An indictment was unsealed alleging that Gabriel Langford and Elizabeth Brown, a Minnesota couple, engaged in a $15 million scheme to defraud Medicare, Medicaid, and other insurers by overbilling for neurofeedback therapy. According to court documents, beginning in 2018, Gabriel Adam Alexander Luthor, a.k.a. Gabriel Adam Alexander Langford, 39, and Elizabeth Christine Brown, 40, intentionally devised and carried out a scheme to overbill Medicare, Medicaid, and other insurers for medical services provided through Golden Victory Medical, LLC (GVM). Luthor and Brown were in a relationship, and together founded GVM in 2018. One of the main medical services GVM claimed to provide was neurofeedback therapy. According to the indictment, Luthor and Brown fraudulently overbilled insurers for GVM’s neurofeedback services using numerous inapplicable medical codes.
For example, GVM repeatedly submitted claims to insurers using medical codes that did not cover the neurofeedback services that GVM provided, combinations of codes that by definition could not be combined, and codes that indicated that GVM’s patients received a longer duration of services than the company had actually provided. Luthor and Brown caused GVM to continue submitting false claims even after repeated warnings from insurers, an outside auditor, and the Center for Medicare and Medicaid Services. In total, GVM submitted hundreds of thousands of false claims to insurers, many of which the insurers paid, resulting in an estimated loss of over $15 million. Millions of dollars in fraudulent proceeds were transferred from bank account to bank account and ultimately retained by Luthor and Brown. Luthor and Brown used the funds to purchase a mansion in Eden Prairie and to pay their living expenses and the living expenses of other girlfriends of Luthor’s, who lived with Luthor and Brown and assisted in the fraud scheme.
