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We are an elite criminal defense law firm, that emphasizes providing the best service and professionalism to all clients. We service a curated clientele nationwide – that expect the best from their lawyer. We handle tough criminal defense and legal situations that require deep knowledge, experience, dedication, and excellence in order to win. We have over 50 years of combined experience, handling national and international cases.

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Excellent results begins with top notch service. We treat you like family, and you always know what's going on with your criminal defense case.

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We 100's of 5 star reviews, and have been featured in the media. We are a premier law firm who understands how to win cases.

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Top Rated Attorneys

The Spodek Law Group is one of the most successful law firms in the USA. Our success comes from the fact we are attentive to details, and take a very pragmatic approach to each and every single case. Our clients turn to us for realistic advice – so they can make the appropriate decisions they need to make personally. Our goal is to make sure your case ends in a positive outcome, not only personally – but for your family as well.


New York No-Fault Insurance Fraud Lawyer

New York Criminal Lawyers with our firm represent healthcare professionals and other individuals accused of No-Fault Insurance Fraud in state and federal courts. Our clients include physicians, physician assistants, physical therapists, attorneys, and others. We have years of experience defending white-collar criminal cases, especially those involving healthcare and insurance fraud.

What Is No-Fault Insurance Fraud

First, let’s understand what New York No-fault law is. In New York, every car registered in the state must have “no-fault car insurance”. This allows the driver and all passengers of the car to collect up to $50,000 in benefits per each person in case of an accident-related injury no matter whose fault the accident was (hence the name No-Fault). To simplify and speed up the way claimants get reimbursed for medicaid treatment, the No-fault law doesn’t require that the injured parties sue to recover the payments. Instead, the patients can authorize the insurance company to reimburse healthcare providers involved in their treatment directly through an assignment. Basically, once the reimbursement is assigned, the healthcare providers can bill the insurance companies directly for all the medical treatment they provided to the patients. If the patient wants to receive additional damages, separate from the $50,000
allowed by the No-Fault Law, the patient can file a lawsuit to demonstrate that he or she suffered serious injuries as a result of the accident.

No-Fault fraud occurs when medical service provides such as medical clinics, physical therapists, rehab centers, etc. operate as a billing mill that
bill car insurance companies under the No-Fault Law for medical treatments that were either never provided or were medically unnecessary.

One issue that commonly occurs in No-Fault Fraud cases is who owns and controls the medical practice that provides the service. In New York, the law requires that all healthcare business entities including medical clinics must be incorporated, owned, operated, and controlled by a licensed medical practitioner. If a clinic is owned, controlled, or operated by someone who is not a licensed medical practitioner, the clinic is ineligible for reimbursement and insurance companies will not pay its bills for any of the services it provided.

In a common scheme, a non-licensed individual who is the real business operator, will pay a fee or salary to doctors, physical therapists, or other licensed medical professionals so that they would incorporate a professional corporation, open up a bank account, sign the lease for clinic, sign the bills for treatments under the No-Fault Law; and write prescriptions and referrals for additional treatments and medical supplies to other fraudulent medical clinics. These prescriptions are often unnecessary and the referrals are done for kickbacks, all of which is illegal.

One way the prosecutors can establish who is the real owner of the clinic is by examining how the clinic was started; who invested the initial funds; who negotiated the rent; who purchased the medical equipment; who brought the patients, and who received the proceeds from the clinics.

No-Fault Fraud and Illegal Kickbacks/Runners

Virtually every no-fault fraud criminal case we handled involved illegal kickbacks. In general terms, an illegal kickback means paying for referrals of patients whose treatment is covered by a government-run insurance company. In an average no-fault setting, the individual who operates the clinic refers patients to other providers to receive excessive and unnecessary medical treatments. These providers are called the modality clinics. The modality clinics usually include acupuncturists, chiropractors, physical therapists, MRI labs, pain management, orthopedics, durable medical equipment, and others. These providers bill the insurance companies under the No-Fault law and pay a certain percentage to the referring clinic (kickback).

Another common issue is the way clinics arrange for patients to come. In most kickback schemes clinic owners employ the runners. The runners are people who recruit patients to the clinics. In return, they are paid for each patient referral. Runners can work with personal injury attorneys, hospital employees, and others. They can even instruct the patients about faking certain injuries to qualify for treatment.

In some cases, personal injury lawyers paid kickbacks to clinics for patient referrals so that they can file lawsuits for them.

No-Fault Fraud and Money Laundering

Many no-fault fraud cases in New York are prosecuted in federal courts. The US Attorney’s Office is likely to use several criminal charges including healthcare fraud conspiracy, RICO, and money laundering. In these cases, money laundering occurs when owners reinvest some of the proceeds of scheme back into the business, usually by paying fees and salaries to modality providers and doctors who participate in the scheme. The modality providers pay a portion of the kickback money to the clinic owner by “rent” payments for the use of space at clinic. This process may be considered money laundering.

Consequences of No-Fault Fraud Conviction

No-fault fraud is a serious crime that can result in prison sentences, severe fines, and lost of medical and other professional license. A healthcare provider convicted of no-fault fraud may also be excluded from participating in Medicaid and Medicare, essentially ending their professional career.

What Is No-Fault Insurance Fraud?

In addition to many widely-publicized cases of Medicaid and Medicare fraud, some health care providers in New York City may face charges of no-fault automobile insurance fraud. This is especially applicable in the case of health care providers that provide services commonly necessary for victims of automobile accidents, such as chiropractors, pain management specialists, neurologists, and others.

When such medical professionals are accused of assisting patients in submitting fraudulent claims in order to obtain reimbursement under New York?s no-fault law, charges may include health care fraud as well as mail fraud.

If the alleged fraud occurs as part of a wider conspiracy, a number of professionals may be involved in addition to the health care providers, including personal injury attorneys who purposely refer clients to the medical professionals in order to submit fraudulent claims.

New York State Law requires every vehicle registered in New York State to have no-fault automobile insurance, which entitles the driver and passengers of a registered and insured vehicle to obtain benefits of up to $50,000 per person for injuries sustained in an automobile accident, no matter who was at fault in the accident (the ?No-Fault Law?).

The No-Fault Law provides for prompt payment for medical treatment, so that claimants do not need to file personal injury lawsuits in order to be reimbursed. Under the No-Fault Law, patients may assign their right to reimbursement from an insurance company to other parties, including medical clinics that provide treatment for their injuries.

New York State law also prescribes that all New York medical clinics be incorporated, owned, operated, and/or controlled by a licensed medical practitioner in order to be eligible for reimbursement under the No-Fault Law. Insurance companies will not reimburse claims for medical treatments from a medical clinic that is not actually owned, operated, and controlled by a licensed medical practitioner.

Any fraud that is designed to circumvent this law and to obtain insurance reimbursements to which the claimant or the medical provider is not entitled, constitutes health care fraud.

For example, in some cases, medical clinic owners pay licensed medical professionals, including doctors and chiropractors to form professional corporations for the clinic through which clinics then bill the insurer under the no-fault law. Since the owners retain control and ownership of the clinic in everything but name, such transactions are considered fraudulent.

Medical professionals who bill insurance carriers under the no-fault law for treatments that either did not take place or were not medically necessary, also commit health care fraud.

When a doctor or a medical clinic received kickbacks for referrals to for extraneous services or treatments, such as physical therapy, MRI, orthopedics, and others, they are also committing health care fraud.

Conviction on these charges can result in imprisonment and severe fines, as well as harsh professional consequences such as revocation of medical license and exclusion from government insurance programs. Practitioners should be aware that such exclusion doesn?t just mean one may not perform a treatment and bill a government program for it ? it means that one may not be involved in any aspect of submitting a claim to a government program, including purely administrative aspects.

If you are concerned that you or a clinic you are affiliated with is being investigated for no-fault insurance fraud, you should retain an experienced health care fraud defense attorney. You should be aware that even if the clinic retains its own attorney, in the event that your interests diverge in any way from the clinic?s, that attorney?s loyalty is to the clinic. You need your own attorney, whose knowledge and expertise will be completely at your service.

Call our experienced NYC?health care?attorneys at? (212) 577-6677 to schedule an immediate consultation.

Charle Butler
Charle Butler
I was hesitant to hire the Spodek Law Group. I read reviews and knew they have a great reputation. However, I thought I would spend money and not see or speak to my attorney. From the beginning to end of my case Todd and the entire staff were available and willing to help. We worked towards and end result that was way above my expectation and Todd delivered. I am forever grateful for patience and long days and night spent working on my case. Thanks Todd and the entire team!
Mesonista parsons
Mesonista parsons
My attorney at Spodek was Abigail. She was very knowledgeable and helpful with all my questions and concerns, as well as responsive. Her fees are affordable and Abigail took the time to make sure I understood everything relating to my case. I highly recommend Abigail and will request her services in the future.
debabrata chakraborty
debabrata chakraborty
Todd A Spodek is the experienced and best criminal lawyer at USA. He is very professional and always respond on time. Alex also very cooperative and always help me. They took care me and my problem like family member. I am 100% satisfied for their professional service. My result was unexpected and amazing. They dismissed my case. I am really grateful to them. I will recommend you to go there if you want to solve your problem. I wish all the best for them.
Asata Hendricks
Asata Hendricks
Truly appreciate the work the guys did!. Exceptional team & I know they care about each and everyone of their clients. I am super thankful to be referred to Spodek Law Group and I am grateful Todd & Alex were able to work diligently to achieve an outcome I am pleased with. Despite COVID they stayed on top of things and kept me informed every step of the way. Very thankful.
Mike Moroff
Mike Moroff
I'm very satisfied with the services rendered by Todd, Alex and Mary Lou. I whole heartedly recommend Spodek Law Group . I've worked with and have retained other attorneys in the past with Todd's firm being the cream of the crop for many reasons. A very serious legal matter was resolved after a year's hard work and effort. Todd expertly guided me through the process and was able to navigate and make the good journey bearable as well as successful. Mary Lou initially provided excellent assistance before referring my case to Todd. Alex's support was effective and timely. The customer portal (MyCase) is an invaluable communication tool that also kept track of my case. Various aspects of my case were explained and there were several options provided but I made the final decision of how the case would be handled. The legal fee was reasonable considering the effort and amount of work plus it was a flat fee regardless of the length of time required to conclude my case. Todd made himself available to me and we had many scheduled meetings to go over the progress and to discuss the next steps. I felt more confident after many discussions with him. You will not go wrong choosing Spodek Law Group for legal matters.
Josh Katz
Josh Katz
Being that it was the first time that I was in need of an attorney, I was afraid and hesitant and knew I needed the absolute best. It is beyond understood why Spodek Law Group has a reputation of being the top, if not the best law firm in New York. Alex and Abigail were there every step of the way even at the most unconvenient hours. I could not have asked for more. They are extremely good at what they do and they delivered much much more than just winning my case. A big thank you to Alex and Abigail for all the guidance and counseling and their upmost loyal support that extended far more than just legally. If you need the absolute best than don't hesitate to hire Spodek Law Firm.
I cannot tell you how thankful I am to Todd and Alex for their hard work and dedication to my case. I had never been in any trouble before but I had an unfortunate event occur and in the midst of COVID-19 at that therefore I knew I needed a team that was dedicated to my success. Today- my case has been finalized and I’m walking away with no record and can continue life as a mother and a Grad student worry free. I cannot express enough gratitude for their assistance.
AnnMarie Soliman
AnnMarie Soliman
I received a summons and called Spodek law group for a free consultation. Alex took my call and was very quick and responsive. He was available anytime through multiple platforms and very reassuring when needed. They are extremely organized and thorough. They got my case dismissed! I’m very grateful. Thank you Alex and Todd!



Spodek Law Group have offered me excellent support and advice thru a very difficult time. I feel I've dealt with someone who truly cares and wants the best outcome for you and yours. I'm extremely grateful for all the help Spodek Law Group has offered me. I can't recommend them enough.

~ David Bruce

Spodek Law Group was incredibly professional and has given me the best advice I could wish for. They had been helpful and empathetic to my stressful situation. Would highly recommend Spodek Law Group to anyone I meet.

~ Rowlin Garcia

Best service I ever had. Todd is absolutely class personified. You are in the safest hands with spodek. They have their clients interest in mind.

~ Francis Anim

Spodek Law Group

White Glove Service

We provide superior service, excellent results, at a level superior to other criminal defense law firms. Regardless of where your case is, nationwide, we can help you.

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"Spodek Law Group have offered me excellent support and advice thru a very difficult time. I feel I've dealt with someone who truly cares and wants the best outcome for you and yours. I'm extremely grateful for all the help Spodek Law Group has offered me. I can't recommend them..."

David Bruce

"Spodek Law Group was incredibly professional and has given me the best advice I could wish for. They had been helpful and empathetic to my stressful situation. Would highly recommend Spodek Law Group to anyone I meet."

Rowlin Garcia

"Best service I ever had. Todd is absolutely class personified. You are in the safest hands with spodek. They have their clients interest in mind."

Francis Anim
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