WRAL Investigates

Durham businesswoman charged with health care fraud, ID theft

Posted July 8, 2014
Updated July 9, 2014

WRAL Investigates

— A grand jury has indicted the owner of a Durham-based health care company on 15 criminal charges, including health care fraud and identity theft. A warrant has been issued for her arrest.

Investigators say Tracie Yvette Clay, chief executive of N.C. Behavioral Health and Counseling Services, submitted claims for services for at least 56 clients – none of whom received the services. She received approximately $1 million from Medicaid, which she used to buy a Cadillac Escalade, a Mercedes and a pool, according to court records.

Clay was the subject of a WRAL investigation in July 2012 after records showed that N.C. Behavioral Health billed Medicaid for more than $712,000 in counseling services in 2011, including 3,237 therapy sessions for a total of 7,920 hours. That’s nearly 22 hours a day, every day of the year, all billed in the name of one psychologist, Eunice Ngumba-Gatabaki.

Gatabaki told WRAL News that she had never heard of the agency and was angry and concerned that the business used her provider number for all of its Medicaid billing. She offered to cooperate fully with any investigation. Clay declined to comment at the time.



12 Comments

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  • Paul M Jul 9, 2014

    she must have been prepairing to run for Congress

  • mpphilli01 Jul 9, 2014

    Will they slap her wrist and let her go so she can do it again and be caught a third time?

  • hardycitrus Jul 9, 2014

    if someone reports this type of fraud they can get triple damages under the racketeering laws. Whistleblowers can make millions on cases like this.

  • Djofraleigh Anderson Jul 9, 2014
    user avatar

    These cases make it hard to support and defend Medicaid when it is the taxpayer paying the crooks. McCrory said NC's medicaid system was broken, and this is an example, but how and when is he going to fix it. I know from earlier reports that a couple of hundred providers are being investigated. Maybe it needs to be more.

  • gotnoid Jul 9, 2014

    How may times have we seen this type of story-

  • 678devilish Jul 9, 2014

    just so glad she was caught!

  • Hecate Jul 9, 2014

    The entire system is corrupt and needs a massive overhaul.. she is not the only one committing Medicaid fraud.. we have thousands of people in the US getting it under false pretenses, as well. Glad she got caught and hope she does jail time.

  • censorbait Jul 9, 2014

    This is not an isolated case. These type of providers commonly rip off the system and the feds under Eric Holder don't aggressively prosecute since they are usually their political supporters. The absolute worst are the so called non-profit do gooder outfits. And there are thousands of them doing the same thing as this woman. Living large on the taxpayer. Kudos to WRAL for sniffing out this one.

  • Joe Simpson Jul 8, 2014
    user avatar

    WRAL, please be precise with the company name - there are other local companies whose names also contain "NC Behavioral Health." The full name of Clay's company is "NC Behavioral Health And Counseling Services."

  • Joe Simpson Jul 8, 2014
    user avatar

    View quoted thread


    You have misread the article. Gatabaki is apparently not suspected of being involved.

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