On May 20, 2024, New York State Comptroller Thomas P. DiNapoli and
Ulster County District Attorney Emmanuel C. Nneji announced that Gina Bradshaw,
an office manager for numerous doctors’ offices in Manhattan, has pleaded guilty to defrauding the New York
State Insurance Plan (NYSHIP) out of more than $12,000 by submitting phony
medical claims for reimbursement. She was arrested in September 2023 following
a joint investigation by Comptroller DiNapoli, the Ulster County District
Attorney ’s office, the Federal Bureau of Investigations (FBI) – Hudson Valley
White Collar Crime Task Force, and the New York State Police.
“Ms. Bradshaw thought she
could game New
York State’s employee benefit system by submitting fake
claims for reimbursement for personal gain,” said State Comptroller
DiNapoli. “Thanks to my partnerships with District Attorney Nneji, the FBI, and
the State Police, her scheme was exposed and she has been held accountable.”
Ulster County District
Attorney Emmanuel C. Nneji said, “The collaboration among the various
agencies that are part of the Hudson Valley White Collar Crime Task Force, as
well as between our Office and the New York State Office of the Comptroller, is
essential to the detection and prosecution of fraud against New York and Ulster County taxpayers. I thank all the investigators from across the state whose
dedicated service led to accountability for the defendant in this case.”
New York State Police
Superintendent Steven G. James said, “This guilty plea is a direct result
of the cooperative and interactive efforts of the many agencies involved in
this investigation. Ms. Bradshaw knowingly took advantage of the health
insurance system to profit at her own expense. Financial crimes of any kind
will not be tolerated in New York State. I thank the Comptroller’s Office, Ulster County District Attorney’s Office, FBI and Hudson
Valley White Collar Crime Task Force for their partnership in exposing this fraud.”
Gina Bradshaw, 50, of Maybrook, N.Y., worked as an office manager for multiple doctors
in Manhattan. Through her husband’s employment with New York state, her family was enrolled in NYSHIP. When a
NYSHIP member uses an out-of-network health care provider they can have a
portion of the medical costs they paid to a provider reimbursed by a check from
NYSHIP sent directly to them. In order to obtain unwarranted payments, Bradshaw
used her positions to submit false claims to NYSHIP, purporting that services
were provided to her by two medical offices where she worked although they
never occurred. She received over $12,000 in reimbursement checks through
her scheme.
The investigation into her
activities began with a complaint from United Healthcare Special Investigations
Unit, who assisted with the investigation.
Bradshaw pleaded guilty to
Health Care Fraud in the third degree.
###
Since taking office in
2007, DiNapoli has committed to fighting public corruption and encourages the
public to help fight fraud and abuse. New Yorkers can report allegations of
fraud involving taxpayer money by calling the toll-free Fraud Hotline at
1-888-672-4555, by filing a complaint online at investigations@osc.ny.gov,
or by mailing a complaint to: Office of the State Comptroller, Division of
Investigations, 8th Floor, 110 State St., Albany, NY 12236.