Behavioral therapist pleads guilty to health care fraud for submitting inflated insurance reimbursement claims

AUGUSTA, Georgia: The owner of a McDuffie County behavioral therapy service faces up to 10 years in federal prison and substantial financial penalties after pleading guilty to submitting fraudulent insurance reimbursement claims.

Mira Stallings, 41, of Thomson, Georgia, pled guilty in U.S. District Court to one count of Health Care Fraud, said Margaret E. “Meg” Heap, U.S. Attorney for the Southern District of Georgia. The plea subjects Stallings to a statutory sentence of up to 10 years in prison, payment of restitution and fines, and up to three years of supervised release upon completion of any prison term.

There is no parole in the federal system.

“Our health insurance programs, particularly those that provide benefits to our military servicemembers and their dependents, are vital to those who need assistance for medical treatment,” said U.S. Attorney Heap. “With our law enforcement partners, we will aggressively pursue those who fraudulently access those funds for their own personal gain.”

As described in court documents and testimony, Stallings is a licensed behavioral therapist and owner of ABAscape LLC, a Thomson, Georgia, agency that provided behavioral therapy services to individuals with developmental disabilities. A parent of patients who received services from ABscape reported concerns about billing discrepancies to TRICARE, the health care and insurance program serving active duty servicemembers and their families.

The resulting investigation determined that from June 2020 through May 2023, Stallings submitted false and fraudulent billing claims to TRICARE for individual and group therapy services that were not provided, or were not provided as presented. The investigation determined that the fraudulent billing for more than $652,000 resulted in TRICARE payments of more than $572,000. 

In addition, Stallings, through ABAscape, applied for Economic Injury Disaster Loans (EIDL) under the federal Coronavirus Aid, Relief, and Economic Security (CARES) Act, under the guise of seeking funding for working capital to alleviate economic injury from the COVID-19 pandemic. She received nearly $1 million, and while certifying in her application that the funds would not be used for personal or household purposes, Stallings instead spent tens of thousands of dollars on personal credit card debts and to a debt collector, salary payments to a family member for fraudulent services, personal purchases from online vendors and retail stores, and nearly $50,000 for the construction of a dog-breeding compound. 

“The reach of this investigation extends beyond healthcare into the deliberate manipulation of federal programs designed to support honest small businesses,” said Special Agent-in-Charge, Jason J. Sargenski, Defense Criminal Investigative Service Southeast Field Office. “By allegedly utilizing wire fraud to siphon resources from the Small Business Administration while simultaneously defrauding TRICARE, the defendant demonstrated a pattern of deceit that harms both the taxpayer and the integrity of our nation's essential support systems. We remain dedicated to following the trail of fraud wherever it leads to ensure those who prioritize personal greed over public service are held fully accountable.”

U.S. District Court Judge J. Randall Hall will schedule sentencing for Stallings after U.S. Probation Services submits a presentencing investigation report.

The case was investigated by the Defense Criminal Investigative Service, and prosecuted for the United States of America by Southern District of Georgia Assistant U.S. Attorneys Patricia G. Rhodes and Jennifer S. Thompson.