Source: US FBI
HARRISBURG – The United States Attorney’s Office for the Middle District of Pennsylvania announced that Rodney L. Yentzer, age 55, formerly of Carlisle, Pennsylvania and currently in Chuluota, Florida, was sentenced to 42 months imprisonment on charges of conspiracy to commit health care fraud, conspiracy to commit money laundering, and theft of public money. He was also ordered to pay an additional $2,993,386.19 in restitution after having paid $900,000 toward a civil settlement with the United States in 2022.
According to Acting United States Attorney John C. Gurganus, Yentzer previously admitted to defrauding Medicare and the U.S. Department of Health and Human Services between 2016 and 2020 and pleaded guilty to the three offenses for which he was sentenced. Yentzer agreed with others to defraud Medicare by submitting medically unnecessary urine drug tests for chronic opioid patients at medical clinics he controlled, including a group of clinics known as Pain Medicine of York or “PMY” (also known as All Better Wellness).
“This defendant’s only interest was in his own wealth, and he exploited patients and defrauded a state healthcare system designed to promote wellness for vulnerable residents in order to line his pockets,” Pennsylvania Attorney General Dave Sunday said. “I commend our federal partners for collaborating with our team on a comprehensive investigation that culminated in a significant prison sentence.”
Yentzer assumed control of various medical practices between 2014 and 2018, including the original PMY location, which he acquired in 2014. The medical practices he later took control of included a group of clinics run by John H. Johnson, who was referred to as “Physician 1” in the February 2022 charges against Yentzer.
In July 2015, John H. Johnson was indicted for various tax offenses in the U.S. District Court for the Western District of Pennsylvania. In September 2016, John H. Johnson was charged in the U.S. District Court for the Southern District of Florida with conspiracy to commit mail fraud and wire fraud in connection with a separate health care fraud scheme. Johnson was sentenced to 84 months in federal prison on June 30, 2017 for accepting kickbacks in exchange for referring patients for medically unnecessary tests and for failing to pay employment taxes. He was also ordered to repay to the U.S. Government over $3 million restitution payments for fraudulent health care billing and unpaid taxes. Johnson surrendered to federal custody that same day. Following Johnson’s incarceration, the operation of his medical clinics was transitioned to PMY, which was also under Yentzer’s control.
Prior to Johnson’s incarceration, Yentzer took direction from Johnson on various issues, including clinical issues at PMY. In 2016, Johnson advised Yentzer to put in place the practice of ordering multiple urine drug tests for each patient at every PMY office visit, and Yentzer agreed. Yentzer understood that this practice did not constitute individualized care, as required by Medicare, and was subsequently confronted repeatedly with information about the unlawful nature of the billing practices for urine drug tests. Nonetheless, Yentzer decided to keep this practice in place until PMY was shut down in late 2019, following a law enforcement raid.
PMY billed Medicare for more than $10 million in urine drug tests from mid-2017 through the end of 2019, and Medicare paid out over $4 million for these urine drug tests. Pennsylvania’s Medicaid program was also billed for urine drug tests during this same time period. The urine drug tests ordered by PMY were sent to an in-house laboratory at PMY whenever possible. As a result, when medically unnecessary tests were billed to Medicare, Medicaid, or, in some cases, private insurance companies, the proceeds from them went to PMY itself.
The proceeds from the health care fraud scheme were then used for the benefit of Yentzer, Johnson, Johnson’s wife, and Florentina Mayko, the former CEO of PMY. Yentzer bought a number of luxury items with those funds, such as a Rolex Submariner with a retail price of almost $37,000 for himself and a four-carat diamond ring worth over $40,000 for his wife, in addition to a set of approximately $7,000 Rolex watches for himself, John H. Johnson, and another friend and business associate. Yentzer also bought luxury vehicles for himself and his family members, such as a Porsche Boxster, a custom-built car trailer for almost $290,000, and an RV for approximately half a million dollars. Yentzer also made substantial upgrades to his home in Carlisle, PA, which he sold for approximately $1.3 million in 2022 to make restitution and civil settlement payments to the United States.
Before reporting to prison, Johnson asked Yentzer to place his wife, Paula Z. Johnson— known as “Physician 2” in the charges against Yentzer—on the PMY payroll. In order to make it appear that she was performing legitimate work—even though she had not practiced medicine in years—Yentzer and John H. Johnson agreed that Paula Z. Johnson would periodically send Yentzer an email containing summaries and excerpts of medical literature. She received a large salary and also had a PMY employee come to her home once a week to perform yardwork and other household duties. This financial arrangement allowed John H. Johnson to share in PMY’s financial success without his assets being seized by the federal government for purposes of restitution payments.
John H. Johnson, Paula Z. Johnson, and Rodney L. Yentzer devised various other ways to funnel money to the Johnsons so that they could benefit from this wealth without the money being captured for John H. Johnson’s restitution payments. Among other things, Yentzer purchased a car for the Johnsons’ son and leased an Audi Q5 for Paula Z. Johnson, at her request. Yentzer also made $28,000 in contributions to their children’s 529 college savings accounts, paid over $40,000 in legal bills for “asset and estate planning,” made over $40,000 in payments toward personal loans, and covered other large bills, all with the knowledge of both John H. Johnson and Paula Z. Johnson. On a number of occasions, Paula Z. Johnson requested these payments directly from Yentzer or his assistant.
PMY shut down abruptly in November 2019 after search warrants were executed because it was no longer able to retain medical providers to see patients.
In April 2020, Yentzer received over $191,000 in U.S. Department of Health and Human Services stimulus money that was intended for health care providers who had health care related expenses and lost revenues attributable to COVID19. Yentzer obtained these funds even though after he had resigned from PMY the prior month and PMY had been closed since late 2019. Yentzer allegedly used these funds on various things unrelated to COVID19 relief, including personal expenses.
In December 2023, Florentina Mayko, the former CEO of PMY, was sentenced to 30 months in prison for her role in the same health care fraud scheme. Mayko was also ordered to pay $1,408,976.48 in restitution and to forfeit to the United States several properties located in Ocean City, Maryland and Myrtle Beach, South Carolina that she had purchased used proceeds of the health care fraud scheme.
In September 2024, John H. Johnson was sentenced to 97 months in federal prison and ordered to pay an additional $2.3 million in restitution on top of the restitution that he was ordered to pay in 2017. Paula Z. Johnson was sentenced to three years of probation, including six months of home detention with location monitoring, and was ordered to immediately pay $249,301.36 in restitution, fines, and assessments.
The case was investigated by the U.S. Department of Health and Human Services Office of Inspector General, Federal Bureau of Investigation, Drug Enforcement Administration Diversion Control Program, and the Pennsylvania Office of Attorney General. Assistant U.S. Attorney Ravi Romel Sharma and Special Assistant U.S. Attorney Robert Smultkis prosecuted the case.
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