Nelson County Drug Store Owner Charged with Health Care Fraud and Wire Fraud
Crume Drug Store Owner Alleged to Have Billed Insurance Companies and Government Health Care Agencies for Fraudulent Prescriptions
|U.S. Attorney’s Office March 01, 2013|
LOUISVILLE, KY—The owner of Crume Drug Store, located in Nelson County, Kentucky, was charged in United States District Court this week in a two-count federal information with wire fraud and billing private insurance companies and Medicare Part D for fraudulent prescriptions, announced David J. Hale, United States Attorney for the Western District of Kentucky.
According to the federal charges, Timothy Sizemore, age 36, of Bardstown, Kentucky, knowingly devised and executed a scheme between April 2010 and February 2012 whereby he used patients’ and doctors’ names to create fraudulent prescriptions and billed Anthem and other private insurance companies for those fraudulent prescriptions, even though those prescriptions were never actually filled. Further, it is alleged that during the same time period, Sizemore used patients’ and doctors’ names to create fraudulent prescriptions and billed Medicare Part D for those fraudulent prescriptions which were never filled.
If convicted at trial, Sizemore could be face no more than 30 years in prison, a fine of $500,000, and three years of supervised release. An initial appearance on the charges has not been scheduled.
This case is being prosecuted by Assistant United States Attorney David Weiser and is being investigated by the Federal Bureau of Investigation (FBI) and U.S. Department of Health and Human Services Office of Inspector General.
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The indictment of a person by a grand jury is an accusation only and that person is presumed innocent until and unless proven guilty.