Former Certified Nurse Practitioner Pleads Guilty to Drug Diversion and Health Care Fraud
PITTSBURGH - A resident of Pittsburgh, Pennsylvania, pleaded guilty in federal court to charges of drug diversion and health care fraud, United States Attorney Cindy K. Chung announced today.
Larry J. Goisse, Jr., 38, of the City’s Mt. Washington neighborhood, pleaded guilty to six counts today before Senior United States District Judge Nora Barry Fischer. Goisse’s guilty plea included one count of an Indictment charging him with drug diversion, and five counts of an Information charging him with health care fraud.
In connection with the guilty plea, the court was advised that in September and October 2018, Goisse, a former certified nurse practitioner, continued to prescribe Adderall and submit claims to Medicare for office visits under a co-worker’s license after his nursing license was suspended.
Judge Fischer scheduled sentencing for Jan. 19, 2023 at 9:30 a.m. The law provides for a total sentence of not more than 30 years in prison, a fine of $1,250,000, or both. Under the Federal Sentencing Guidelines, the actual sentence imposed is based upon the seriousness of the offenses and the prior criminal history, if any, of the defendant.
Assistant United States Attorney Robert S. Cessar is prosecuting this case on behalf of the government.
The investigation leading to the filing of charges in this case was conducted by the Western Pennsylvania Opioid Fraud and Abuse Detection Unit (OFADU). The Western Pennsylvania OFADU, led by federal prosecutors in the U.S. Attorney’s Office, combines the expertise and resources of federal and state law enforcement to address the role played by unethical medical professionals in the opioid epidemic. This unit has investigated and prosecuted more corrupt health care professionals than any other U.S. Attorney’s Office in the country.
The agencies which comprise the Western Pennsylvania OFADU include: Federal Bureau of Investigation, U.S. Health and Human Services – Office of Inspector General, Drug Enforcement Administration, Internal Revenue Service-Criminal Investigations, Pennsylvania Office of Attorney General - Medicaid Fraud Control Unit, Pennsylvania Office of Attorney General – Bureau of Narcotic Investigations, United States Postal Inspection Service, U.S. Attorney’s Office – Criminal Division, Civil Division and Asset Forfeiture Unit, Department of Veterans Affairs-Office of Inspector General, Food and Drug Administration-Office of Criminal Investigations, U.S. Office of Personnel Management – Office of Inspector General and the Pennsylvania Bureau of Licensing.