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PLANO, Texas – U.S. Attorney Damien M. Diggs of the Eastern District of Texas announced that the court sentenced Oscar Simon Ndereva, 45, of Frisco, of wire fraud violations. Ndereva pleaded guilty to wire fraud and was sentenced to 54 months in federal prison by U.S. District Judge Sean D. Jordan.
According to information presented in court, Ndereva became involved in an intricate scheme to defraud private health insurance payors. Specifically, he used a fraudulent healthcare pharmacy called “Healogix” to submit fraudulent claims. Ndereva caused the fraudulently obtained funds to be paid directly to bank accounts he opened in the name of another individual. Throughout the scheme, Ndereva moved money through various accounts to conceal the nature and source of those funds and also structured check cashing transactions to avoid financial reporting requirements and evade law enforcement detection. Ndereva’s company Healogix submitted over 780 fraudulent claims totaling over $5 million.
The FBI and Health and Human Service Office of Inspector General investigated the case.