Medical Doctor Alexander Baldonado, 68, of Queens, New York Charged for Allegedly Defrauding Medicare & Medicaid For Over $20.7million and Illegal Kickback Schemes

Baldonado faces charges including conspiracy to commit health care fraud, health care fraud, conspiracy to defraud the United States and pay and receive health care kickbacks, and soliciting health care kickbacks

A federal grand jury in New Jersey has issued a superseding indictment against a medical doctor, accusing him of participating in a health care fraud and illegal kickback scheme that involved submitting more than $20.7 million in false claims to Medicare for laboratory tests, including cancer genetic tests.

According to court documents, Alexander Baldonado, 68, of Queens, New York, allegedly received cash kickbacks from a laboratory representative and others in exchange for approving orders for laboratory tests billed to Medicare. He is also accused of participating in COVID-19 testing events where he authorized COVID-19 tests and expensive cancer genetic tests that were medically unnecessary and rarely provided results to patients. Additionally, Baldonado allegedly billed Medicare for lengthy office visits that he did not conduct.

Furthermore, Baldonado allegedly defrauded Medicare and Medicaid by receiving kickbacks and bribes from a durable medical equipment supply company owner in exchange for ordering orthotic braces that were medically unnecessary and ineligible for reimbursement.

Baldonado faces charges including conspiracy to commit health care fraud, health care fraud, conspiracy to defraud the United States and pay and receive health care kickbacks, and soliciting health care kickbacks. If convicted, he could face up to 10 years in prison for each count related to health care fraud and soliciting kickbacks, and up to five years in prison for each count of conspiracy to defraud the United States and pay and receive health care kickbacks.

Acting Assistant Attorney General Nicole M. Argentieri, Special Agent in Charge Naomi Gruchacz of the Department of Health and Human Services Office of Inspector General (HHS-OIG), and Assistant Director in Charge James Smith of the FBI New York Field Office announced the indictment. The case is being investigated by HHS-OIG and the FBI, with Assistant Chief Rebecca Yuan and Trial Attorney Hyungjoo Han of the Criminal Division’s Fraud Section prosecuting the case.

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