Repeat Offender Pleads Guilty to Health Care Fraud Scheme in New Hampshire

Repeat Offender Pleads Guilty to Health Care Fraud Scheme in New Hampshire

CONCORD - A Florida man pleaded guilty to one count of health care fraud for causing psychotherapy sessions to be fraudulently billed to New Hampshire Medicaid.

According to court documents, Erik X. Alonso, 55, of Miami, Florida, was previously convicted in 2015 of conspiracy to commit health care fraud and related offenses in the Southern District of Florida. The Department of Health and Human Services, Office of Inspector General (HHS-OIG), maintained an Exclusion List that identified individuals who could not receive payment from federal health care programs, including Medicaid. As a result of his conviction, Alonso, a psychotherapist, was placed on the Exclusion List.

According to court documents, in March 2022, Alonso began working for a telehealth mental health provider based in New Hampshire, through which he provided services billed to New Hampshire Medicaid patients despite knowing he was on the Exclusion List. Alonso also caused the provider to submit claims to New Hampshire Medicaid for counseling services that were not provided as represented, including in instances in which Alonso requested - and later received - a patient's assistance with personal tasks like preparing a presidential pardon for Alonso's 2015 health care fraud conviction and various medical licensure documents. As a result of the scheme, Alonso admitted that he caused New Hampshire Medicaid to pay approximately $173,998.83 based on false and fraudulent claims.

Alonso pleaded guilty to one count of health care fraud. He is scheduled to be sentenced on January 28, 2026, and faces a maximum penalty of 10 years in prison. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

U.S. Attorney Erin Creegan for the District of New Hampshire, Special Agent in Charge Roberto Coviello of HHS-OIG, and Special Agent in Charge Ted E. Docks of the FBI Boston Field Office made the announcement.

HHS-OIG and the FBI investigated the case.

Trial Attorneys Thomas D. Campbell, John W. Howard, and Danielle H. Sakowski of the Criminal Division's Fraud Section and Assistant U.S. Attorney Matthew Vicinanzo of the District of New Hampshire are prosecuting the case.

The Fraud Section leads the Criminal Division's efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of nine strike forces operating in 27 federal districts, has charged more than 5,800 defendants who collectively have billed federal health care programs and private insurers more than $30 billion. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.