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"Unmasking Medical Fraud: Your Rights, Your Records"

 
 
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Tag Archives: Healthcare Compliance

Health Agency CEO Sentenced in Houston Medicare Fraud Case

Medical Fraud Exposed Posted on September 2, 2025 by AdminSeptember 3, 2025  

At Medical Fraud Exposed, we spotlight the schemes that exploit our healthcare system— and the recent sentencing of a Houston man is another glaring example.

Houston Health Agency CEO Sentenced in Medicare Fraud CaseAt Medical Fraud Exposed, we spotlight the schemes that exploit our healthcare system—and the recent sentencing of a Houston man is another glaring example.

Paul Njoku, 64, owner and CEO of Opnet Health Care Services Inc. (doing business as P & P Health Care Services), has been sentenced to 75 months in federal prison after being found guilty of orchestrating a Houston Medicare fraud scheme that netted his company over $360,000.

A federal jury convicted Njoku after less than two hours of deliberation, hearing testimony that he and his staff forged signatures of doctors and nurses to create fake medical records. In some cases, old signatures were cut and pasted onto fabricated orders and assessments—documents required by Medicare for reimbursement.

Njoku continued using a nurse’s signature even after she left the agency in 2017, and a witness revealed he bribed a doctor to approve unnecessary services. From 2015 to 2019, Opnet submitted over $400,000 in claims, with many based on fraudulent documentation, according to prosecutors. Medicare would have denied these claims if the truth had been known.

Despite efforts to deflect blame, the jury found Njoku responsible. Judge Alfred H. Bennett imposed a 75-month sentence with two years of supervised release. Njoku remains on bond and will report to federal prison soon.

The investigation was led by the FBI, HHS Office of Inspector General, and the Texas Attorney General’s Medicaid Fraud Control Unit.

💡 What This Means
  • Taxpayer Money is Stolen: Such scams cost all Americans by siphoning billions from public resources.
  • Patients Are Put at Risk: Fake medical records can cause misdiagnosis, unnecessary treatments, or denied care.
  • Trust Is Undermined: Fraud erodes faith in healthcare and makes life harder for honest providers.
  • Enforcement is Working—but Limited: Authorities are catching some offenders, but many cases still go undetected.

At Medical Fraud Exposed, we believe shining light on these schemes helps protect patients, providers, and public funds.

📢 Call to Action

If you suspect healthcare fraud, report it to the U.S. Department of Health and Human Services Office of Inspector General (1-800-HHS-TIPS).
Stay informed—subscribe to “Medical Fraud Exposed” for real-world cases and expert insights.

Posted in Medicare | Tagged FBI Investigations, Federal Sentencing, Healthcare Compliance, Healthcare Fraud Cases, Houston Crime News, Medicare Fraud | Leave a reply

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This blog exists to shine a light on the dark underbelly of medical fraud, a pervasive issue fueled by greed that undermines trust in healthcare. While many physicians are dedicated and ethical, others prioritize profit over patient care. Warning signs abound: a doctor lamenting that avoiding spinal injections cuts into their “bread and butter,” or medical notes filled with inaccuracies, documenting procedures or discussions that never happened—sometimes so off-base they seem written for another patient.

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