United States Attorney Gerard M.

Karam
Middle District of Pennsylvania

FOR IMMEDIATE RELEASE PIO CONTACT: Dawn Clark

THURSDAY, MAY 11, 2023 WORK: (717) 221-4458
WWW.JUSTICE.GOV/USAO/PAM CELL: (717) 975-7128
EMAIL: Dawn.Clark2@usdoj.gov

CAMBRIA COUNTY WOMAN CHARGED WITH

CONSPIRACY TO COMMIT HEALTH CARE FRAUD

HARRISBURG - The United States Attorney’s Office for the Middle District of
Pennsylvania announced that Florentina Mayko, age 39, of Cambria County, Pennsylvania, was
charged by criminal information with one count of conspiracy to commit health care fraud for
defrauding Medicare and the U.S. Department of Health and Human Services between 2017 and
2019.

According to United States Attorney Gerard M. Karam, the information alleges that
Mayko agreed with others to defraud Medicare by submitting medically unnecessary urine drug
tests for chronic opioid patients at medical clinics where she was the chief executive officer,
including a group of clinics known as Pain Medicine of York or “PMY” (also known as All
Better Wellness).

Mayko became the CEO of Pain Medicine of York around January 2018. Prior to that,
Mayko served as Director of Operations of a group of medical practices known in the
information as “Practice Group 1.” Mayko was hired to work at Practice Group 1 by an
individual known in the information as Physician 1.

The owner of PMY, known as “PMY Owner” in the information, was friends with
Physician 1. Physician 1 was imprisoned for health care fraud and federal tax offenses in mid-
2017, at which point the operation of Practice Group 1 was transitioned to PMY. When Mayko
was promoted to the position of CEO of PMY, her responsibilities did not materially change.
From the time of her promotion onward, Mayko was in charge of the day-to-day management of
PMY’s operations.

PMY had a practice, established in 2016 by Physician 1 and PMY Owner, of ordering
multiple urine drug tests for each patient at every PMY office visit, despite a lack of medical
necessity. The information alleges that, from mid-2017 onward, Mayko and PMY Owner were
repeatedly confronted with information regarding the unlawful nature of the company’s UDT
billing practices but continued to utilize the practice until search warrants were executed at
PMY’s various locations in November 2019. PMY ceased operations soon thereafter.
 It is alleged that PMY billed Medicare for more than $10 million in urine drug tests from
mid-2017 through the end of 2019, and Medicare paid out over $4 million for these urine drug
tests. The urine drug tests ordered by PMY were sent to an in-house laboratory at PMY
whenever possible. As a result, when medically unnecessary tests were billed to Medicare, the
proceeds from them went to PMY itself, according to the information.

The case was investigated by the U.S. Department of Health and Human Services Office
of Inspector General, Federal Bureau of Investigation, Drug Enforcement Administration, and
the Pennsylvania Office of Attorney General. Assistant U.S. Attorney Ravi Romel Sharma and
Special Assistant U.S. Attorney Robert Smultkis are prosecuting the case.

The information also contains forfeiture allegations seeking properties located in Ocean
City, Maryland and Myrtle Beach, South Carolina.

The maximum penalty under federal law for conspiracy to commit health care fraud is 10
years of imprisonment, a term of supervised release following imprisonment, and a fine. A
sentence following a finding of guilt is imposed by the Judge after consideration of the
applicable federal sentencing statutes and the Federal Sentencing Guidelines.

Indictments and Criminal Informations are only allegations. All persons charged are
presumed to be innocent unless and until found guilty in court.

###