New York Man Gets 9 Years in Prison for Role in Multi-Million Medicare Fraud Scheme

He referred Medicare and Medicaid beneficiaries to health care providers in exchange for illegal kickbacks.

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A New York man was resentenced today to nine years in prison and ordered to pay $39 million in restitution for his role in a multimillion-dollar health care kickback and tax avoidance conspiracy, after his previous sentence was vacated. 

According to court documents, Aleksandr Pikus, 48, of Brooklyn, orchestrated a scheme to refer Medicare and Medicaid beneficiaries to health care providers at clinics in Brooklyn and Queens in exchange for illegal kickbacks. The health care providers submitted millions of dollars in false and fraudulent claims to the Medicare and Medicaid programs related to these illegally procured beneficiaries. Pikus and his co-conspirators then laundered a substantial portion of the proceeds of these claims through companies they controlled, including by cashing checks at several check-cashing businesses in New York. Pikus failed to report that cash income to the IRS, instead using sham shell companies and fake invoices to conceal the transactions. He used the cash for his personal benefit and to pay kickbacks to patient recruiters who, in turn, paid beneficiaries to receive treatment at the medical clinics. 

Pikus was convicted at trial in 2019, but his conviction was overturned on appeal. On remand, the district court dismissed the indictment without prejudice. Pikus was reindicted in January 2023 and pleaded guilty to conspiracy to receive and pay health care kickbacks and conspiracy to defraud the United States by obstructing the lawful functions of the IRS in May 2023. 

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