John W. Vaudreuil, United States Attorney for the Western District of Wisconsin, announced that Mark Johnson, 55, Janesville, Wis., was arrested without incident in Janesville this month, by agents from the U.S. Department of Health and Human Services and the U.S. Postal Inspection Service, with assistance from the Janesville Police Department, according to a press release from the U.S. Department of Justice.
Johnson was charged in a 46-count indictment returned by a grand jury, including healthcare fraud, making false statements in a healthcare fraud audit and identity theft.
The indictment alleges that Johnson devised a scheme to defraud Medicare and Medicaid from approximately January 2008 to March 2014. During this time period, Johnson was a licensed pharmacist, and the owner and president of Kealey Pharmacy and Home Care, Inc., a pharmacy located at 21 South Jackson Street, in Janesville.
The indictment alleges that Johnson submitted false and fraudulent claims to Medicare and Medicaid obtaining reimbursement for medication that was not, in fact, provided to beneficiaries.
The indictment also alleges that Johnson created false prescription orders for medication and submitted claims for reimbursement for medication pursuant to these false prescription orders.
The indictment alleges that Johnson caused the payment of approximately $1 million by Medicare and Medicaid to him during the time period of the fraud.
The indictment also alleges that Johnson lied in August 2013 in his responses to an audit.
Finally, the indictment charges that Johnson used the DEA number and National Provider Identifier of two physicians to create false and fictitious physician’s prescription orders to support the submission of false claims to Medicare and Medicaid.