Carl Smith L.M.H.C. aka Lil Dog, New Horizon HouseCarl Smith, the 65-year-old manager of New Horizon House LLC, has been charged with participating in a fraudulent drug-screening operation. Arraigned on Friday, he pleaded not guilty and is being held on $30,000 bail. He is due back in Suffolk Superior Court on Oct. 14.
According to a court filing from the attorney general’s office, Smith has a “lengthy criminal record” dating back to 1975 when he was convicted of armed robbery. He was sentenced to three to five years in state prison. He was convicted of rape of young boys in1979 and 1989. He is a pedophile and registered level 1 sex offender.
He was also convicted of kidnapping and armed robbery in 1979, larceny in 1989, forgery and embezzlement in 1991, forgery and larceny in 1994, and possession of a hypodermic needle or syringe in 1995, the filing noted.
Carl Smith’s indictment was one of 118 brought by Coakley through a statewide grand jury and others in Suffolk and Bristol counties. The alleged scheme involves three health care companies, ten individuals, and $10 million fraudulently obtained, largely from the state Medicaid program.
State Rep. Marty Walsh, who attended the Port Norfolk meeting, said he was troubled by the allegations. “I question what kind of program he’s actually running there,” he said. “If he’s defrauding the government, is he defrauding the clients as well and not providing them with services?”
Describing four unrelated cases, state prosecutors said Adlife Healthcare of Framingham allegedly billed the state for medical treatment to people who were deceased. Preventive Medicine Associates, and its owner, Dr. Punyamurtula Kishore, of Brookline, allegedly ran a “kickback scheme” with sober houses throughout the state.
Smith is accused of getting paid $34,000 in return for arranging the ordering of urine drug screening tests for which MassHealth paid Kishore and PMA more than $786,000.
According to the State House News Service, David Benson of New Bedford allegedly over-billed the state by making it seem as though his psychotherapy patients had more dire medical needs. Pond View Nursing Facility, in Jamaica Plain, was shut down in June 2008 for bad service, Coakley said, and its owner, Carolyn Wetterberg, was indicted for allegedly inflating the supposed medical needs of Pond View patients.
“They may as well be walking over to MassHealth and taking money out of the Treasury,” Coakley said about the four companies and the “separate but very serious violations of public trust.”
Asked about the extent of fraud in the massive program, Coakley said she was unable to provide a specific estimate but said, “obviously there’s a lot.”
Adlife, an adult foster care program, is accused of the biggest fraud, amounting to $5.5 million in which the company claimed adults, who would visit during the day, were round-the-clock patients and billed the state for patients who are actually dead. Adlife had offices in West Springfield, Dorchester, and Hyannis, but Adlife and the other accused companies are “not in business,” according to Coakley.
Preventive Medicine Associates was the next largest, accused of $3.8 million in unnecessary drug tests as part of a kickback scheme with sober houses in Dorchester, Malden, New Bedford and elsewhere that would contract with PMA to perform the unnecessary drug screens.
After the state shutdown, Pond View and the patients were moved to other nursing homes. Many of them reportedly needed help eating and walking, but in the move out of Pond View many were able to perform both those activities without any assistance, according to Coakley, who said, “We do not believe there were miracles performed after those patients left that nursing home.”
MassHealth, which runs the state’s Medicaid program, is budgeted at $10.3 billion, or about a third of the state’s budget. The 118 indictments, which Coakley described as difficult and expensive to achieve, accuse the four companies of defrauding about a tenth of one percent of the MassHealth budget.
Material from State House News Service was used in this report.
Punyamurtula Kishore MD aka MAD DOG , Pedophile and MA State registered Level 1 Sex Offender .
ReplyDeleteThere is no National Library of Addictions in Massachusetts or anywhere in the United States , The library has never existed , except on paper , Punyamurtula Kishore MD aka MAD DOG is a liar and a fraud .
Punyamurtula Kishore MD aka Mad Dog Millionaire has been suspended from
several Boston and greater Boston Hospitals for sexual misconduct with
male patients . Check MA Medical reg. for order . Punyamurtula Kishore
aka Mad Dog Millionaire has admitted himself to Mcleans hospital in
Belmont , Massachusetts for sex addiction and erectile sexual
dysfunction .
If you want to live , donot seek help from Dr. Punyamurtula Kishore MD
aka Mad Dog Millionaire . Dr Kishore is a Quack . Many of his patients
relapse and die , His Treatment protocols give his patients a false
sense of hope and he continues to get rich at the expense of death .
Preventive Medicine Associates formerly Addiction Medicine Associates is
a Death Camp
Punyamurtula Kishore MD aka MAD DOG Millionaire is a Fraud. There is no
National Library of Addictions. He exploits his patients with titles of
Ambassadors of the NLA . These poor people disclose information about
thier addictions to the media to only benefit Dr. Kishore.
He hires employees and uses them for thier professional knowledge and
experience to enhance his business and then he lays them off or fires
them . Many of his patients relapse and die . His home detox protocol
does not work and he bills his patients medical Insurance companies . He
pays kickback money to the Directors of Sober and Halfway houses. His
company Preventive Medicine Associate formerly (Addiction Medicine
Associates) is under investigation for medical insurance fraud .
He uses and exploits the young , impressionable and naive employees of
his company . He increases his patient pool by referring patients from
St. Elizabeths S.E.C.A.P. substance abuse program to Preventive Medicine
Associates . He submits medical bills for reimbursements of patients
that were never seen or examined. He prescribes Vivitrol to all of his
patients who seek treatment for Substance Abuse