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Tampa Man Accused of Identity Theft, Health-Care Fraud

Arrest | Crime | Indictment

The U.S. attorney says he abused his role as a medical biller by submitting false and fraudulent claims to a Florida Medicaid HMO for the medical services that had not been rendered.

TAMPA – A federal grand jury has indicted a medical biller in connection with charges of health-care fraud and identity theft.

Joshua Maywalt, 40, of Tampa, was charged with four counts of health-care fraud and four counts of aggravated identity theft. Maywalt faces a maximum penalty of 10 years in federal prison for each of the health-care fraud counts, and up to two years’ imprisonment for the aggravated identity count.

The U.S. Attorney’s Office for the Middle District of Florida has also notified Maywalt that it intends to forfeit $2.2 million dollars and real property located at 5346 Northdale Blvd. in Tampa, which are alleged to be traceable to proceeds of the offenses.

According to the indictment, Maywalt was a medical biller at a local company that provided credentialing and medical billing services for its medical provider clients. In that capacity, Maywalt was able to access and use the company’s financial, medical provider, and patient information. Maywalt was assigned to a Tampa Bay-area physician’s account (“Physician #1”) and was responsible for submitting claims to Florida Medicaid HMOs for services rendered by Physician #1 to Medicaid recipients.

The indictment alleges that Maywalt abused his role as a medical biller by wrongfully accessing and using the company’s patient information and Physician #1’s name and identification number to submit false and fraudulent claims to a Florida Medicaid HMO for the medical services purportedly rendered by Physician #1, which were not actually rendered. Maywalt is also accused of altering the “pay to” information associated with the Florida Medicaid HMOs’ payment processor so that the payments for the non-rendered medical services were sent to bank accounts under Maywalt’s control.

An indictment is a formal charge that a defendant has committed one or more violations of federal criminal law, and every defendant is presumed innocent unless, and until, proven guilty.

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