TRENTON
- Attorney General Jeffrey S. Chiesa announced
that the owner of a now-defunct Newark mental
health and substance abuse counseling center
was convicted today of defrauding Medicaid.
Rostislav
Vilshteyn, a.k.a. Steve, 33, of Staten Island,
New York, was convicted of second-degree
health care claims fraud and third-degree
Medicaid fraud. The conviction follows a
three-week jury trial in front of Superior
Court Judge Thomas R. Vena in Essex County.
The charges were contained in a May 11,
2010 state grand jury indictment. Vilshteyn
was the owner and operator of the Bloomfield
Health Pavilion LLC (BHP), formerly located
at 86 Bloomfield Avenue in Newark.
Judge
Vena scheduled sentencing for March 16.
Second-degree crimes carry a maximum sentence
of 10 years in state prison and a criminal
fine of $150,000, while the crime of third-degree
Medicaid fraud carries a maximum sentence
of three years in state prison and a criminal
fine of $10,000.
“Mr.
Vilshteyn’s conduct not only defrauded
taxpayers, but it also prevented certain
patients of BHP from receiving the treatment
they needed,” Attorney General Chiesa
said. “The Office of the Insurance
Fraud Prosecutor will continue to aggressively
investigate and prosecute such crimes, to
protect both patients and taxpayers.”
In
convicting Vilshteyn, the jury determined
that between October 2006 and January 2008,
as the owner and operator of BHP, Vilshteyn
submitted or caused to be submitted to the
Medicaid program claims for reimbursement
for counseling services for numerous Medicaid
beneficiaries, even though the services
had either not been provided or had not
been provided to the extent alleged in the
claims.
“Congratulations
to the entire Medicaid Fraud Control Unit
under the leadership of Chief Nicole Rizzolo,”
Acting Insurance Fraud Prosecutor Ronald
Chillemi said. “We will devote whatever
resources are necessary to bring criminals
such as Mr. Vilshteyn to justice.”
Deputy
Attorneys General Dolores Blackburn and
David Noble represented the Office of the
Insurance Fraud Prosecutor - Medicaid Fraud
Control Unit, at the trial. Detective Laura
Pezzuti and Analyst B’leia Williams
were assigned to the investigation. Acting
Insurance Fraud Prosecutor Chillemi thanked
Investigator Joseph Varone and Nurse Investigator
Janet Keenan of the Office of the State
Comptroller, Medicaid Fraud Division, as
well as Analyst James Harris of the Division
of Medical Assistance and Health Services
for their assistance in the investigation.
Acting Insurance Fraud Prosecutor Chillemi
noted that some important cases have started
with anonymous tips. People who are concerned
about insurance cheating and have information
about a fraud can report it anonymously
by calling the toll-free hotline 1-877-55-FRAUD
or visiting the Web site www.njinsurancefraud.org.
State regulations permit an award to be
paid to an eligible person who provides
information that leads to an arrest, prosecution
and conviction for insurance fraud.