WRAL Investigates

Wilmington medical clinic investigated for fraud

Posted December 28, 2009

WRAL Investigates
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— A medical clinic in Wilmington run by a father and daughter is under investigation for allegedly filing fake Medicare and Medicaid claims. Investigators said they believe the business also took advantage of an unsuspecting Raleigh clinic.

Pages of medical claims are tied to at least five different medical clinic names in Wilmington.

Father, daughter accused of filing phony claims Father, daughter accused of filing phony claims

Roy Creasy and his daughter, Tamala Creasy Newton, are accused of collecting money for chiropractic and other work they never performed. They're also accused of re-billing forms with altered dates and re-routing payments to themselves meant for other clinics.

The Vistar Medical Clinic in Raleigh is one of the listed victims.

According to court documents, when she was arrested, Newton gave police officers false Social Security numbers and a fake pathology report stating she had cancer and said she would pursue an insanity defense.

Stephanie Bias, coordinator for the Medicare fraud prevention program in the state's Department of Insurance, said she is seeing more fraud cases lately “because it’s become easy.”

Her division fields complaints and helps seniors, in particular, to watch for illegal claims on their statements.

“That’s why we encourage folks to be diligent in comparing statements to their journals. We encourage them to call us if they see anything suspicious,” Bias said.

Fake billing for medical equipment is one of the biggest problems, according to Bias.

In September, a Raleigh man pleaded guilty in a $12 million Medicare fraud scheme involving motorized scooters.

The federal government reported in May that more than $90 million in Medicare reimbursements for scooters was misspent in 2005 alone.

No dollar amount is listed in the Wilmington case, but court papers state that the illegal billing began in 2004. Creasy and Newton are awaiting trial.

To report fraud or abuse, call the state's hotline at 1-800-443-9354.


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  • Maddie girl Dec 29, 2009

    I have med cost, my own primary drs office billed my ins for services I did not rec',I called dr's office and my ins, I told my ins to get the money back, to this day they have not followed up, 2 years ago !!!! So it's not only medicare !!

  • DrJ Dec 29, 2009

    **** If the truth be told there isn't a doctor's office in business that hasn't billed for a few extra visits of a medicaid patient. ****

    That's absolutely false. There are plenty of doctors that take Medicaid who are honest about it. But there are also plenty that take it because they can over-treat, over-bill, and cheat their way to fortunes. There are bad apples in every bunch, and those doctors know regular insurance companies will eventually catch up to them. The government is just ripe for the taking, and always will be.

  • Maddie girl Dec 29, 2009

    so called dr j, why is everything all about money ??? what happened to pt care ????????????? oh that's right, it all boils down to a $$$$$$, How dare you say that drs. who accept medicaid do it for fraud !!!!!!!!! I have and still do work in drs. offices and have NEVER over charged for services to any insurance co, can you say that ????????

  • G-man Dec 29, 2009

    If the truth be told there isn't a doctor's office in business that hasn't billed for a few extra visits of a medicaid patient.

  • nancimae2 Dec 28, 2009

    The "diabetic" shoes I got and Medicare paid for are nothing to brag about either.

  • delilahk2000 Dec 28, 2009


  • whatelseisnew Dec 28, 2009

    The smart Doctors do not take medicare or medicaid patients and I don't blame them. As to knowing whether Medicare is paying for services rendered, good luck. I do that for my elderly mother-in-law. Try reconciling the medicare information with the information you get from the various Doctors. About the only thing I can really verify is that the dates of service match up, and the type of service matches. At best it is a rough check. I doubt that very many people even attempt to check the information. To say the least it is beyond the capabilities of my 85+ yr old MIL.

  • DrJ Dec 28, 2009

    Medicaid fraud is rampant. I would argue that the ONLY reason a significant number of "doctors" take Medicaid, which pays considerably less than most regular insurances, is because they know they can easily get away with massive over-billing, and outright fraud.