RALEIGH, N.C. – Today a federal judge sentenced a Greenville ambulance company manager to 64 months in prison and 3 years of supervised release on charges of Conspiracy to Commit Health Care Fraud and Aggravated Identity Theft. He was also ordered to pay $4,726,464.42 in restitution.
United States Attorney Robert J. Higdon, Jr. stated, “Medicare entrusts its providers to only bill taxpayers for the work that they actually perform. In this case, the defendants blatantly abused that trust, stealing millions from taxpayers in the form of fake ambulance services. This case is a reminder to the public that the price of these crimes is spending years in federal prison.”
According to the Criminal Information and evidence discussed at the sentencing hearing, Davon Terrell Henderson, 32, of Greenville, worked as the manager of Med-1 Interfacility Care, LLC (“Med-1”), an ambulance transportation company, and was also the owner of a wheelchair transport company named H&H Transport Services, LLC (“H&H”).
Between 2014 and June of 2016, Henderson and billing clerk Pamela Dewitt Babb worked together to fraudulently bill Humana, a Medicare Part C contractor, for more than $6.1 Million dollars in fictitious ambulance services. To carry out the crime, Henderson paid others to steal Humana beneficiaries and Medicare identification numbers, mostly from assisted living facilities. Henderson and Babb then used the identities of the beneficiaries to “back-bill” Humana for the fake services. In total, Henderson and Babb reaped $4.7 Million from the fraud scheme, which they split amongst themselves.
Babb was previously sentenced in January of 2020 to serve 72 months in federal prison.
Robert J. Higdon, Jr., U.S. Attorney for the Eastern District of North Carolina made the announcement. The United States Department of Health and Human Services, Office of the Inspector General, handled the investigation of this case, and Assistant U.S. Attorney William M. Gilmore served as the prosecutor.
Related court documents and information are located on the website of the U.S. District Court for the Eastern District of North Carolina or on PACER by searching for Case No. 4:19-cr-0061-BO
The year 2020 marks the 150th anniversary of the Department of Justice. Learn more about the history of our agency at www.Justice.gov/Celebrating150Years
USAO - North Carolina, Eastern;
Department of Health and Human Services OIG