Dallas Healthcare Fraud Defense Lawyer

Plano meeting location – by appointment only: We do NOT accept mail or service at this location.
5465 Legacy Drive Suite 650, Plano, Texas 75024

Dallas is home to thousands of medical providers. Dallas healthcare fraud defense lawyers know that good doctors, good nurses, good caregivers can be caught up in costly government investigations. These cases are complex and different: your professional reputation and your freedom are on the line. That is where the expertise of Evergreen Attorneys becomes invaluable.

Each year, the federal government prosecutes hundreds of doctors, nurses, and other licensed professionals for healthcare fraud. Earlier this year, the Justice Department announced its 2025 National Health Care Fraud Takedown which has resulted in criminal charges against 325 defendants, including 96 doctors, nurse practitioners, pharmacists, and other licensed medical professionals.

The Dallas healthcare fraud defense lawyer team at Evergreen Attorneys defends medical professionals and other care givers who face federal criminal charges in Dallas, Fort Worth, Plano, Frisco, and all across North Texas. If you are facing a federal healthcare fraud investigation in Dallas, contact the healthcare fraud defense lawyers at Evergreen Attorneys today to find hope and a plan to get your life back.

Need to talk to an experienced Dallas healthcare fraud attorney now? Call (303) 948-1489 or email us at [email protected].

We are Dallas Federal Healthcare Attorneys

Our team of experienced Dallas federal criminal defense lawyers are ready to take your call, develop a plan for your case, and walk you through this difficult process from day one. It is important that you know that Evergreen Attorneys is different that a traditional law firm.

We do not employ dozens of associate attorneys and hundreds of paralegals. We do not spend thousands of dollars on prestige office space in tall downtown office buildings. That is because we are a boutique federal criminal defense law firm. We practice exclusively federal criminal defense for our clients all across the country.

Every decision we make in our firm at Evergreen Attorneys from the cases we take, our office staff, our locations, our technology, and even down to our scheduling is tailored to providing unparalleled federal criminal defense results for our clients.

We are not personal injury lawyers. We are not family lawyers. We are not transactional attorneys. We are the federal criminal defense team that you call to be in your corner when you are facing down the United States of America. That is why we are proud to fight for medical providers as Dallas healthcare fraud lawyers at Evergreen Attorneys.

Who does Evergreen Attorneys defend?

At Evergreen Attorneys we focus on specializing in high-stakes federal criminal defense cases. For our Dallas healthcare fraud defense cases some of our representative clients may include:

• Medical doctors
• Nurse practitioners
• Hospital administrators
• Health care entrepreneurs
•  Hospital systems
• Clinics
• Medical device companies
• Health care employees

We will never represent individuals who are helping to bring charges against medical providers. We are not plaintiffs lawyers who try to play both sides and get the federal government to prosecute doctors, nurses, and other care givers.

When interviewing potential federal healthcare fraud lawyers you should ask your attorney if they represent people trying to cooperate with filing charges against medical providers.

What is Federal Healthcare Fraud?

Federal healthcare fraud is a broad terms that can encompass many different types of criminal charges. You can read more about healthcare fraud in general and the types of crimes on our other posts at the following links on our website:

• https://evergreenattorneys.com/health-care-fraud/tampa-healthcare-fraud-defense-lawyer/
• https://evergreenattorneys.com/health-care-fraud/health-care-fraud/
• https://evergreenattorneys.com/health-care-fraud/healthcare-fraud-criminal-defense/
• https://evergreenattorneys.com/health-care-fraud/colorado-healthcare-fraud-defense-attorneys/

Needless to say, we there is too much information to cover everything in one simple blog post for federal criminal healthcare fraud.

For purposes of this blog post, we are not talking about anti-kickback charges, medicare fraud, Stark Law cases, or other related crimes. Here is a very basic definition of generic Dallas federal healthcare fraud. Federal law makes it a felony for any person to knowingly or willfully execute, or attempt to execute, “a scheme or artifice”

(1) to defraud any health care benefit program; or

(2) to obtain, by means of false or fraudulent pretenses, representations, or promises, any money or property owned by, or under the custody or control of, any health care benefit program

18 U.S.C. § 1347.

A person convicted under 1347 can face up to 10 years in federal prison. If the offense resulted in serious bodily injury or death, a federal defendant can face a statutory maximum of 20 years or life imprisonment, respectively.

While § 1347 is the primary federal healthcare fraud statute, the government can and often will bring other healthcare-related charges. These can include charges such as false statements relating to health care matters (18 U.S.C. § 1035) and attempt or conspiracy under §§ 371 or 1349.

What types of federal healthcare fraud cases are filed in Dallas?

In July, the government’s ramped up prosecution of federal healthcare fraud resulted in four defendants being charged in the Northern District of Texas in criminal cases. These federal healthcare fraud charges are merely allegations at this point. We do not endorse the prosecutorial decisions, charging, or even the fact that the government puts out these press releases.

But it is important for our Dallas federal healthcare fraud clients to understand what types of cases are being filed. These are vital datapoints that allow expert federal healthcare defense lawyers to craft the best possible strategies in your case. Here is a quick overview of recent Northern District of Texas federal healthcare fraud charges:

• D.G., 46, of Lubbock, Texas, was charged by indictment with conspiracy to commit health care fraud in connection with the submission of false and fraudulent medical claims for various benefits, items, and services that were ineligible for reimbursement, not medically necessary, not performed, or not provided. Gilmore is alleged to have conspired with another physician and a former United States Postal Service employee and union official to submit the false and fraudulent claims. The alleged false claims include claims for knee braces, including several instances where “DOL-OWCP” was billed for multiple expensive custom knee braces for a single claimant; physical therapy, including an instance where “DOL-OWCP” was billed for multiple hours of physical therapy while the claimant was having knee surgery; as well as platelet rich plasma treatments and at-home ultrasonic devices that were not medically necessary, never provided, and/or not provided as represented.

 

• G.M., 62, of McKinney, Texas, was charged by indictment with conspiracy to solicit or receive kickbacks for referrals to a federal health care program and solicitation and receipt of kickbacks in connection with the submission of over $73 million in false and fraudulent medical claims to Medicare for over-the-counter COVID-19 (“OTC COVID-19”) tests in 2023. As alleged in the indictment, G.M., the owner of medical clinics, conspired with health care providers and other individuals to pay and receive kickbacks based on Medicare reimbursements for OTC COVID-19 tests. In order to bill Medicare for the claims, G.M. and his co-conspirators are alleged to have provided Medicare patient information, to which they had access, to co-conspirators without the Medicare beneficiaries’ knowledge or consent and/or notwithstanding that they had not requested any OTC COVID-19 tests. In fact, as alleged in the indictment, in numerous instances the beneficiary was deceased.

 

• K.M., 44, a citizen of India, was charged by indictment with health care fraud in connection with a scheme to submit false and fraudulent medical claims to Medicare for genetic testing that was allegedly never requested, ordered and/or performed. As alleged in the indictment, K.M., the owner of a lab company, located in Richardson, Texas, used the personal identifying information of physicians with no relationship to the Medicare beneficiaries, and without the physicians’ knowledge or consent, to submit the false and fraudulent claims to Medicare. In all, K.M. allegedly caused the submission of approximately $93 million in false and fraudulent claims, of which approximately $65 million was paid, including payment of approximately $13 million over a single ten-day period in 2023.

 

• O.O., 67, of Plano, Texas, was charged by indictment with conspiracy to commit health care fraud in connection with the submission of over $25 million in false and fraudulent medical claims to Medicare, TRICARE, and other insurers for electroencephalogram (EEG) testing. As alleged in the indictment, O.O., the owner of a biometric and diagnostic company, sought out individuals with insurance plans to undergo expensive EEG testing and recruited and paid kickbacks and bribes to physicians and others to refer patients to the company. To conceal the scheme and to make it appear that the services were necessary, O.O. and his co-conspirators allegedly falsified diagnoses and falsely labeled kickback payments as loans, medical directorships, and consultation fees, among other things.

Again, these summaries provided above are provided as examples of federal healthcare fraud cases being filed in the Northern District of Texas.

The goal of the experienced Dallas healthcare fraud defense lawyers at Evergreen Attorneys is to make sure that federal charges are never filed. 

Many times, with the specialized help of a top healthcare lawyer, you may be able to avoid any federal criminal indictment altogether. Even if federal charges were filed, you still need to secure the help of a healthcare fraud defense team that knows how to handle this complex specialty area of law.

Dallas Health Care Fraud Defense Attorneys are Here to Help

Healthcare fraud charges can be filed against good doctors, nurses, and care giving professionals. The lawyers at Evergreen Attorneys know that these charges put everything on the line: your finances, license, and your freedom.

Federal healthcare fraud charges are felonies that carry significant potential penalties including the possibility of decades in federal prison.

The Dallas healthcare fraud lawyers at Evergreen Attorneys are here to help in your time of need. Whether you are currently under investigation, the subject of a Civil Demand Investigation, have been indicted, or have a federal criminal case, the experienced lawyers at Evergreen Attorneys have the knowledge, skill, and compassion to assist you with your case.

If you or a loved one are seeking assistance with your federal healthcare fraud case, don’t hesitate to contact us today. The sooner you bring on experienced counsel, the better your chances of resolving the case. Contact Evergreen Attorneys today for a free confidential consultation at (303) 948-1489 or get in touch by email at [email protected].