Geoffrey S. Berman, the United States Attorney for the Southern District of New York, William F. Sweeney Jr., the Assistant Director-in-Charge of the New York Field Office of the Federal Bureau of Investigation (“FBI”), and James P. O’Neill, the Commissioner of the New York City Police Department (“NYPD”), announced the unsealing of an indictment charging RUVIM KRUPKIN, a New York state-licensed doctor, with writing medically unnecessary prescriptions for oxycodone over at least an 11-year period. KRUPKIN is expected to be presented before U.S. Magistrate Judge Ona T. Wang later today. The case has been assigned to United States District Judge Analisa Torres.
Manhattan U.S. Attorney Geoffrey S. Berman said: “As alleged, for more than a decade, as the nationwide opioid crisis mushroomed and left death and destruction in its wake, Ruvim Krupkin wrote thousands of medically unnecessary prescriptions for oxycodone. He allegedly charged $200 per prescription. Now he will learn the true cost of his alleged crime.”
FBI Assistant Director William F. Sweeney said: “While society continues to grapple with a solution to end the plague of drug addiction throughout this country, Ruvim Krupkin, as alleged, was complicit in prescribing medically unnecessary doses of oxycodone pills to patients under his care. Those with access to a now-virtual prescription pad carry a heavy responsibility to uphold the ethics of their profession. Those who don’t will be held accountable.”
NYPD Commissioner James P. O’Neill said: “As alleged, the doctor who’s charged in this case not only broke the law, he betrayed his oath and his ethical obligations for millions in personal profit – and he did this at a time when the nation and our city was in the throes of an opioid epidemic. I want to thank the investigators who worked to bring federal charges in this case. Whether you purport to be a medical professional or you’re a street-level drug dealer, the NYPD and its law enforcement partners will find you and hold you accountable.”
According to the allegations in the Indictment unsealed today in federal court:[1]
From in or about 2006 up to and including July 2017, RUVIM KRUPKIN wrote prescriptions resulting in the unlawful distribution of more than four million oxycodone pills to individuals he knew had no legitimate medical need for this medication. In exchange for writing these medically unnecessary oxycodone prescriptions, KRUPKIN received over $3.8 million in cash payments.
During the time period charged in the Indictment, KRUPKIN was an internal medicine doctor with specialties in oncology and hematology. KRUPKIN practiced out of a medical office located in Coney Island, New York. As a hematologist, KRUPKIN treated patients who had, or claimed to have, sickle cell anemia – a medical condition that can cause pain for which oxycodone, in conjunction with other treatments – may be legitimately prescribed. However, KRUPKIN wrote thousands of prescriptions for large quantities of oxycodone to patients, knowing that they in fact had no legitimate medical need for the prescriptions. KRUPKIN generally performed little to no physical examination on these patients; indeed, the medical notes for each patient were largely the same from one visit to the next. KRUPKIN charged each patient $200 in cash for each visit, payable directly to him.
Notwithstanding having performed little to no physical examination of the patients, KRUPKIN typically issued them prescriptions for a large dose of oxycodone – typically 180 80-milligram pills, until approximately 2010, when the formula for oxycodone changed, reducing the street value of the 80-milligram pills. At that time, KRUPKIN began prescribing 180 or 240 30-milligram pills. KRUPKIN’s patients filled their prescriptions at pharmacies throughout New York, and in certain cases, sold the oxycodone pills they received to drug dealers, who in turn re-sold the pills at high value on the street. KRUPKIN knew that certain of his patients were diverting the oxycodone pills he was prescribing, but he nonetheless continued writing prescriptions of oxycodone for such individuals.
* * *
KRUPKIN, 68, of Summit, New Jersey, is charged with one count of participating in a conspiracy to distribute narcotics, which carries a maximum sentence of 20 years in prison. The maximum potential penalty is prescribed by Congress and is provided here for informational purposes only, as any sentencing of the defendant would be determined by the judge.
Mr. Berman praised the outstanding investigative work of the FBI-NYPD Health Care Fraud Task Force. Mr. Berman also thanked the New York City Human Resources Administration for its work on the investigation.
This case is being handled by the Office’s Narcotics Unit. Assistant United States Attorneys Tara M. La Morte and Alexandra Rothman are in charge of the prosecution.
The charges contained in the Indictment are merely accusations, and the defendant is presumed innocent unless and until proven guilty.
[1] As the introductory phrase signifies, the entirety of the text of the Indictment and the description of the Indictment set forth below constitute only allegations, and every fact described should be treated as an allegation.
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 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