Queens Healthcare Fraud Defense Lawyer

Skilled Defense for Physicians and Healthcare Professionals Accused of Federal Fraud

Federal prosecutors are ramping up efforts to pursue healthcare fraud, and medical professionals across Queens are under heightened surveillance. With powerful federal agencies targeting everything from Medicare billing irregularities to telehealth and laboratory testing schemes, doctors, nurses, and healthcare business owners face serious risks. At Sosinsky Law, we defend healthcare professionals in Queens who are being investigated or charged with fraud in federal court.

Attorney Fred Sosinsky is a veteran criminal defense lawyer with decades of experience representing clients in high-profile federal healthcare fraud cases in the Eastern District of New York (EDNY) and beyond. If you have been contacted by federal agents, received a grand jury subpoena, or fear you may be under investigation, call (212) 285-2270 now for a confidential consultation.

DOJ Healthcare Fraud Takedown: The Federal Government Is Watching

In 2025, the U.S. Department of Justice launched one of the largest healthcare fraud enforcement actions in the country’s history. Over 100 individuals were charged with participating in schemes totaling more than $1.2 billion in fraudulent claims submitted to Medicare, Medicaid, and other federally funded healthcare programs.

According to the DOJ’s announcement, defendants included physicians, nurse practitioners, clinic operators, and healthcare executives. The charges stemmed from alleged misconduct involving telemedicine fraud, unnecessary medical testing, kickback arrangements, and fraudulent billing for mental health and addiction services. Many of these investigations and indictments were handled right here in New York, including in the Eastern District, which encompasses Queens.

The DOJ worked in conjunction with the FBI, HHS-OIG, and other federal partners to identify suspicious billing patterns, build digital forensic profiles, and seize assets. The message from federal prosecutors is clear: the government is aggressively pursuing healthcare professionals, not only for billing errors, but for perceived patterns of overutilization, improper referrals, and regulatory noncompliance.

Common Healthcare Fraud Charges Filed in Queens Federal Cases

If you operate a medical practice, clinic, home health agency, or telehealth service in Queens, you may be at risk for serious federal charges, especially if your business involves Medicare, Medicaid, or Tricare reimbursements. At Sosinsky Law, we defend against a wide range of healthcare fraud allegations, including:

1. Healthcare Fraud (18 U.S.C. §1346)

This statute prohibits knowingly defrauding a healthcare benefit program. It is a felony that can result in 10 or more years in federal prison per count.

2. Anti-Kickback Statute Violations (42 U.S.C. §1320a-7b)

Prohibits offering or receiving compensation in exchange for referrals or business involving federal healthcare programs. Convictions often include fines and prison time.

3. False Claims Act (31 U.S.C. §3729)

Used in both criminal and civil actions, this statute penalizes the submission of false claims for reimbursement from the government.

4. Wire Fraud / Mail Fraud (18 U.S.C. §1343 & §1341)

Often used to prosecute billing schemes where communications crossed state lines, including electronic claims submissions or vendor agreements.

5. Conspiracy to Commit Healthcare Fraud (18 U.S.C. §371)

If two or more people are alleged to have agreed to commit fraud, even loosely, prosecutors can file conspiracy charges to widen the scope of prosecution.(212) 285-2270

What Makes Queens a Target for Healthcare Fraud Enforcement?

The Eastern District of New York has long been a hotbed for healthcare fraud enforcement. Federal prosecutors in Brooklyn handle investigations and prosecutions involving Queens-based:

  • Physicians and outpatient clinics
  • Pharmacies and compounding labs
  • Home health agencies
  • Physical therapy and chiropractic clinics
  • Behavioral health and addiction treatment centers

With a high volume of Medicare and Medicaid claims processed in the borough, Queens providers are frequently flagged by the government’s fraud detection systems. Even legitimate practices can become the target of an investigation based on statistical anomalies or whistleblower complaints.

Key Issues in Queens Healthcare Fraud Investigations

If you’re under investigation for healthcare fraud, it is critical to understand the major legal and factual issues that may arise:

1. Was There Criminal Intent?

The government must prove beyond a reasonable doubt that you knowingly and willfully engaged in fraud. Billing mistakes, misunderstandings about medical necessity, or administrative errors are not crimes.

2. Are the Services Medically Necessary?

Prosecutors often second-guess the clinical judgment of physicians. We retain qualified experts to review your charts and validate the treatments you provided.

3. Did You Know About the Billing Scheme?

You may be held liable for conduct carried out by practice administrators, billers, or marketers. We help demonstrate that you did not know about or authorize improper billing or kickbacks.

4. Was Evidence Obtained Legally?

If the government searched your office or seized electronic data, we evaluate whether the search warrant was based on probable cause and whether any of your rights were violated.

5. Were You Targeted Due to High Volume or Profitability?

In many cases, federal agents target successful providers simply because they bill large amounts. We challenge the assumptions that volume equals fraud.

Responding to a Federal Subpoena or Target Letter in Queens

A healthcare fraud case often begins quietly. If you have received any of the following, it may mean you are part of an active federal investigation:

You should not speak with federal agents or produce documents without first consulting an experienced Queens healthcare fraud defense attorney. At Sosinsky Law, we immediately take steps to:

  • Determine your exposure and legal risk
  • Assert appropriate constitutional and statutory privileges
  • Negotiate the scope and timing of subpoena compliance
  • Prepare you for testimony or proffer sessions, if appropriate

Clients We Represent in Queens Healthcare Fraud Cases

Sosinsky Law represents a wide range of medical professionals and healthcare businesses, including:

  • Physicians and surgeons
  • Nurse practitioners and physician assistants
  • Pharmacists and pharmacy owners
  • Practice managers and billers
  • DME suppliers and telehealth providers
  • Substance abuse and mental health treatment providers

Whether you operate a solo practice in Flushing or run a multisite clinic in Jamaica or Astoria, our firm is ready to defend your license, freedom, and reputation.

Why Choose Sosinsky Law to Defend Your Queens Healthcare Fraud Case

Attorney Fred Sosinsky has earned a reputation as one of New York City’s premier federal criminal defense lawyers. With over 30 years of experience handling healthcare fraud, white-collar crime, and complex federal investigations, Fred understands how the government builds its case and how to dismantle it.

Our defense strategy includes:

  • Working with expert witnesses in billing, compliance, and medical necessity
  • Filing motions to suppress improperly obtained evidence
  • Challenging witness credibility and informant reliability
  • Negotiating pre-indictment resolutions where possible
  • Taking aggressive cases to trial when needed

We fight not just to minimize damage, but to protect your long-term career and professional standing.

Take Action Now – Call Our Queens Healthcare Fraud Defense Lawyer

If you are under investigation for healthcare fraud in Queens or have already been charged in federal court, the steps you take next are critical. Do not delay. Do not speak with investigators. And do not assume that cooperating without counsel will make the problem go away.

Call Sosinsky Law at (212) 285-2270 for a confidential consultation with an experienced Queens healthcare fraud defense lawyer. We defend clients in Queens, Brooklyn, Manhattan, and throughout the Eastern District of New York. Let us help you protect your license, your freedom, and your future.

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Case Results
A successful contractor was arrested and charged with felony possession of a loaded firearm and Class C felony possession of marijuana based upon the seizure of these items in a search pursuant to warrant. As has been well advertised, in almost all gun cases in NYC, prosecutors will insist on state prison sentences even for those willing to plead guilty. After presentation of mitigating evidence however, Mr. Sosinsky was able to negotiate a sentence of nine months in jail for his client, meaning his client was out in six months.
A young man who had been a heralded star high school hoopster in Brooklyn was indicted as part of a large multidefendant fraudulent check cashing conspiracy. The client unfortunately had previously been involved in a similar prosecution and worse yet had been arrested during the pendency of the federal case for yet again committing a similar offense. Notwithstanding these hurdles, Mr. Sosinsky was able to convince the federal judge to spare his client a prison sentence and allow him to earn his freedom while on probation.
Mr. Sosinsky represented a prominent attorney accused of assaulting and endangering the welfare of his 13 year son. It turned out that the child was being used as a pawn by the client’s ex-wife and that the incident at the heart of the case involved proper disciplining of a difficult and, at times, violent child. Eventually, the charges against the lawyer were dismissed.
Mr. Sosinsky obtained a verdict of not-guilty of murder in the execution style shooting of a young man involved in gang activities in Harlem, New York City. By demonstrating important differences in the description of the shooter from witnesses called by the prosecution, Mr. Sosinsky was able to raise valid doubts about the correctness of the identifications made at trial.
A few years back, Mr. Sosinsky represented a Manhattan man who was arrested after stabbing his wife in the neck numerous times with a knife in their Upper West Side apartment. The client was indicted for attempted murder. However, after having the client examined by a forensic psychiatrist, it became evident that a compelling insanity defense was in order. Eventually, the prosecutors involved were unable to adequately prepare to counter this defense and the case was dismissed.

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