Shannon T. Hanson Acting United States Attorney for the District of Delaware | U.S. Attorney for the District of Delaware
A federal grand jury in Wilmington, Delaware, has indicted Ty Mauldin, 34, of South Dakota on charges related to opioid diversion and health care fraud. The indictment alleges that Mauldin used his position as a medical biller and credentialer to access the licensure information of medical professionals and then used that information without their knowledge to order thousands of opioid pills from wholesale pharmaceutical suppliers.
Court documents state that Mauldin also falsified his own electronic health records and forged additional documents to present himself as a cancer patient needing pain management. Based on these false claims, he received treatment from a pain management doctor and had his private health insurer pay for those services, including the installation of an intrathecal pain pump and prescriptions for opioids.
Authorities allege that Mauldin misrepresented himself as a certified health professional, at times claiming to be a licensed nurse or obtaining certification as a medical assistant through fraudulent means. He reportedly convinced a Nurse Practitioner to allow him to perform Transcranial Magnetic Stimulation therapy on patients by making these false representations. Claims were then submitted to Medicaid for reimbursement for these therapies.
U.S. Attorney Benjamin L. Wallace stated, “Ty Mauldin’s actions resulted in the illegal diversion of thousands of doses of opioid medication. And his actions falsely portraying himself as a medical professional undermine the public’s confidence in our health system. My office and our partners will continue to do everything in our power to prevent the illegal diversion of opioids and will pursue to the fullest extent of the law those who pose a public health threat to our communities.”
FBI Baltimore Special Agent in Charge Jimmy Paul said, “Ty Mauldin is a con artist and charlatan who abused privileged information obtained through his job to fuel his drug addiction. But his crimes didn’t end there. Mauldin recklessly masqueraded as a medical professional. His schemes and lies endangered innocent patients. The FBI will rigorously investigate allegations of healthcare fraud and root out criminals seeking to take advantage of our systems and put others in harm’s way.”
Delaware Attorney General Kathy Jennings added, “We cannot, must not, and will not tolerate healthcare fraud. The crimes and lies that rob the healthcare system prey on taxpayers and pick the pockets of everyone who relies on quality medical care. We will continue to investigate and hold accountable those who defraud our healthcare system. I’m grateful for our federal partners’ leadership on this indictment.”
Mauldin faces thirteen counts of aggravated identity theft, two counts of health care fraud, and seven counts related to obtaining drugs by fraud. If convicted, sentencing will be determined by a federal district court judge according to U.S. Sentencing Guidelines.
The investigation is being led by the Federal Bureau of Investigation along with the Delaware Department of Justice’s Medicaid Fraud Control Unit. Assistant U.S. Attorneys Jesse S. Wenger and William E. LaRosa are prosecuting the case.
An indictment is an allegation; all defendants are presumed innocent until proven guilty beyond reasonable doubt in court proceedings.
Further details about this case can be found on the U.S. Attorney’s Office for the District of Delaware website or via PACER using Case No. 25-CR-147-JLH.
