United States Attorney's Office for the District of Colorado

09/24/2024 | Press release | Distributed by Public on 09/24/2024 14:22

Seven People Charged With Over $40 Million In Medicare and Medicaid Fraud

Press Release

Seven People Charged With Over $40 Million In Medicare and Medicaid Fraud

Tuesday, September 24, 2024
For Immediate Release
U.S. Attorney's Office, District of Colorado

DENVER - The United States Attorney's Office for the District of Colorado announces that Ronald King, 51, formerly of Berlin, New Hampshire, and now residing in Bangor, Maine, Victor Roiter, 55, of Sunny Isles Beach, Florida, Tina Wellman, 51, of Mayfield, New York, Adam Shorr, 55, of Dunedin, Florida, Robert O'Sullivan, 55, of Lake Sherwood, California, Bradley Edson, 66, of Mesa, Arizona, and John Gautereaux, 59, of Temecula, California were indicted by a federal grand jury on charges related to defrauding Medicare and Colorado Medicaid.

According to the indictment, the defendants were involved together through a variety of corporate entities including as owners of Tesis Labs, LLC, a parent company that owned and operated genetic testing labs, including Claro Scientific Laboratories, Inc., based in Lafayette, Colorado, and 303 Diagnostics LLC, based in Aurora, Colorado. The indictment alleges that defendants King, Roiter, Wellman, and Shorr conspired to defraud Medicare and Colorado Medicaid through several means, including by paying kickbacks and bribes to purported marketing companies for referrals for fraudulent and medically unnecessary genetic testing. These referrals in turn led to more than $40 million in false and fraudulent claims paid by Medicare and Colorado Medicaid to the laboratories for the genetic testing claims. The indictment alleges that all seven defendants participated in a conspiracy to offer and pay illegal bribes and kickbacks in connection with health care benefit programs, including Medicare, Colorado Medicaid, and private health insurance plans. The defendants agreed to pay kickbacks and bribes to individuals and entities they identified as "marketers" to solicit patients, including elderly Medicare beneficiaries, to participate in unnecessary genetic testing and to obtain doctors' signatures on testing order forms for these patients. Many of these kickback recipients used call centers to target elderly Medicare beneficiaries. Finally, the indictment alleges that defendants King, Roiter, and Wellman conspired to launder the proceeds of the first two conspiracies described above.

Defendants King, Wellman, Shorr, O'Sullivan, Edson, and Gautereaux made initial appearances in Denver, Colorado, between August 26 and September 5, 2024, in front of Magistrate Judge Susan Prose.

The charges contained in the indictment are allegations and the defendants are presumed innocent of the charges unless and until proven guilty.

The case is being investigated by the Department of Health and Human Services - Office of the Inspector General, the Federal Bureau of Investigation Denver Field Division, and the Internal Revenue Service - Criminal Investigation. The case is being prosecuted by Anna Edgar.

Updated September 24, 2024
Component