Gastroenterology Practice Agrees to Pay $4.75M to Settle Allegations of Kickbacks and Unnecessary Medical Testing Services

Source: United States Department of Justice Criminal Division

Atlanta Gastroenterology Associates resolves allegations that it received kickbacks for referrals and performed medically unnecessary gastrointestinal pathology testing services

Atlanta Gastroenterology Associates located in Atlanta, Georgia, has agreed to pay $4.75 million to resolve allegations that it violated the False Claims Act by receiving kickbacks in exchange for referrals of gastrointestinal pathology services and by performing certain gastrointestinal pathology services that were not medically reasonable or necessary.

The United States alleged that beginning in approximately May 2017, Atlanta Gastroenterology Associates contracted with Advanced Pathology Solutions (APS), a pathology laboratory located in Little Rock, Arkansas, to construct and operate a limited-capacity pathology laboratory in Atlanta Gastroenterology Associates’ office. Atlanta Gastroenterology Associates received various benefits from APS in connection with the setup and ongoing operations of the in-house lab, in which histology technicians prepared and stained specimen sample slides and Atlanta Gastroenterology Associates billed Medicare and other insurers for the technical component of those services. In exchange, Atlanta Gastroenterology Associates agreed to exclusively refer patients to APS, which interpreted the slides and billed for the professional component of the services. The United States alleges that the benefits provided by APS to Atlanta Gastroenterology Associates were unlawful remuneration in exchange for patient referrals.

“Healthcare fraud has negative impacts for taxpayers and patients alike,” said Assistant Attorney General Brett A. Shumate of the Justice Department’s Civil Division. “This settlement reflects the Department’s commitment to protecting taxpayer money and ensuring that healthcare services paid for by for by federal healthcare programs are reasonable, necessary, and free from the influence of kickbacks.”

“As recent headlines across the country have made us all too aware, fraud against the American taxpayer through healthcare fraud is rampant,” said U.S. Attorney Jonathan D. Ross for the Eastern District of Arkansas. “We will continue working with our law enforcement partners to identify and eliminate fraud of every kind wherever we find it and also to seek the recovery of tax dollars that were wrongfully paid.”

“Federal health care programs rely on truthful billing and accurate medical documentation,” said Special Agent in Charge Jason E. Meadows of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG) Dallas Regional Office. “This False Claims Act settlement underscores our commitment to safeguarding taxpayer dollars and maintaining public trust by holding providers accountable when they fail to meet those obligations. Providers who induce referrals by paying illegal kickbacks place an unfair burden on these programs, and we remain steadfast in working with our law enforcement partners to identify and address such conduct.”

Additionally, the United States alleges that Atlanta Gastroenterology Associates performed and billed for medically unnecessary special stains using a blanket or reflex ordering process in which special stains were ordered on an automatic basis, without a pathologist first reviewing a routine stain and determining whether additional special stains were needed for the particular patient, and without justification in the medical record for performing additional special stains. Atlanta Gastroenterology Associates and APS terminated their relationship in approximately May 2020.

The resolution obtained in this matter was the result of a coordinated effort between the Justice Department’s Civil Division, Commercial Litigation Branch, Fraud Section, and the United States Attorney’s Office for the Eastern District of Arkansas, with assistance from the Department of Health and Human Services, Office of Inspector General, the Department of Defense, Office of Inspector General, and the Department of Veterans Affairs, Office of Inspector General.

The investigation and resolution of this matter illustrates the government’s emphasis on combating healthcare fraud.  One of the most powerful tools in this effort is the False Claims Act. Tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement, can be reported to the Department of Health and Human Services at 800-HHS-TIPS (800-447-8477).

The matter was investigated by Trial Attorneys Evan Ballan and Jessica Bergin and Assistant U.S. Attorney Jamie Dempsey for the Eastern District of Arkansas.

The claims resolved by the settlement are allegations only and there has been no determination of liability.

District of Arizona Charges 156 Individuals for Immigration-Related Criminal Conduct this Week

Source: United States Department of Justice Criminal Division

PHOENIX, Ariz. – During the week of enforcement operations from Feb. 21 through Feb. 27, 2026, the U.S. Attorney’s Office for the District of Arizona brought immigration-related criminal charges against 156 individuals. Specifically, the United States filed 106 cases in which aliens illegally re-entered the United States, and the United States also charged 40 aliens for illegally entering the United States. In its ongoing effort to deter unlawful immigration, the United States filed nine cases against 10 individuals responsible for smuggling illegal aliens into and within the District of Arizona.

Maryland U.S. Attorney’s Office Announces Take Back America Prosecutions Including Sentence for Man Who Resisted Arrest

Source: United States Department of Justice Criminal Division

Baltimore, Maryland – U.S. Attorney Kelly O. Hayes announced the U.S. Attorney’s Office for the District of Maryland’s recent prosecutions in connection with the Department of Justice’s Operation Take Back America, including sentencing for an illegal alien who resisted arrest. 

Florida Man Sentenced for Aggravated Identity Theft and Fraud Committed Against at Least 450 Victims

Source: United States Department of Justice Criminal Division

A Florida man was sentenced today to 55 months in prison and three years of supervised release for possessing approximately 450 fraudulent, stolen or counterfeit access devices, which included others’ credit card numbers, social security numbers, and means to gain access to bank accounts.

Mckenzie Levar Monestine, 33, of Miami, pleaded guilty in December 2025 to one count of possessing 15 or more unauthorized access devices and one count of aggravated identity theft. Monestine pleaded guilty to these charges based on conduct stemming from a 2020 FBI investigation.

According to court documents, on or about June 22, 2020, law enforcement agents executed a search warrant at Monestine’s home. That search uncovered a trove of fraud evidence inside Monestine’s padlocked room, including mechanisms to access the banking information of other people, such as personally identifying information (PII), social security numbers, account passwords, driver’s license numbers, phone numbers, bank account numbers, credit card numbers, debit card numbers, and dates of birth belonging to other persons. Because much of the fraudulent activity was committed online and using social media and email, the evidence of how Monestine committed the fraud was found on numerous electronic devices, such as cellphones and a Macbook laptop. Monestine kept information consisting of the PII in various forms and locations on his devices including in a spreadsheet containing approximately 450 access devices and in notes maintained on his MacBook Pro. Monestine exchanged numerous text messages on his phone that contained PII as well, including logins for banking information, pin numbers for credit and debit cards, and data used to access other people’s bank accounts.

In addition, the search uncovered physical evidence of fraud, including over $11,000 in U.S. currency; a large number of credit, debit, and gift cards, in the names of other people; fake identification cards; Western Union money orders; a credit card re-encoder that the information encoded in a credit card’s chip or magnetic strip and mail in other people’s names.

The estimated loss to victims in this case is between $250,000 and $550,000.

Assistant Attorney General A. Tysen Duva of the Justice Department’s Criminal Division; U.S. Attorney Jason A. Reding Quiñones for the Southern District of Florida; and Special Agent in Charge Brett D. Skiles of FBI Miami Field Office made the announcement.

The FBI Miami Field office investigated the case.

Trial Attorneys Jinah Chang and Jennifer E. Burns of the Criminal Division’s Violent Crime and Racketeering Section and Assistant U.S. Attorney Lindsey Maultasch for the Southern District of Florida prosecuted the case.

This case is part of the Criminal Division’s Violent Crime Initiative to prosecute violent crimes in Miami. The Criminal Division and the U.S. Attorney’s Office for the Southern District of Florida have partnered, along with local, state, and federal law enforcement agencies, to confront violent crimes committed by gang members and associates through the enforcement of federal laws and use of federal resources to prosecute offenders and prevent violence.