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USA v. James
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August 29, 2025
A Second Circuit panel affirmed a Long Island medical biller's conviction Friday for bilking about $600 million from insurance companies through fraudulent claims and impersonating an NBA player and the NFL's former top lawyer, but said a federal judge had wrongly enhanced the man's prison sentence to 12 years.
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February 02, 2024
A Long Island medical biller was sentenced to 12 years in prison Friday after being convicted of bilking over $600 million from insurance companies through fraudulent billing submissions and impersonating NBA star Marcus Smart and the NFL's general counsel.
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July 14, 2022
A federal jury convicted a Long Island medical biller of bilking over $600 million from insurance companies by submitting false and exaggerated claims for his doctor clients, allegedly pocketing $63 million in commissions while impersonating patients including Boston Celtics star Marcus Smart and NFL General Counsel Jeffrey Pash.
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June 21, 2022
Boston Celtics point guard Marcus Smart took the witness stand Tuesday in a $63 million insurance fraud trial, testifying that a Long Island medical biller impersonated him regarding coverage for a 2018 hand injury that nearly ended his basketball career.
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June 16, 2022
The National Football League's general counsel took the stand Thursday in a $63 million health care fraud trial against a Long Island medical biller, telling jurors he was impersonated on phone calls with NFL insurance processors.