PROVIDENCE – A Providence chiropractor today admitted that he created and executed a scheme to defraud a health care benefits program and that he failed to pay taxes on some of the income he received from his business.
Eugene Kramer, 51, sole owner of New England Spine and Disc Center, admitted to the court that he committed health care fraud by billing for days a patient did not attend treatment, for treatment not provided, and by falsifying medical notes and documentation to support a nonexistent personal injury claim.
As part of the scheme, from January 1, 2018, to December 31, 2018, Kramer provided invoices for chiropractic treatment to an attorney, who then, in order to support a patient’s bodily injury claim, provided those invoices to an automobile insurance company in Rhode Island. To bolster the claim, Kramer created falsified medical notes and documentation.
According to court documents, an individual electronically monitored by the FBI visited Kramer’s office on 15 occasions for chiropractic treatment, under the pretext of having been involved in an automobile accident. In most instances little or no treatment was provided and few if any medical notes were taken. At no time did Kramer provide the person with a diagnosis or discuss a treatment plan. The individual was emailed a package requesting a monetary settlement in connection with a supposed injury claim to Progressive Insurance requesting, among other things, reimbursement for chiropractic services.
In addition to admitting to executing the health care fraud scheme, Kramer admitted that for tax years 2015, 2016, and 2017, he failed to report a portion of his personal income, resulting in him owing the IRS $66,914.
Appearing today before U.S. District Court William E. Smith, Kramer pleaded guilty to one count each of health care fraud and filing a false tax return, announced United States Attorney Aaron L. Weisman, Special Agent in Charge of the FBI Boston Division Joseph R. Bonavolonta, and Special Agent in Charge of Internal Revenue Service Criminal Investigation Kristina O'Connell.
Kramer is scheduled to be sentenced on October 2, 2020.
Health care fraud is punishable by statutory penalties of up to 10 years in federal prison, a fine of $250,000, and three years of supervised release. Filing a false tax return is punishable by up to three years in prison, a fine of $100,000, and one year of supervised release.
The case is being prosecuted by Assistant U.S. Attorney Dulce Donovan.
The matter was investigated by the FBI and IRS Criminal Investigation.
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PROVIDENCE – A Providence chiropractor has agreed to plead guilty to charges that he allegedly executed a scheme to defraud health care benefits programs and that he allegedly failed to pay taxes to the IRS for some of the income he received from his business, according to documents filed in federal court in Providence.
It is alleged that Eugene Kramer, 50, sole owner of New England Spine and Disc Center, devised a scheme to defraud insurance companies by billing for days patients did not attend treatment, for treatment not provided, and by falsifying medical notes and documentation to support nonexistent personal injury claims.
It is alleged in court documents that from January 1, 2018, to December 31, 2018, Kramer provided invoices for chiropractic treatment to various attorneys, who then, in order to support a patient’s bodily injury claim, provided those invoices to various automobile insurance companies in Rhode Island. At times, Kramer allegedly provided falsified medical notes and documentation.
According to court documents, an individual assisting the FBI in the investigation of Kramer’s alleged criminal activity, visited Kramer’s office on 15 occasions for chiropractic treatment, under the pretext of having been involved in an automobile accident. It is alleged that in most instances little or no treatment was provided and few if any medical notes were taken. At no time did Kramer provide the person with a diagnosis or discuss a treatment plan. Nearly all of the patient’s visits were electronically monitored by the FBI.
According to court documents, the individual who visited Kramer’s office in an undercover capacity was allegedly emailed a package requesting a monetary settlement in connection with the individual’s supposed injury claim to Progressive Insurance requesting, among other things, reimbursement for chiropractic services.
According to court documents, it is alleged that for tax years 2015, 2016, and 2017, Kramer failed to report a portion of his personal income, resulting in him owing the IRS $66,914.
An information and plea agreement filed in U.S. District Court charges Kramer with health care fraud and filing a false tax return, announced United States Attorney Aaron L. Weisman, Special Agent in Charge of the FBI Boston Division Joseph R. Bonavolonta, and Special Agent in Charge of Internal Revenue Service Criminal Investigation Kristina O'Connell.
An information is merely an accusation. A defendant is presumed innocent unless and until proven guilty.
Health care fraud is punishable by statutory penalties of up to 10 years in federal prison, a fine of $250,000, and 3 years’ supervised release. False tax return is punishable by up to 3 years in prison, a fine of $100,000, and 1 year supervised release.
The case is being prosecuted by Assistant U.S. Attorney Dulce Donovan.
The matter was investigated by the FBI and IRS Criminal Investigation.
Description: The fiscal year of the data file obtained from the AOUSC
Format: YYYY
Description: The code of the federal judicial circuit where the case was located
Format: A2
Description: The code of the federal judicial district where the case was located
Format: A2
Description: The code of the district office where the case was located
Format: A2
Description: Docket number assigned by the district to the case
Format: A7
Description: A unique number assigned to each defendant in a case which cannot be modified by the court
Format: A3
Description: A unique number assigned to each defendant in a case which can be modified by the court
Format: A3
Description: A sequential number indicating whether a case is an original proceeding or a reopen
Format: N5
Description: Case type associated with the current defendant record
Format: A2
Description: A concatenation of district, office, docket number, case type, defendant number, and reopen sequence number
Format: A18
Description: A concatenation of district, office, docket number, case type, and reopen sequence number
Format: A15
Description: The status of the defendant as assigned by the AOUSC
Format: A2
Description: A code indicating the fugitive status of a defendant
Format: A1
Description: The date upon which a defendant became a fugitive
Format: YYYYMMDD
Description: The date upon which a fugitive defendant was taken into custody
Format: YYYYMMDD
Description: The date when a case was first docketed in the district court
Format: YYYYMMDD
Description: The date upon which proceedings in a case commenced on charges pending in the district court where the defendant appeared, or the date of the defendant’s felony-waiver of indictment
Format: YYYYMMDD
Description: A code used to identify the nature of the proceeding
Format: N2
Description: The date when a defendant first appeared before a judicial officer in the district court where a charge was pending
Format: YYYYMMDD
Description: A code indicating the event by which a defendant appeared before a judicial officer in the district court where a charge was pending
Format: A2
Description: A code indicating the type of legal counsel assigned to a defendant
Format: N2
Description: The title and section of the U.S. Code applicable to the offense committed which carried the highest severity
Format: A20
Description: A code indicating the level of offense associated with FTITLE1
Format: N2
Description: The four digit AO offense code associated with FTITLE1
Format: A4
Description: The four digit D2 offense code associated with FTITLE1
Format: A4
Description: A code indicating the severity associated with FTITLE1
Format: A3
Description: The title and section of the U.S. Code applicable to the offense committed which carried the second highest severity
Format: A20
Description: A code indicating the level of offense associated with FTITLE2
Format: N2
Description: The four digit AO offense code associated with FTITLE2
Format: A4
Description: The four digit D2 offense code associated with FTITLE2
Format: A4
Description: A code indicating the severity associated with FTITLE2
Format: A3
Description: The FIPS code used to indicate the county or parish where an offense was committed
Format: A5
Description: The date of the last action taken on the record
Format: YYYYMMDD
Description: The date upon which judicial proceedings before the court concluded
Format: YYYYMMDD
Description: The date upon which the final sentence is recorded on the docket
Format: YYYYMMDD
Description: The date upon which the case was closed
Format: YYYYMMDD
Description: The total fine imposed at sentencing for all offenses of which the defendant was convicted and a fine was imposed
Format: N8
Description: A count of defendants filed including inter-district transfers
Format: N1
Description: A count of defendants filed excluding inter-district transfers
Format: N1
Description: A count of original proceedings commenced
Format: N1
Description: A count of defendants filed whose proceedings commenced by reopen, remand, appeal, or retrial
Format: N1
Description: A count of defendants terminated including interdistrict transfers
Format: N1
Description: A count of defendants terminated excluding interdistrict transfers
Format: N1
Description: A count of original proceedings terminated
Format: N1
Description: A count of defendants terminated whose proceedings commenced by reopen, remand, appeal, or retrial
Format: N1
Description: A count of defendants pending as of the last day of the period including long term fugitives
Format: N1
Description: A count of defendants pending as of the last day of the period excluding long term fugitives
Format: N1
Description: The source from which the data were loaded into the AOUSC’s NewSTATS database
Format: A10
Description: A sequential number indicating the iteration of the defendant record
Format: N2
Description: The date the record was loaded into the AOUSC’s NewSTATS database
Format: YYYYMMDD
Description: Statistical year ID label on data file obtained from the AOUSC which represents termination year