A Jersey City pediatrician has been sentenced to 21 months in prison for netting nearly $200,000 in profit off of Medicaid fraud, fraudulently billing for more than 1,000 wound repair procedures that were never performed, U.S. Attorney Paul Fishman announced.
By John Heinis/Hudson County View
Badawy M. Badawy, 52, of Bayonne, pleaded guilty before U.S. District Judge Anne E. Thompson to one charge of health care fraud in February. Thompson issued the 21-month sentence in Trenton federal court yesterday.
Badawy owned and operated Sinai Medical Center of Jersey City LLC, a medical practice focusing on pediatric and family medicine (better known as Pyramids Clinical on John F. Kennedy Boulevard), officials said.
From January 2004 through December 2008, Badawy submitted thousands of claims to Medicaid for wound repair procedures related to the repair of superficial wounds over 30 centimeters in length on a patient’s face, ears, eyelids, nose or lips as well as the repair of previously closed wounds, authorities said.
The indictment also states that Badawy claimed to have performed these treatments on his patients, most of whom were children.
During his plea hearing, Badawy admitted that he regularly submitted claims for procedures that were never performed. As a result of his false claims, Badawy received $196,911 in Medicaid payments.
In addition to the prison term, Thompson sentenced Badawy to serve three years of supervised release and imposed a $5,000 fine. Additionally, Badawy must pay restitution of $196,911.