Trivikram Reddy, 39, a Waxahachie nurse practitioner, was sentenced to 20 years in federal prison and ordered to repay more than $52 million in restitution for his role in a healthcare fraud conspiracy. According to court documents, Mr. Reddy, a licensed nurse practitioner, devised a scheme to defraud Medicare, Blue Cross Blue Shield of Texas, Aetna, UnitedHealthcare, Humana, and Cigna. Mr. Reddy and co-conspirators created false patient bills using the provider numbers of six doctors as the treating physicians on the claims. All the claims were false and at no time did the six doctors provide billable services to any of Mr. Reddy’s medical clinics.
On June 3, 2019, federal agents served a civil investigative demand at one of Mr. Reddy’s medical clinics. When law enforcement arrived at the site, agents found Mr. Reddy’s staff manufacturing medical records. Following the encounter, on June 8, Mr. Reddy closed the clinic and terminated his business entity with the Texas Secretary of State. On June 13, 2019, Mr. Reddy made the first of multiple wire transfers which, in sum, totaled more than $55 million. A forensic financial analysis directly tied the money to fraudulent healthcare claims submitted by Mr. Reddy. Federal agents requested medical records to justify millions of dollars of paid Medicare claims paid between January 2014 and June 2019. Mr. Reddy and his staff spent the next four months manufacturing fake medical records to turn over to authorities.
