Header: Florida Laboratory Owner Pleads Guilty to $52M Medicare Fraud Scheme Involving Genetic Tests
Read all about it;
###
On January 29, 2026, DOJ released an unusually detailed press release about a pled-guilty Medicare fraud case in Florida. Writing,
"A Florida man pleaded guilty on Jan. 15 for his role in a scheme to defraud Medicare by submitting over $52 million in false and fraudulent claims for genetic testing that Medicare beneficiaries did not need and that were based on prescriptions purchased through illegal kickbacks and bribes.....Owned and operated two laboratories, Live Beyond Medical MGMT, LLC and Dynix Diagnostics LLC, through which he purchased doctors’ orders for expensive genetic testing from patient recruiters. The patient recruiters ran deceptive telemarketing campaigns..."
The original release includes links to court documents both at USDOJ and the commercial source Pacer (see 25-cr-80105). See a 17-page June 2025 court document here.
The case includes recoupment of a Rolls Royce. Note that DOJ headlines "charges" not "payments" - charges were about double payments in this case.
####
Google suggests the NPI for Live Beyond Medical was 1386229938 and for Dynix 1760930697.
For 2019-2023, I checked granular CMS public data on payments to each lab (CMS lab and CPT data here).
I checked data from 2019, 2020 (Dynix only), through 2022 (both labs billing).
Just a Chem Lab in 2020
In 2019, 2020, Dynix was a modest diversified clin chem lab (paid about $300,000 by FCSO in 2020).
Pivots to Big Genetic Lab in 2021
In 2021-2022, both Live Beyond and Dynix were billing, and had swung toward huge numbers of medically unlikely genetic tests.
In 2021, $23M revenue was roughly split between the two labs.
In 2022, Live Beyond was just a few percent of $12M revenue.
In 2023, neither lab was billing.
OMG Asleep?
Fascinatingly, as this MAC cut back on Tier 2 codes (81406, 81407, 81408) after 2021, the exact same labs simply pivoted to other, equally unlikely high dollar genetic codes to that same MAC in 2022 so that payments continued.
2021, $23M:
2022 (tier 2 codes gone) $12M:
###
###
Here’s the same write-up in clean paragraph form without citations:
This document is a federal criminal charging document called an “Information,” filed in the U.S. District Court for the Southern District of Florida against [named]. An Information is similar to an indictment, but instead of being issued by a grand jury, it is filed directly by federal prosecutors when a defendant waives the right to grand jury indictment and agrees to proceed on the charges as written. That waiver appears at the end of the filing.
The case alleges a large Medicare fraud scheme involving genetic testing between January 2021 and October 2023.
Prosecutors allege Alterman operated or controlled genetic testing laboratories that obtained Medicare payments for expensive DNA-based tests that were not medically necessary. The government says beneficiaries were targeted through telemarketing campaigns and persuaded to agree to testing regardless of clinical need. Recruiters allegedly used a tactic sometimes called “doctor chasing,” in which physicians received pre-filled or misleading materials and signed orders for testing without examining or treating the patients. The filing states that non-medical personnel selected testing panels and billing codes in a way designed to maximize reimbursement. The scheme allegedly relied on illegal kickbacks paid to recruiters in exchange for patient referrals and signed physician orders, with the payments disguised as marketing or consulting fees.
Two laboratories are identified as central to the billing activity: Live Beyond Medical MGMT and Dynix Diagnostics. According to the Information, Live Beyond submitted roughly $20 million in Medicare claims and received about $15 million in payments, while Dynix submitted approximately $32 million and received about $21 million. Together, that represents alleged Medicare payments of roughly $36 million. The filing further alleges that Alterman personally received about $5.5 million in proceeds through related companies.
The charges are structured in two counts. Count 1 alleges conspiracy to commit health care fraud under federal law, which carries a maximum penalty of 10 years in prison. Count 2 alleges conspiracy to offer and pay health care kickbacks, which carries a maximum of 5 years. Each count also allows for substantial fines and restitution. As examples of the alleged kickbacks, the filing lists payments of about $1.18 million, $750,000, and $425,000 made to a recruiter’s companies in 2021–2023.
The government is also seeking forfeiture of assets allegedly traceable to the fraud, including a residential property in Lake Worth, Florida, a 2022 Rolls-Royce Ghost, and any additional proceeds or substitute assets that can be located.
In short, prosecutors contend that this was a multi-year genetic testing scheme built on telemarketing, improper physician orders, kickbacks for referrals, and billing Medicare for tests that did not meet coverage rules, resulting in tens of millions of dollars in payments. The filing represents formal criminal charges but not a conviction; the allegations remain to be proven in court.
