The Atlanta Journal-Constitution

Trial date set for Oxendine to face charges of health care fraud and money laundering

Former insurance commission­er due in court April 15.

- By Rosie Manins rosie.manins@ajc.com

Former Georgia insurance commission­er and gubernator­ial candidate John Oxendine is due to stand trial in April on federal charges of conspiracy to commit health care fraud and money laundering.

A federal judge has rejected Oxendine’s attempt to dismiss the criminal charges and set an April 15 trial date.

Oxendine served as insurance commission­er for 16 years before launching an unsuccessf­ul campaign for the Republican nomination for governor in 2010. He was indicted in May 2022 and pleaded not guilty to single counts of conspiracy to commit health care fraud and conspiracy to commit money laundering.

Oxendine remains free on a $100,000 signature bond. His lawyers and the prosecutor­s in the case are due to discuss trial details in a March 28 hearing. Oxendine’s attorneys did not immediatel­y respond Monday to questions about the case.

Prosecutor­s allege that Oxendine helped an Alpharetta doctor defraud health care insurance providers and received tens of

thousands of dollars in kickbacks. They said the arrangemen­t between 2015 and 2017 involved fraudulent insurance claims for medically unnecessar­y genetic and toxicology testing by Texas lab company Next Health.

Physician Jeffrey Gallups, who owned a chain of Atlanta-area medical clinics, was sentenced in June 2022 to three years in prison for ordering doctors who worked at his Ear, Nose & Throat Institute clinics to require unnecessar­y lab tests for patients. Gallups had a secret arrangemen­t with Next Health to split the money generated by the tests, prosecutor­s said.

Oxendine is accused of being a middleman by receiving through his now-defunct business Internatio­nal Medical Research the hundreds of thousands of dollars in kickbacks that the lab company paid Gallups. Oxendine kept more than $40,000 and used the rest to pay the doctor’s debts and charitable donations, prosecutor­s allege.

Gallups, who pleaded guilty to submitting fraudulent insurance claims, was ordered to pay more than $700,000 in restitutio­n and fined $25,000. In a separate civil case, Gallups and his company, Milton Hall Surgical Associates, agreed to pay about $3 million to settle a federal whistleblo­wer lawsuit alleging the scheme bilked government health care programs.

Prosecutor­s said Oxendine pressured doctors in Gallups’ clinics to order the lab tests during a speech at a Buckhead hotel in September 2015. They said Next Health submitted claims for more than $2.5 million in payment for tests ordered by Gallups’ practice, and that it received more than $600,000 from insurance companies as a result. Next Health was embroiled in a massive civil fraud lawsuit filed by UnitedHeal­thcare in a Texas federal court. In that case, Next Health and associates were ordered to pay more than $218 million in June 2023.

Oxendine, who denies the allegation­s, also faced accusation­s of campaign finance mismanagem­ent. In May 2022, Georgia’s ethics commission settled the last of its cases against Oxendine in exchange for about $128,000 in donor money.

Oxendine is the second former insurance commission­er to face criminal charges in federal court in recent years.

Jim Beck is serving more than seven years behind bars after being convicted in 2021 of embezzling more than $2 million from the Georgia Underwriti­ng Associatio­n, his former employer. Prosecutor­s said the money helped finance Beck’s successful campaign for office in 2018.

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