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Ex–New York Operations Manager Sentenced in $70M Medicare Brain Scan Kickback Scheme

Ex–New York Operations Manager Sentenced in $70M Medicare Brain Scan Kickback Scheme
AP Photo/Matt York

A former New York operations manager was sentenced in federal court in Boston for conspiring to offer and pay kickbacks to doctors in exchange for ordering medically unnecessary brain scans.

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Timothy Doyle, 45, of Selden, N.Y., was sentenced by U.S. District Court Judge Nathaniel M. Gorton to 14 months in prison, to be followed by one year of supervised release. 

The defendant was also ordered to pay $27 million in restitution and over $1 million in forfeiture. In January 2025, Doyle pleaded guilty to one count of conspiracy to violate the anti-kickback statute.

From at least June 2013 through at least September 2020, Doyle conspired with others, including two managers for a mobile medical diagnostics company that performed transcranial doppler (TCD) scans, to enter into kickback agreements with various doctors. 

TCD scans are brain scans that measure blood flow in specific brain regions. Doyle and his alleged co-conspirators agreed to offer and pay doctors kickbacks, some in cash and others by check, based on the number of TCD ultrasounds the doctors ordered. 

Doyle and his alleged co-conspirators created purported rental and administrative service agreements, which, on paper, made it appear as if doctors were compensated for the TCD company’s use of space and administrative resources of the ordering doctor’s practice based on fair market value and not based on the volume or value of referrals. These agreements were shams that hid the true nature of the arrangement of paying per test.  

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The scheme resulted in approximately $70.6 million in fraudulent bills to Medicare.  Medicare paid approximately $27.2 million to the TCD company for the fraudulent claims.

United States Attorney Leah B. Foley; Roberto Coviello, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General; Ted E. Docks, Special Agent in Charge of the Federal Bureau of Investigation, Boston Division; Thomas Demeo, Special Agent in Charge of the Internal Revenue Service Criminal Investigation, Boston Field Office; Anthony D’Esposito, Inspector General of the Department of Labor, Office of Inspector General; Nicholas Bucciarelli, Acting Inspector in Charge of the U.S. Postal Inspection Service, Boston Division; and Christopher Algieri, Special Agent in Charge of the U.S. Department of Veterans Affairs Office of Inspector General, Northeast Field Office made the announcement. Assistant U.S. Attorney Mackenzie Queenin, Chief of the Health Care Fraud Unit, prosecuted the case.

The details contained in the charging documents are allegations. The remaining defendants are presumed innocent unless and until proven guilty beyond a reasonable doubt in a court of law.

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