Lawyers for Smith and Hunt were not listed in court records.

Most of the time, Okolo, of Ambler, and Fallouh, of Blue Bell, allegedly wrote the prescriptions without having ever met the patients they were prescribing the medication to.

Other times, Smith told her tenants that they should visit Okolo to have their health evaluated, according to the records. The tenants told investigators that Smith would drive them to Okolo’s office, or Okolo and Fallouh would visit the North Philadelphia homes themselves, for the “check ups.”

The doctors would briefly evaluate them, then write the Oxycodone or Xanax prescriptions, which were then directly handed to Smith. Tenants told investigators they never received the prescriptions that the doctors handed to Smith. Residents who confronted Smith about the scheme often faced threats of eviction or were offered money, the records show.

Once the prescriptions were written, Smith would drive Hunter to various pharmacies, where she often had arranged agreements with the pharmacists that as the “caregiver” of “veterans and homeless individuals” she was permitted to pick up their prescriptions without them present, according to the records. Pharmacists said Hunter often picked up 30 to 40 prescriptions at one time.

Authorities were alerted to the activity after a tenant went to pick up a legal prescription and the pharmacist noticed the numerous prescriptions filled under their name, which the tenant said they were unaware of. The pharmacist then alerted AmeriHealth insurance, which then alerted the Department of Human Services, which contacted the Attorney general’s office.

Okolo is being held in the Montgomery County jail on $250,000 bail, and Hunt is being held there on $100,000 bail. Smith is being held in the Camden County jail. Follouh was released from the Montgomery County facility after posting 10% of $250,000 bail.

___

(c)2020 The Philadelphia Inquirer

Visit The Philadelphia Inquirer at www.inquirer.com

Distributed by Tribune Content Agency, LLC.

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