House Call Doctor from Oak Creek Accused of Identity Theft and Medicaid Fraud

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A 52-year-old Oak Creek physician, Farid Ahmed, who specializes in house calls, has been charged with identity theft and fraud. He used a nurse’s identity card to write hundreds of prescriptions and defrauded Medicaid by billing for unnecessary services and services he didn’t provide. He now faces five felony counts. 

Ahmad lost his certification to provide medical services to Medicaid patients in the summer of 2018. After which, he used a nurse’s National Provider Identifier Standard (NPI) to prescribe medication.

National Provider Identifier, commonly known as NPI, is a unique ten-digit identification number given to healthcare providers by the Centers for Medicaid Services and Medicare. It is used for identification purposes in standard transactions by covered entities.

As per the nurse, whose NPI was used by the Oak Creek Physician, Ahmad was only allowed to use the nurse’s NPI to prescribe a non-narcotic medication to one patient, but he continued using the nurse’s NPI to write nearly 300 prescriptions, including eight prescriptions for controlled substances.

Medicaid is a combined state-federal program that helps low-income individuals afford necessary medical services. Doctors first provide services to such people then bill Medicaid for compensation. Ahmad overbilled Medicaid by over $15,000 by billing for unnecessary in-home examinations when his patients could have traveled to his office and billing for comprehensive medical examinations.

Assistant Attorney General Timothy J. Filipa from the Wisconsin Department of Justice (DOJ) Medicaid Fraud Control and Elder Abuse Unit is prosecuting the case. Wisconsin Department of Health Services is assisting with the case, and the DOJ Office of Crime Victim Services is providing victim services.

Dr. Ahmad is presumed innocent until proven guilty. He is scheduled to make an initial court appearance on June 7.

Identity-theft crimes are on the rise.

Farid Ahmed’s story is but one glimpse of what medical identity theft can look like these days. In 2020, law enforcement officials charged over 300 individuals for schemes involving more than $6B in fraudulent claims. The list includes over 100 licensed medical professionals and more than 20 healthcare executives.

Doctors are one of the most trusted professionals and highly respected, too, but such doctors who rip the system off are not only stealing from the taxpayers’ money, but also damaging the reputation of the medical community, and reshaping public opinion in ways that harm the people who truly need health care.