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Post date: January 16 2014

A.G. Schneiderman Announces Conviction Of Rochester Man Who Earned More Than $115k Posing As Optometrist And Ophthalmic Dispenser

Shamil Tadros Admits To Fraudulent Billing Of Medicaid And Others By Providing Services Under False Pretense

Schneiderman: Those Who Profit By Misrepresenting Themselves While Endangering Unsuspecting New Yorkers Will Be Held Accountable

ROCHESTER – Attorney General Eric T. Schneiderman today announced that his office secured guilty pleas in the criminal case of Shamil Tadros, of Rochester, NY, who fraudulently billed Medicaid and other payers for more than $115,000 for optometrist and/or ophthalmic dispensing services without ever having obtained a valid New York State license for either profession. 

“Shamil Tadros lied about his professional credentials and treated countless individuals without a license, raking in thousands of dollars on the backs of patients, taxpayers and insurance companies,” Attorney General Schneiderman said. “Providing medical services in New York State is a privilege, and no patient should ever have to fear being treated by someone who doesn’t have the proper credentials. It’s important that we hold individuals like Mr. Tadros accountable to help restore trust and send the message that this sort of behavior will not be tolerated.”

Tadros admitted that he engaged in a scheme with intent to defraud more than one person and that he caused or obtained $116,821 from the State of New York and several other health insurers/payers by representing himself as a licensed optometrist and/or ophthalmic dispenser and practicing as such at various optical shops around Monroe County, when he was never duly licensed. 

In doing so, Tadros obtained more than $15,000 from the State of New York/Excellus Medicaid Managed Care, more than $65,000 from Excellus Health Plan-Private paid insurance plans, more than $15,000 from MVP Health Care, more than $1,000 from Aetna, more than $3,000 from EyeMed Vision Care, and more than $10,000 from UnitedHealthcare.  

The felony complaint charges Shamil Tadros with the crimes of Scheme to Defraud in the First Degree, in violation of Section 190.65(1)(b) of the Penal Law of the State of New York, and Unauthorized Practice, in violation of Section 6512(1) of the Education Law of the State of New York for a fraudulent scheme that occurred between January 1, 2000, and May 31, 2013. Tadros will be sentenced in the criminal case on June 23, 2014 before the Honorable Melcor Castro in Monroe County Court.

Attorney General Schneiderman thanks the New York State Department of Education and Investigator Dale Engel, as well as the New York State Department of Financial Services, Criminal Investigations Unit and Investigator William Fedrau, for their cooperation with the Medicaid Fraud Control Unit investigation.

The criminal case was handled by Catherine Wagner, Rochester Regional Director and Chief of Criminal Investigations of the Attorney General’s Medicaid Fraud Control Unit, under the supervision of Acting Director of the Medicaid Fraud Control Unit Amy Held and Executive Deputy Attorney General for Criminal Justice Kelly Donovan. The investigation was conducted by Supervising Special Investigator William Falk, Investigator Jason Rice and Special Auditor-Investigator Grace Quinn, under the supervision of Principal Auditor Thomas Clarke. 

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