Medical Billing Company Owner Sentenced for Health Care Fraud

Source: US FBI

ALBANY, NEW YORK – Scott Newcombe, age 41, of Plattsburgh, New York, was sentenced today to 1 year of probation, and ordered to pay $34,583.21 in restitution, for health care fraud.

Acting United States Attorney Daniel Hanlon; Craig L. Tremaroli, Special Agent in Charge of the Albany Field Office of the Federal Bureau of Investigation (FBI); and Naomi Gruchacz, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), New York Regional Office, made the announcement.

As part of his guilty plea, Newcombe admitted that from approximately April 2020 through April 2023, he acted as the office manager and health care claims biller for two physicians’ practices in Plattsburgh through a company that he formed called SJ Healthcare Management Services, LLC (SJHMS).  SJHMS charged a fixed monthly fee under which Newcombe performed various management, administrative, and billing services for the practices.  He admitted that he submitted false and fraudulent claims to public and private insurers on behalf of those practices for services that, in some instances, were never provided and, in other instances, were provided at lower reimbursement rates than the amounts billed.  For example, Newcombe admitted that he submitted claims to insurers for medical procedures that were purportedly performed by a provider on him but which, in fact, never occurred.

The FBI and HHS-OIG investigated this case.  Assistant U.S. Attorneys Michael D. Gadarian and Adam J. Katz prosecuted the case.

Schenectady Man Pleads Guilty to Possessing with Intent to Distribute Fentanyl

Source: US FBI

ALBANY, NEW YORK – Terrell Bell, age 27, of Schenectady, New York, pled guilty today to possessing with intent to distribute fentanyl. Acting United States Attorney Daniel Hanlon and Craig L. Tremaroli, Special Agent in Charge of the Albany Field Office of the Federal Bureau of Investigation (FBI), made the announcement.

Bell was on parole in January 2024 when law enforcement searched his home in Schenectady and discovered nearly 1,800 fentanyl pills in his bedroom and over $90,000 throughout the home.

At sentencing scheduled for July 9, 2025, Bell faces a minimum term of 5 years and a maximum term of 40 years in prison, a maximum fine of $5 million, and a term of supervised release after imprisonment of between 4 years and life. A defendant’s sentence is imposed by a judge based on the statute the defendant violated, the U.S. Sentencing Guidelines, and other factors. Bell has also consented to the forfeiture of the currency seized from his home.

FBI investigated this case with the assistance of the Schenectady Police Department. Assistant U.S. Attorney Mikayla Espinosa is prosecuting this case.

Nigerian Citizen Admits Guilt in Bank Fraud and Money Laundering Conspiracies Causing More Than $1.7 Million in Losses

Source: US FBI

David Daniyan Admits Supervising Conspiracies Led by Nigerian Citizen Oluwaseun Adekoya

ALBANY, NEW YORK – David Daniyan, a/k/a “Bamikole Laniyan,” a/k/a “David Enfield,” a/k/a “Africa,” age 60, of Brooklyn, New York, pled guilty today in connection with his role in bank fraud and money laundering conspiracies led by Oluwaseun Adekoya, age 39, also a Nigerian citizen, of Cliffside Park, New Jersey.  Acting United States Attorney Daniel Hanlon and Craig L. Tremaroli, Special Agent in Charge of the Albany Field Office of the Federal Bureau of Investigation (FBI), made the announcement.

Daniyan pled guilty today to conspiracy to commit bank fraud, money laundering conspiracy, and aggravated identity theft. Daniyan admitted that, working with Adekoya, he obtained the personal identifying information of people residing all over the United States and recruited lower-level conspirators to impersonate those people using fake driver’s licenses to fraudulently obtain cash, checks, and loans at their financial institutions and obtain merchandise using credit at retailers including Saks Fifth Avenue.  Daniyan also admitted to conspiring with Adekoya and others to launder the proceeds of their bank fraud by, among other things, using fraudulently obtained funds to purchase additional fake driver’s licenses and depositing fraudulently obtained checks into accounts in the names of identity-theft victims that were controlled by coconspirators.  Daniyan admitted that the bank fraud conspiracy netted over $1.7 million in fraud proceeds, and was perpetrated in the Northern District of New York and all over the country. 

According to documents previously filed in the case, Daniyan, a citizen of Nigeria, has been living in the United States without authorization under numerous aliases since at least the 1990s when he was first investigated, charged, and convicted in another federal district under the stolen identity of a U.S. citizen. 

The following defendants are charged as follows in the superseding indictment: 

  • Adekoya is charged with one count of conspiracy to commit bank fraud, one count of money laundering conspiracy, and nine counts of aggravated identity theft;
  • Kani Bassie, age 36, of Brooklyn, is charged with one count of conspiracy to commit bank fraud and two counts of aggravated identity theft;
  • Davon Hunter, age 27, of Richmond, Virginia, is charged with conspiracy to commit bank fraud and one count of aggravated identity theft;
  • Jermon Brooks, age 20, of Richmond, is charged with conspiracy to commit bank fraud and one count of aggravated identity theft;
  • Christian Quivers, age 20, of Richmond, is charged with conspiracy to commit bank fraud and one count of aggravated identity theft; and
  • Crystal Kurschner, age 44, of Brooklyn, is charged with conspiracy to commit bank fraud and one count of aggravated identity theft.

As to these defendants, the charges in the superseding indictment are merely accusations. These remaining defendants are presumed innocent unless and until proven guilty.

The prosecution is the result of an ongoing investigation led by the U.S. Attorney’s Office and FBI-Albany, which began after the May 2022 arrest of Daniyan, Gaysha Kennedy, age 46, of Brooklyn, and Victor Barriera, age 64, of the Bronx, New York, by the Cohoes Police Department after the trio traveled to the Capital Region to commit bank fraud. 

Adekoya, Daniyan, Kennedy, and Barriera were originally indicted, along with coconspirators Jerjuan Joyner, age 50, of Brooklyn, Akeem Balogun, age 56, of Brooklyn, Danielle Cappetti, age 46, of the Bronx, and Lesley Lucchese, age 53, of Brooklyn, in connection with the conspiracy in an indictment returned in December 2023. 

Sherry Ozmore, Kennedy, Barriera, Joyner, Balogun, Cappetti, and Lucchese have pled guilty to bank fraud conspiracy.

At sentencing on July 10, 2025, Daniyan faces a maximum term of 30 years in prison for the bank fraud conspiracy, 20 years in prison for the money laundering conspiracy, and a mandatory consecutive term of 2 years in prison for his conviction of aggravated identity theft; as well as an order of restitution of at least $1,776,705.43 and a term of supervised release of up to 5 years.  Daniyan also agreed to forfeit nearly $100,000 in proceeds of the bank fraud conspiracy seized by federal authorities. A defendant’s sentence is imposed by a judge based on the particular statutes the defendant is charged with violating, the U.S. Sentencing Guidelines and other factors.

Following his term of imprisonment, Daniyan will be placed into immigration removal proceedings.

FBI Albany is investigating the case, with assistance from the FBI Field Offices in New York, Newark, Richmond and Resident Agencies in Westchester, New York; Brooklyn/Queens, New York; Garrett Mountain, New Jersey; and Fort Walton Beach, Florida.  Additional assistance was provided by other law enforcement agencies, including Immigration and Customs Enforcement – Enforcement & Removal Operations (New York Field Office & Albany sub-office); U.S. Department of State Diplomatic Security Service (Buffalo Field Office & St. Albans Resident Office); U.S. Social Security Administration – Office of the Inspector General; New York law enforcement agencies including the New York State Police; Cohoes PD; Colonie PD; Elmira PD; Corning PD; Plattsburgh PD; Florida law enforcement agencies including the Okaloosa County Sheriff’s Office and Escambia County Sheriff’s Office; the Pennsylvania State Police; Alabama law enforcement agencies including the Calhoun County Sheriff’s Office, Gasden PD, and Rainbow City PD; Georgia law enforcement agencies including the Georgia State Patrol, Bartow County Sheriff’s Office, and Morrow PD; Kansas law enforcement agencies including Lawrence PD and Overland Park PD; New Hampshire law enforcement agencies including Rochester PD, Manchester PD, and Amherst PD; the Delaware State Police; Maryland law enforcement agencies including the Maryland State Police, Harford County Sheriff’s Office and Baltimore County Sheriff’s Office; Wisconsin law enforcement agencies including Onalaska PD and Eau Claire PD; and Indiana law enforcement agencies including the Allen County Sheriff’s Office.

Assistant United States Attorneys Benjamin S. Clark and Joshua R. Rosenthal are prosecuting this case.

Baldwinsville Man Sentenced to 45 Years in Prison for Sexual Exploitation of a Child and Distribution and Receipt of Child Pornography

Source: US FBI

Kenneth Koegel, Jr. Had a Prior Conviction for Sexual Abuse in the 1st Degree Involving a 6-Year-Old

SYRACUSE, NEW YORK – Kenneth Koegel, Jr., 40, of Baldwinsville, New York was sentenced today to 45 years in federal prison and lifetime supervised release following his conviction by guilty plea to seven counts of sexual exploitation of a child, one count of commission of a felony offense involving a minor by a registered sex offender, one count of distribution of child pornography, and one count of receipt of child pornography. Acting United States Attorney Daniel Hanlon and Craig L. Tremaroli, Special Agent in Charge of the Albany Field Office of the Federal Bureau of Investigation (FBI) made the announcement.

As part of his prior guilty plea, Koegel admitted that he was convicted in 2004 in Monroe County Court of sexual abuse in the first degree for exposing his penis to a 6-year-old girl in a public park and touching her vagina with his hand and that he was required to register as a sex offender because of that conviction. He then admitted that, starting in or about 2014 and continuing until October 2022, he sexually abused a girl from the time she was approximately 2 years old until she was approximately 9 years old. During that time, Koegel created numerous sexually explicit images and videos depicting the sexual abuse of his victim, including Koegel subjecting her to multiple sex acts. He also used a social messaging application to distribute the material he produced to someone else, with whom he also traded thousands of other child pornography files.

In addition to the 45-year imprisonment term and lifetime supervision, the district court also ordered Koegel to pay $12,000 in restitution and a $1,000 special assessment. Koegel will have to register as a sex offender upon release from prison.

This case was investigated by the FBI’s Albany Division Child Exploitation and Human Trafficking Task Force – comprised of FBI Special Agents and state and local police investigators, including from the New York State Police. The case was prosecuted by Assistant United States Attorneys Michael D. Gadarian and Adrian S. LaRochelle as part of Project Safe Childhood.

Project Safe Childhood is a nationwide initiative to combat the growing epidemic of child sexual exploitation and abuse. Launched in May 2006 by the Department of Justice and led by the U.S. Attorneys’ Offices and the Criminal Division’s Child Exploitation and Obscenity Section (CEOS), Project Safe Childhood marshals federal, state and local resources to better locate, apprehend and prosecute individuals who exploit children via the Internet, as well as to identify and rescue victims. For more information about Project Safe Childhood, please visit https://www.justice.gov/psc.

Vermont Man Sentenced to 132 Months for Attempted Online Enticement of a Minor

Source: US FBI

ALBANY, NEW YORK – Gabriel Charron, age 53, of Milton, Vermont, was sentenced today to 132 months in prison, to be followed by 20 years of supervised release, for the attempted online enticement of a minor.

Acting United States Attorney Daniel Hanlon and Craig L. Tremaroli, Special Agent in Charge of the Albany Field Office of the Federal Bureau of Investigation (FBI), made the announcement.

As part of his prior guilty plea, Charron admitted that between May 2022 and March 4, 2023, he exchanged sexually explicit messages online with people he believed were a mother and an 11-year old girl, in an attempt to entice the child into engaging in sexual acts with him.  Charron also admitted that on March 4, 2023, he traveled from Vermont to a hotel in Albany County, New York, with the intent to engage in sexual acts with the 11-year old girl.  Charron was arrested by law enforcement shortly after arriving at the location. 

Charron will have to register as a sex offender upon his release from prison.

FBI Albany investigated this case and Assistant U.S. Attorney Rick Belliss prosecuted this case as part of Project Safe Childhood.

Launched in May 2006 by the Department of Justice, Project Safe Childhood is led by United States Attorney’s Offices and the Criminal Division’s Child Exploitation and Obscenity Section (CEOS). Project Safe Childhood marshals federal, state and local resources to better locate, apprehend and prosecute individuals who exploit children via the Internet, as well as to identify and rescue victims. For more information about Project Safe Childhood, please visit https://www.justice.gov/psc.

Shiprock Man Sentenced to Federal Prison for Sexually Abusing Two Children Over Six-Year Period

Source: US FBI

ALBUQUERQUE – A Shiprock man was sentenced to 75 months in federal prison for sexually abusing two children under 12 years old in separate incidents spanning 2014 and 2020.

There is no parole in the federal system.

According to court documents, Roderick Bitsilly, 61, an enrolled member of the Navajo Nation, admitted to engaging in unlawful sexual contact with Jane Doe 1, a child under 12 years old, between February and August 2014. Bitsilly also pleaded guilty to similar charges involving Jane Doe 2, also under 12, between September 2019 and September 2020.

Upon his release, Bitsilly will be subject to 15 years of supervised release and must register as a sex offender.

Acting U.S. Attorney Holland S. Kastrin and Raul Bujanda, Special Agent in Charge of the FBI Albuquerque Field Office, made the announcement today.

The Gallup Resident Agency of the FBI Albuquerque Field Office investigated this case. Assistant U.S. Attorney Caitlin L. Dillon is prosecuting the case as part of Project Safe Childhood, a nationwide initiative to combat the growing epidemic of child sexual exploitation and abuse launched in May 2006 by the Department of Justice. Led by U.S. Attorneys’ Offices and CEOS, Project Safe Childhood marshals federal, state, and local resources to better locate, apprehend and prosecute individuals who exploit children via the Internet, as well as to identify and rescue victims. For more information about Project Safe Childhood, please visit Justice.gov/PSC.

Arizona Man Charged with Federal Assault and Stolen Vehicle Transport After High-Speed New Mexico Pursuit

Source: US FBI

ALBUQUERQUE – An Arizona man is facing federal for allegedly assaulting federal officers and transporting a stolen vehicle across state lines after a high-speed pursuit in New Mexico.

According to court documents, on March 31, 2025, Christopher Jack Leach, 33, became aware of a warrant for his arrest in Arizona. He borrowed a friend’s vehicle under false pretenses, claiming he would drive it to another friend’s house in Arizona, but instead fled toward Florida with a passenger. The vehicle was reported stolen after the owner realized Leach’s deception. On that date, Leach and his passenger traveled across state lines, knowing the vehicle was reported stolen, and evaded law enforcement for the next several days.

On the morning of April 2, 2025, U.S. Border Patrol agents responded to reports of a stolen vehicle traveling eastbound at high speed on Interstate 10 in Las Cruces. During the pursuit, Leach accelerated toward the agents’ unmarked vehicle on a narrow street, prompting one agent to exit and discharge a warning shot. Leach evaded the agents, drove into a dead-end street, drove into their vehicle causing a collision, and fled again before ultimately being apprehended by the New Mexico State Police.

Following the incident, agents from the FBI interviewed Leach’s passenger, who confirmed that Leach knowingly fled law enforcement and was aware of the vehicle’s stolen status. Leach, however, claimed memory loss during his FBI interview, stating no recollection of events between Arizona and New Mexico.

Leach is charged with assault of a federal officer and transportation of a stolen vehicle and will remain in custody pending trial, which has not been set. If convicted of the current charges, Leach faces up to 20 years in prison.

Acting U.S. Attorney Holland S. Kastrin and Raul Bujanda, Special Agent in Charge of the Federal Bureau of Investigation’s Albuquerque Field Office, made the announcement today.

The Las Cruces Resident Agency of the Federal Bureau of Investigation’s Albuquerque Field Office investigated this case with assistance from the U.S. Border Patrol, New Mexico State Police, and Las Cruces Police Department. Assistant U.S. Attorney Alyson Hehr is prosecuting the case.

A criminal complaint is merely an allegation. All defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

Las Cruces Man Sentenced to 10 Years in Federal Prison for Drug and Firearms Offenses

Source: US FBI

ALBUQUERQUE – A Las Cruces man has been sentenced to 10 years in federal prison after a federal search warrant uncovered large quantities of fentanyl, firearms, and cash linked to drug trafficking activities.

There is no parole in the federal system.

According to court records, on April 10, 2024, FBI Southern New Mexico Safe Streets Gang Task Force agents and Task Force Officers along with agents from Las Cruces/Dona Ana County Metro Narcotics executed a federal search warrant at the residence of Joe Angel Sandoval, 29, in Las Cruces, New Mexico, uncovering substantial evidence of drug trafficking.

During the search, investigators located:

  • Over 500 grams of fentanyl pills.
  • Three firearms and ammunition.
  • Approximately $139,857 in cash was found inside the residence, along with $1,900 in Sandoval’s vehicle.

In his plea agreement, Sandoval admitted to being an unlawful user of fentanyl at the time of the search and acknowledged selling the fentanyl pills for approximately three to four years, making him a prohibited possessor of firearms and ammunition under federal law.

Upon his release, Sandoval will be subject to 10 years of supervised release.

Acting U.S. Attorney Holland S. Kastrin and Raul Bujanda, Special Agent in Charge of the FBI Albuquerque Field Office, made the announcement today.

The Las Cruces Resident Agency of the FBI Albuquerque Field Office investigated this case with assistance from the Las Cruces/Dona Ana County Metro Narcotics Agency, Las Cruces Police Department, and Dona Ana County Sheriff’s Office. Assistant United States Attorney Maria Y. Armijo prosecuted this case.

New Jersey Pain Clinic Admits Health Care Fraud and Agrees to Criminal and Civil Penalties

Source: US FBI

CAMDEN, N.J. – A pain clinic with locations in Atlantic, Cape May, and Cumberland Counties admitted to overbilling insurance companies for services provided, U.S. Attorney John Giordano announced today.

Pain Specialists, P.A., with locations in Northfield, Vineland, and Cape May Courthouse, New Jersey, pleaded guilty before U.S. District Judge Karen M. Williams to an information charging it with health care fraud.  Pain Specialists also signed a civil settlement with the United States to resolve allegations that it violated the False Claims Act.

According to documents filed in this case, statements made in court, and the terms of the civil settlement:                                                                                       

Pain Specialists was owned by a physician specializing in anesthesia and pain management (“Individual-1”).  On various dates between November 2015 and January 2020 when Individual-1 was traveling and not physically present at a Pain Specialists location, Pain Specialists used Individual-1’s National Provider Identifier (“NPI”) number to bill Medicare, Medicaid, and private insurance plans for services and procedures requiring Individual-1’s in-person consultation or Individual-1’s direct supervision of the rendering provider.  Pain Specialists received approximately $58,365.26 for services purportedly rendered by Individual-1 or directly supervised by him while he was traveling and out of the office.

In addition, Pain Specialists entered a civil settlement with the United States to resolve allegations that, between January 2014 and November 2020, Pain Specialists improperly listed a physician as the rendering provider for services that were provided by a non-physician practitioner when no physician was present in the office, in violation of Medicare’s “incident-to billing” requirements and in violation of Medicaid’s requirement that providers bill under their own NPI number.

Pain Specialists agreed to pay criminal restitution of $58,365.26, a criminal fine of $81,711.36, and a civil settlement of $240,000. The claims resolved by the civil settlement are allegations only and there has been no determination of liability.

U.S. Attorney Giordano credited special agents of the U.S. Department of Health and Human Services, Office of Inspector General, Office of Investigations-New Jersey Field Office, under the Direction of Special Agent in Charge Naomi Gruchacz; special agents of the FBI Atlantic City Resident Agency and the Healthcare Fraud Task Force, under the direction of Acting Special Agent in Charge Terence G. Reilly in Newark; and special agents and diversion investigators of the U.S. Drug Enforcement Administration, New Jersey Division, under the direction of Special Agent in Charge Cheryl Ortiz.

The government is represented by Assistant U.S. Attorneys Daniel A. Friedman of the U.S. Attorney’s Office’s Criminal Division and Susan Pappy of the Health Care Fraud Unit, and Trial Attorney Daniel Meyler of the Department of Justice’s Civil Division, Commercial Litigation Branch (Fraud Section).

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Defense counsel:

Riza I. Dagli Esq., Roseland, New Jersey