A former Arizona medical entrepreneur with a taste for life's luxuries was sentenced to 15 years in prison this week after she pleaded guilty to improperly billing $1,212,005,778 in false and fraudulent claims to health insurance plans.
Prosecutors secured punishment after alleging Alexandra Gehrke, 39, and Jeffrey King, 46, used two companies to illegally submit medical claims for unnecessary and expensive amniotic wound allografts on some 500 elderly and hospice patients, many of whom eventually died.
The companies named in the June 18, 2024, grand jury indictment are Viking Consultants and enrolled U.S. government health insurance program provider Apex Mobile Medical for which Medicare reimbursed at more than $1,000 per square centimeter for certain allograft claims.
The false and fraudulent billing included more than $960 million to federal health care programs Medicare, Treatment Related Insurance for Care and Health Resources for Active Duty and Retired Members (TRICARE), and the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA).
CHAMPVA shares the cost of covered health care services and supplies with the VA and eligible beneficiaries who were the spouses or children of permanently and totally service-connected disabled military veterans while TRICARE provides coverage for Department of Defense (DOD) beneficiaries worldwide, including active duty service members, National Guard and Reserve members, retirees, their families, and their survivors.
Gehrke and King were among the 200-some people that the DOJ charged in 2024's country-wide federal intervention on health care fraud with false claims totaling an estimated $2.7 billion.
