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When does the DEA get involved in health care fraud cases

February 27, 2025

Last Updated on: 29th March 2025, 02:12 am

DEA INVOLVEMENT IN HEALTH CARE FRAUD CASES

If you’re on our website, it’s probably because you’re worried about a potential investigation by the Drug Enforcement Administration (DEA) for health care fraud. Spodek Law Group, a nationwide federal defense law firm created by Todd Spodek, understands this fear and won’t tolerate excuses for not taking immediate action. We are known for providing aggressive defense, coupled with an unflinching commitment to getting you results.

WHAT IS HEALTH CARE FRAUD AND WHY DOES THE DEA CARE?

Health care fraud that involves improper prescriptions or controlled substances can catch the DEA’s attention. The DEA is the agency that was given authority to investigate crimes related to drug enforcement, meaning it can step in whenever misuse of medication or narcotics is suspected. This is not just about hospitals. If you run a pharmacy or clinic that was accused of issuing fake prescriptions, you may end up facing serious federal charges. That can put you at risk of losing your license, facing steep financial fines, or even spending time in federal prison.

If you want more information on why the DEA takes part in these cases, you can visit DEA.gov to see how it outlines its mission. When the DEA gets involved, it often brings intense investigative resources that can be overwhelming for most defendants.

WHAT PENALTIES COULD YOU FACE IF THE DEA ACCUSES YOU?

If the DEA believes you committed health care fraud, it can recommend criminal charges that may lead to federal prison time. Getting convicted for conspiracy to commit fraud, for example, can carry multiple years behind bars. The government might also add money laundering allegations, which can lead to even longer prison sentences. Heavy fines are likely too. Fines that were issued in these cases can climb into tens or hundreds of thousands of dollars, especially if the government claims you illegally profited from fraudulent prescriptions or false claims.

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A conviction that was linked to DEA enforcement can have lifelong consequences. You will have a criminal record that follows you around, which means job searches and professional opportunities could become more challenging. This is no joke. If you are convicted, you might also face loss of professional licenses, reputation damage, and significant financial hardship. That combination of consequences means you must be prepared to defend yourself immediately.

HOW DOES SPODEK LAW GROUP HANDLE DEA INVESTIGATIONS?

We are brutally honest when we say that waiting too long to get a lawyer is a big mistake. Our NYC Criminal Lawyers who were trained in federal law know how to handle DEA agents, and we focus on strategies that can help you dodge severe penalties. We look for weaknesses in how evidence was gathered. Evidence that was illegally obtained may be thrown out, which can cause the government’s case to collapse. When crucial documents or witness statements go away, the prosecution often loses leverage. That loss of leverage can lead to reduced charges or even a full dismissal if we catch them violating your rights.

We also examine if the DEA is overstepping its authority. Sometimes, the DEA tries to extend its reach into state-level issues that weren’t meant for federal enforcement. That overreach can open the door to legal challenges that may trigger a favorable plea deal or total dismissal. Our approach is direct, but we also think in systems. We dig into root causes, including how you ended up on the DEA’s radar in the first place, and we tailor a plan to address those vulnerabilities.

COMMON HEALTH CARE FRAUD SCHEMES THAT ATTRACT THE DEA

Below are some examples of schemes that were targeted by the DEA:

  • Fake Prescriptions that were sold or distributed illegally can lead to allegations of drug trafficking.
  • Kickback Arrangements that involved prescribing certain medications for profit may trigger money laundering charges.
  • Billing Fraud that included charging insurers for expensive drugs not actually delivered can result in severe fines.
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Each of these schemes puts you at risk of felony charges, which are punishable by lengthy prison sentences. Once you’re behind bars, you lose your freedom and your chance to practice your profession. That can be a life-altering event. When the DEA steps in, it means the government believes there is a controlled substance issue hidden within a broader fraud scheme. They use specialized methods to dig into prescription records, insurance claims, and patient data. If you’re not prepared, you can be caught off-guard by the sheer amount of evidence the DEA collects.

OUR STRATEGIC ADVICE FOR CLIENTS UNDER DEA SCRUTINY

First, do not speak to investigators without our team by your side. Anything you say might be twisted into evidence against you, leading to a tougher negotiation or more severe charges. Second, organize your records. Clean, accurate documents that show your side of the story are crucial. We analyze them to find any details that might demonstrate your innocence or reduce the government’s claims. Third, remain calm. If you panic or try to hide evidence, you could face additional charges like obstruction of justice. The DEA’s job is to build a case; your job is to let us tear it apart.

FREQUENT QUESTIONS ABOUT DEA AND HEALTH CARE FRAUD

Question Short Answer
Can the DEA arrest me for financial crimes? Yes. If drug distribution is linked to money laundering, the DEA can coordinate with federal prosecutors.
What if I never wrote a fake prescription? The DEA may still suspect conspiracy. Evidence that was tied to co-workers might drag you in. We can investigate your specific role.
Could I lose my medical or pharmacy license? Yes. That outcome can be devastating, so it is critical to build a strong defense.

WHY SPODEK LAW GROUP IS DIFFERENT

We care about your success, but we won’t sugarcoat the risk you face. Our attorneys have over 50 years of combined experience, and we’ve handled federal investigations nationwide. We hate excuses, and we call out issues the second we see them. That mentality gets you clear, strategic next steps without wasted time.

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We’re available 24/7 to speak with you about potential charges. Our team travels coast to coast, ensuring that no matter where the DEA is investigating, we can help you. We focus on using legal leverage points that can dismantle the government’s case. If that means challenging how the DEA gathered evidence, we do it. If it means negotiating a plea that spares you a long prison sentence, we take that route only if it’s truly in your best interest.

DON’T WAIT TO PROTECT YOURSELF

In many cases, waiting to hire a criminal defense attorney results in missed opportunities to get crucial evidence thrown out. That timing can be everything. If you let the DEA gather too much data and lock in its narrative, you’ll face a tougher climb to freedom. Our NYC Criminal Lawyers handle these cases quickly and systematically so you can avoid permanent damage to your career and your personal life.

If you want to learn more about federal enforcement trends, check Justice.gov for updates on how prosecutors approach health care fraud. Staying informed will help you see what you’re up against. We can walk you through the entire process of dealing with DEA agents, from the initial search warrant to the final resolution of your case.

Contact Spodek Law Group now if you suspect the DEA is investigating you. We won’t let you make excuses for inaction, and we will do everything possible to protect you.

Disclaimer: This content is not formal legal advice and does not create an attorney-client relationship. Every case is unique, and outcomes depend on specific facts and circumstances. Consult an attorney licensed in your state to discuss your situation. We handle federal cases nationwide.

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RAJESH BARUA

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