New York Medicare Fraud Lawyers

| by Max Soni

Last Updated on: 4th October 2025, 08:41 pm

The federal government takes all cases of Medicare Fraud accusations seriously – and when I say seriously, I mean they’re coming for you with everything they’ve got. Any doctor, office, or billing agency suspected of committing Medicare Fraud is immediately investigated. If they find you guilty, federal charges are filed, and the punishments are severe for anyone found guilty of Medicare Fraud.

It’s considered a White-Collar crime in New York, and accusations are on the rise. Here’s the thing though – many cases of Medicare Fraud are found to be simple mistakes made by someone who misread important information, mistyped information, or even confused the files of two patients on a busy day. These cases get fixed, and no criminal charges are brought against the person or business accused of Medicare Fraud.

But don’t count on the government being understanding. They won’t be.

What Is Medicare Fraud?

Understanding the severity of Medicare Fraud is imperative. Loosely defined, Medicare fraud is the intentional act of submitting information, falsifying documents, and working illegally and unethically to make more money by defrauding the Medicare system.

It occurs regularly in many offices – more than you’d think – and it’s a federal offense in every state. Most cases in this category fall within a specific list of accusations:

• Submitting duplicate bills for the same patient
• Charging patients for services not rendered
• Submitting fraudulent cost reports
• Mispresenting services performed intentionally and willfully

The unfortunate aspect of any of these charges? It simply doesn’t matter if it was a simple mistake or an intentional act. The federal government doesn’t take kindly to attempts to defraud them – they’re losing tens of billions of dollars annually to fraudulent charges. They will investigate, and they will look for a way to prosecute the doctor or office accused of fraud.

Trust me on this – I’ve seen them go after doctors who made honest mistakes like they were running a criminal enterprise.

The Penalties Will Destroy Your Life

If a company or person is found guilty of Medicare Fraud, the penalties are substantial. We’re not talking about a slap on the wrist here. Both fines AND imprisonment are a possibility if you’re convicted of Medicare Fraud, and the length of time and amount of money you’ll face is based on the number of charges you’re found guilty of.

Let me break this down for you:

• Fines begin at $10,000 per charge – This is just for charging for services an office didn’t perform on a patient. Per charge. You got 10 patients? That’s $100,000 right there.
• Kickbacks are subject to a $25,000 fine – They take kickbacks very seriously
• Fines can reach as high as a half million dollars depending on the severity and type of Medicare Fraud you’re accused of
• Restitution is required in ALL cases – Every dime they say was stolen as a result of fraud is required to be paid back to the patients and the government. Every. Single. Dime.
• Prison time varies based on the fraud committed, the number of charges filed, and the severity of the crime. The average amount of time a doctor or medical professional faces is 5 years per offense
• Probation and the loss of your medical license – other punishments doctors and their practices face if they’re charged with Medicare Fraud and found guilty

Your entire career, everything you worked for – gone.

It’s Not Just Doctors – Your Staff Can Get You In Trouble

While doctors who own practices are typically the ones investigated for Medicare Fraud, it’s not uncommon for the doctor to have no knowledge of the crime – their administrative staff is the entity responsible for handling billing and healthcare issues.

But here’s the kicker: if the investigation is able to prove someone in administration committed Medicare fraud on purpose or due to gross negligence, the doctor is STILL at risk for being punished. Administrative sanctions could be issued, and the office could still face fines, restitution, and even suspension of their health, medical, and business licenses in New York.

You’re responsible for what happens in your practice – even if you had no idea it was happening. That’s why you need attorneys like us at Spodek Law Group who understand the complexities of these cases.

Why This Is Different From Other Criminal Charges

Medicare Fraud is one of the most serious charges filed against a doctor or doctor’s office, and it requires the experience of an attorney who has worked with cases of Medicare Fraud in the past. Not some general criminal lawyer – someone who gets the healthcare system, understands federal prosecution, and knows how to fight back.

Doctors are at risk for facing:

• Jail time
• The loss of their professional license
• A completely tarnished reputation

When a formal complaint is filed regarding Medicare Fraud, the doctor or office is notified immediately and required to file a response to the complaint. This is where most doctors make their biggest mistake – they try to handle it themselves.

Don’t Try to Handle This Yourself

It’s advised no one takes legal action into their own hands without full knowledge of the law, their legal rights, and the potential ramifications of not using legal counsel in a situation such as this one.

Look, I get it – you’re a doctor. You’re smart. You think you can explain this was all a misunderstanding. But the federal prosecutors handling your case? They don’t care about your explanations. They care about convictions.

At Spodek Law Group, we’ve handled white-collar crimes at the highest levels. Remember when Netflix made that series about our client Anna Delvey? Complex financial fraud, federal charges, everyone said she was going down – we fought that case and got results. That’s the kind of experience you need when the feds come knocking.

Why Spodek Law Group?

We’re not like other law firms. We don’t take every Medicare Fraud case that walks through the door – we’re selective because we only work with clients we can truly help. When we take your case, we’re all in.

Our approach is different:

• We understand the healthcare system – We know how billing works, we know where mistakes happen
• We know federal prosecutors – We understand how they think, how they build cases, and most importantly – how to beat them
• We have resources – Investigators, forensic accountants, medical billing experts – whatever it takes
• We’re not afraid to fight – While other attorneys are trying to maintain their relationships with prosecutors, we’re fighting for YOU

Act Now – The Government Is Already Building Their Case

If you’re under investigation for Medicare Fraud, or if you’ve been notified of a complaint – every day matters. The federal government has unlimited resources, and they’re using them all against you right now.

Don’t wait until they’ve built an airtight case. Don’t think this will just go away. It won’t.

Call Spodek Law Group now: 888-724-4815

We’re available 24/7. Yes, even at 3am when you can’t sleep because you’re worried about losing everything you’ve worked for.

The consultation is free, and unlike other firms, we’ll be straight with you about your situation. No sugarcoating, no false promises – just real talk about what you’re facing and how we can help.

The federal government doesn’t care that you’re a good doctor. They don’t care that you help people every day. They see a target, and they’re coming for you.

You need someone in your corner who’s just as aggressive, just as determined, and knows how to win. That’s us. That’s Spodek Law Group.