Video of FBI raid one year ago (Mark Lieb, Rockland Video Productions)
WHITE PLAINS – Five people were indicted on federal charges dealing
with a widespread health care fraud scheme through their fraudulent operation
of Dolson Avenue Medical, a multi-disciplinary medical clinic located
in Middletown.
They are accused of attempting to bilk insurance companies and Medicare out of more than $80 million.
James Spina, 59, of Middletown, Jeffrey Spina, 56, of Middletown, Andrea
Grossman, 59, of Loch Sheldrake, Kimberly Spina, 54, of Woodbourne, and
Charles Bagley, 69, of Great Neck, a medical doctor affiliated with the
practice, were arrested on Thursday.
Bagley pled guilty to conspiracy to commit health care fraud, which carries a maximum prison sentence of 10 years.
Brothers James and Jeffrey Spina were the owners and operators and ran the day-to-day operations of Dolson Avenue Medical and at least eight other medical corporations that on paper appeared to be separate entities, but were run by the two men who are doctors of chiropractic – not medical doctors.
Grossman was the bookkeeper and Kimberly Spina was the administrator of the practice.
All allegedly submitted claims to insurance providers for medically unnecessary
services and procedures or those that were not rendered; double billed;
altered and fabricated medical records; and obstructed and impeded audits
by Medicare and other insurance providers to conceal their fraud.
They were all charged with conspiring to commit health care fraud and health care fraud, each of which carries a maximum sentence of 10 years in prison. The Spina brothers were also charged with obstructing and impeding a federal audit, which carries a maximum of five years in prison.
