ALBANY, NEW YORK – Qaiser Gondal, age 47, of Watervliet, New
York, pled guilty today to conspiring to defraud Medicaid.
The announcement was made by:
United States
Attorney Grant C. Jaquith;
New York State
Police Superintendent Keith M. Corlett;
James N.
Hendricks, Special Agent in Charge of the Albany Field Office of the Federal
Bureau of Investigation (FBI);
New York State
Inspector General Letizia Tagliafierro; and
Rensselaer County
District Attorney Mary Pat Donnelly.
Today’s plea is the result of a state and federal
investigation into Medicaid fraud committed by the owners and operators of
medical transportation companies based in Essex County.
Qaiser Gondal operated Ti Taxi Inc. (“Ti Taxi”), a
Medicaid-funded transportation company based in Ticonderoga, New York.
As part of his plea, Qaiser Gondal admitted that he
committed a variety of frauds against Medicaid and the New York State
Department of Health, including: billing Medicaid and receiving payment for
trips where beneficiaries drove themselves to their own medical appointments,
and falsifying the identities of the drivers for those trips; billing Medicaid
and receiving payment for roundtrips to and from medical appointments when the
beneficiaries took only one-way trips with Ti Taxi; and falsifying pick-up and
drop-off locations, in order to increase the purported distances traveled and
therefore be able to claim and receive higher Medicaid payments.
Qaiser Gondal also admitted that he paid kickbacks and
bribes to Medicaid beneficiaries in order to induce those beneficiaries to
schedule and keep scheduling medical transportation appointments with Ti
Taxi. Kickbacks included cash, phone
cards, cigarettes and tobacco, and free goods at Gondal’s convenience store in
Ticonderoga.
Qaiser Gondal faces up to 10 years in prison, a fine of up
to $250,000, and a term of post-imprisonment supervised release of up to 3
years, when he is sentenced on November 14, 2019 by Senior United States
District Judge Thomas J. McAvoy. A
defendant’s sentence is imposed by a judge based on the particular statute the
defendant is charged with violating, the U.S. Sentencing Guidelines and other
factors.
Qaiser Gondal has also agreed to pay $325,000 in
restitution.
Yesterday, Khurram Gondal, age 38, of Ticonderoga, pled
guilty to health care fraud in connection with fraudulent Medicaid billing
practices connected to two other medical transportation companies, Green
Mountain Medical Transportation Inc. and Four Way Taxi, Inc. Khurram Gondal, who is Qaiser Gondal’s
brother, also faces up to 10 years in prison when he is sentenced on November
14, 2019 by Judge McAvoy. Khurram Gondal
has agreed to pay $60,000 in restitution.
Charges remain pending against several other
defendants. Those defendants are
presumed innocent unless and until proven guilty.
The federal charges are being investigated by the FBI and
the New York State Police’s Special Investigations Unit, and are being
prosecuted by Assistant U.S. Attorney Michael Barnett.
Parallel state charges are being investigated by the New
York State Police’s Special Investigations Unit, as well as the Office of the
New York State Inspector General, and are being prosecuted by Rensselaer County
Chief Assistant District Attorney Matthew Hauf as Special Prosecutor.
Several additional agencies assisted in this investigation,
including the Essex County District Attorney’s Office; New York State
Police-Troop B; the Office of the New York State Comptroller, Division of
Investigations; New York State Attorney General’s Office, Medicaid Fraud
Control Unit (MFCU); Essex County Sheriff’s Office; Homeland Security
Investigations (HSI); the Office of Inspector General for the U.S. Department
of Health and Human Services (HHS-OIG); and the New York State Department of
Labor.
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