Florida doctor pleads guilty to false statements in health care fraud case

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Florida doctor pleads guilty to false statements in health care fraud case

Leah B. Foley United States Attorney for the District of Massachusetts | Department of Justice

A Florida-based doctor pleaded guilty on Mar. 23 in federal court in Boston to making false statements related to a multi-million-dollar health care fraud scheme involving unnecessary genetic testing and durable medical equipment.

The plea comes as part of ongoing efforts by federal authorities to address fraudulent activities that target government health programs such as Medicare. These schemes can lead to significant financial losses for taxpayers and undermine trust in the health care system.

Simon Grinshteyn, age 52, admitted guilt to one count of making false statements relating to health care matters. According to prosecutors, between February and June 2020, Grinshteyn worked with a purported telemedicine company where he signed pre-populated medical documentation—including doctors’ orders—for services that were not medically necessary. The documents made it appear as though he had provided legitimate consultations and examinations for Medicare beneficiaries, when in fact he generally did not contact the patients or have any provider-patient relationship with them. DME suppliers and laboratories used these orders to submit claims resulting in Medicare paying more than $3.1 million based on the false documentation.

U.S. District Court Judge Angel Kelley scheduled sentencing for June 24, 2026. The charge carries a maximum sentence of five years in prison, three years of supervised release, and a fine up to $250,000 or twice the gross pecuniary gain or loss—whichever is greater—with sentences imposed according to federal guidelines.

United States Attorney Leah B. Foley announced the plea along with officials from Health and Human Services-Office of Inspector General; Federal Bureau of Investigations Boston Division; U.S. Postal Inspection Service’s Boston Division; Department of Labor Office of Inspector General; and Defense Criminal Investigative Service Northeast Field Office.