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Faced 5+ Years in Prison

People Vs Joseph Amico

Covered by NYDaily News. Las Vegas man accused of threatening a prominent attorney and making vile remarks.

Faced 10+ Years in Prison

People Vs. Anna Sorokin

Covered by New York Times, and other outlets. Fake heiress accused of conning the city’s wealthy, and has an HBO special being made about her.

Faced 3+ Years in Prison

People Vs. Genevieve Sabourin

Accused of stalking Alec Baldwin. The case garnered nationwide attention, with USAToday, NYPost, and other media outlets following it closely.

Faced Potential Charges

Ghislaine Maxwell Juror

Juror who prompted calls for new Ghislaine Maxwell trial turns to lawyer who defended Anna Sorokin.

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Clients can use our portal to track the status of their case, stay in touch with us, upload documents, and more.

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We can setup consultations in person, over Zoom, or over the phone to help you. Bottom line, we're here to help you win your case.

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Meet Todd Spodek


The Spodek Law Group understands how delicate high-profile cases can be, and has a strong track record of getting positive outcomes. Our lawyers service a clientele that is nationwide. With offices in both LA and NYC, and cases all across the country - Spodek Law Group is a top tier law firm.

Todd Spodek is a second generation attorney with immense experience. He has many years of experience handling 100’s of tough and hard to win trials. He’s been featured on major news outlets, such as New York Post, Newsweek, Fox 5 New York, South China Morning Post, Insider.com, and many others.

In 2022, Netflix released a series about one of Todd’s clients: Anna Delvey/Anna Sorokin.

Why Clients Choose Spodek Law Group

The reason is simple: clients want white glove service, and lawyers who can win. Every single client who works with the Spodek Law Group is aware that the attorney they hire could drastically change the outcome of their case. Hiring the Spodek Law Group means you’re taking your future seriously. Our lawyers handle cases nationwide, ranging from NYC to LA. Our philosophy is fair and simple: our nyc criminal lawyers only take on clients who we know will benefit from our services.

We’re selective about the clients we work with, and only take on cases we know align with our experience – and where we can make a difference. This is different from other law firms who are not invested in your success nor care about your outcome.

If you have a legal issue, call us for a consultation.
We are available 24/7, to help you with any – and all, challenges you face.

Long Island Medicaid Fraud Lawyer

By Spodek Law Group | July 27, 2023
(Last Updated On: October 12, 2023)

Last Updated on: 12th October 2023, 07:55 pm

Long Island Medicaid Fraud Lawyer

The rate of health care fraud cases keeps going up as unscrupulous practitioners and recipients seek to capitalize on government programs like Medicaid and Medicare. For this reason, Medicaid audits and investigations have become increasingly common. New York has the Medicaid Fraud Control Unit, which is under the office of the Attorney General, to deal with providers and recipients who abuse the program.

As with all other government initiatives, Medicaid has its rules and regulations, which can be difficult to keep up with. Some individuals, practitioners, and health institutions get accused of fraud without even being aware that they were in violation of certain rules. When charged with Medicaid fraud in Long Island, your first response should be to get an attorney who specializes in this particular type of health care fraud case. Our lawyers have defended numerous clients with different types of Medicaid fraud cases.

Understanding Healthcare Fraud in New York

Under Article 177 of NY penal law, health care fraud refers to any attempt to defraud a health plan; in this instance, Medicaid. Health care fraud is classified into five degrees. A person could be charged with fifth-degree health care fraud if he/she provided false information or omitted details in order to receive services or products. This offense is a Class A misdemeanor.

Fourth-Degree health care fraud is a Class E felony, and it applies to a person who is accused of committing fraud more than once. The fraudulent payments received must be within a period of one year and more than three thousand dollars. If a person is found guilty of getting payments from Medicaid that exceed ten thousand dollars, then that is third-degree health care fraud and a Class D misdemeanor.

Second-degree fraud, which is a Class C felony, applies to payments received within one year and over fifty thousand dollars. If the fraudulent Medicaid payments received are over one million dollars, then that is first-degree health care fraud and a Class B felony.

These offenses come with severe penalties for both service providers and private individuals. For this reason, the expertise of a Medicaid fraud Lawyer in long island is recommended. An attorney will analyze your case to see the merits of it.

Medicaid Investigations

To guarantee quality health care services to the public, the Medicaid Fraud Control Unit conducts audits to ensure that service providers and recipients don’t defraud the system. The agency prosecutes private citizens and companies accused of Medicaid fraud and recovers stolen money. Medicaid allows individuals without the means to afford healthcare products and services. Recipients can find themselves under investigation for submitting false data on their applications. Medicaid eligibility has strict requirements, and some people offer false or inaccurate information to qualify.

Healthcare providers can find themselves dealing with Medicaid audits for prescribing unneeded services, ordering unnecessary tests, or overbilling services. Cases of fee-sharing among practitioners are also wildly common and therefore a big focus of these investigations.

Medicaid integrity contractors are responsible for conducting audits in instances where a service provider is accused of incorrect billing or other forms of fraud. Cooperating with the investigation is advisable but ensure that a legal professional is present to oversee the process. Before you can present all your documents to the MICs, consult one of our attorneys in Long Island regarding your rights.

Triggers of Medicaid Investigations and Audits

Medicaid recipients and providers should be knowledgeable about some of the reasons authorities may call for investigations. With this information, you can avoid getting into similar situations. One misconception is that Medicaid investigations and audits are a result of anonymous reports. However, in most cases, investigators may come calling because some discrepancy in the data triggered the computer system.

One example is when a Medicaid recipient fails to disclose accurate income when applying for benefits. If the Department of Labor has different information from what is stated in your application, the system that tracks unreported income will flag it. Another situation that can lead to a Medicaid fraud investigation is failing to report your spouse’s income because you are separated. Some of these mistakes occur unintentionally, but the investigators are not inclined to believe you. Therefore, before answering questions from a Medicaid investigator, call an attorney.

For service providers such as clinics, laboratories, and hospitals, Medicaid audits are largely triggered by incorrect billing. When the coding system detects discrepancies, the state sends in professionals like recovery audit contractors to figure out where the fraud is. The audit processes used by RACs vary widely, which means you can’t be sure what they will find. Note that some investigators get paid on a contingency basis meaning they are motivated to find proof of fraud.

Whether you are a recipient or service provider of Medicaid, always seek legal representation when accused of fraud. Even the most innocent mistake in the application or billing services can land you in jail or incur astronomical monetary penalties. Our Long Island Medicaid fraud lawyer should be with you from the beginning so don’t wait to call.

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I was searching for a law firm with some power to help me deal with a warrant in New York . After 6 days I decided to go with Spodek Law Group. It helped that This law firm is well respected by not only the top law firms in New York , but the DA , Judge as well. I...

~Fonder Brandon

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It was my good fortune to retain Spodek Law Group for representation for my legal needs. From the beginning, communication was prompt and thorough. Todd, Kenneth and Alex were the first people I worked with and they all made me, and my company Qumana skincare feel comfortable and confident that the team was going to work hard for me. Everything...

~A G

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After meeting with several law firms, I chose the Spodek Law Group not only for their professionalism and experience, but for the personal attention given to me right from the initial consultation. It is important to recognize how crucial having the right legal team is when faced with potentially life altering events that impact families and the lives of loved...

~George Cherubini

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