Quantcast

Queens doctor busted for insurance fraud

A Queens doctor who works in Flushing and Far Rockaway allegedly received more than $25,000 in insurance payments for medical services that he never provided.

Dr. Stanley-Sangwook Kim, 41, of Manhasset, Long Island, who maintains a medical practice at 33-34 Parsons Blvd. in Flushing, and is the director of the surgical residency program at St. John’s Episcopal Hospital in Far Rockaway, was arraigned Wednesday on charges of insurance fraud, grand larceny, petit larceny, possession of stolen property, falsifying business records and scheme to defraud, District Attorney Richard Brown said. If convicted, Kim faces up to seven years in prison.

The doctor is accused of submitting claims of more than $63,000 to six health insurance companies for medical treatments he supposedly administered to 13 patients between May 2012 and September 2013.

Those claims were false, and Kim received $25,060 from the insurance companies, according to Brown.

Twelve of the thirteen patients had been treated by the doctor for ailments other than what had been claimed, prosecutors said. The fraud was revealed when a woman complained to her insurance company that she had been billed for a service that was never performed.

“To a dishonest health care provider, a patient’s medical data is like having access to their credit card – and can be more valuable as most people scrutinize their credit card statements much more closely than they do explanation of benefits printouts,” Brown said. “[These] criminal charges send a clear message to those who attempt to fleece the system for their own personal gain that law enforcement’s fight against insurance fraud is ongoing and that those who cheat will be sought out and prosecuted.”

RECOMMENDED STORIES

More from Around New York