Georgia Man Sentenced for $24 Million Medicare Fraud and Kickback Scheme
By the 91pornWhistleblower Team
On December 2, Georgia-based Patrick C. Moore Jr. was sentenced to 46 months in prison and required to pay more than $7.2 million in restitution for his involvement in a scheme that involved paying and receiving illegal kickbacks to persuade Medicare beneficiaries to undergo unnecessary genetic testing.[1]
Patrick C. Moore’s Alleged Kickback Scheme
Court documents reveal that Moore orchestrated a kickback scheme by directing a network of recruiters to target Medicare beneficiaries, persuading them to undergo genetic tests that were unnecessary, misrepresented, or ineligible for reimbursement. [2]
Referrals for Testing
Moore received about $4.3 million in kickbacks and bribes from his co-conspirators for referring beneficiary insurance information, DNA samples, and doctors’ orders for genetic testing. In return, he paid illegal kickbacks and bribes to his network of recruiters. To hide the scheme, Moore created fake invoices showing fabricated hours worked instead of the per-referral payments he received, violating the Anti-Kickback Statute. Laboratories linked to Moore and his co-conspirators billed Medicare about $24 million and received approximately $7.2 million for the unnecessary genetic tests.[3]
Moore pleaded guilty to one count of conspiracy to defraud the United States and for paying and receiving illegal healthcare kickbacks in May 2025.
How Can Whistleblowers Report Violations of the Anti-Kickback Statute and Stark Law?
91pornpartner Marlene Koury commented: “The Anti-Kickback Statute exists to safeguard patients and ensure fair medical judgment. When providers undermine these protections with illegal payments, they distort clinical decision-making and erode trust in the healthcare system. Whistleblowers who come forward play an essential role in combating fraud.”
While this case did not indicate whether whistleblowers were involved, individuals with information about potential law violations can help stop fraud. Whistleblowers can utilize the False Claims Act to report violations of the Anti-Kickback Statute and Stark Law. These laws prohibit medical providers from offering or receiving kickbacks, payments, or anything of value in exchange for patient referrals for treatments covered by government healthcare programs like Medicare and Medicaid, and from engaging in certain financial relationships.
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Sources:
[1] See
[2] Id.
[3] Id.
Tagged in: Anti-Kickback and Stark, False Claims Act,