(WNY News Now) – NY — New York State Comptroller Thomas P. DiNapoli and Ulster County District Attorney Emmanuel C. Nneji have announced that Gina Bradshaw, an office manager for several doctors’ offices in Manhattan, has pleaded guilty to defrauding the New York State Insurance Plan (NYSHIP) out of over $12,000 by submitting fraudulent medical claims. Bradshaw was arrested in September 2023 following a thorough investigation by multiple agencies.
Collaboration Uncovers Fraud
“Ms. Bradshaw thought she could game New York State’s employee benefit system by submitting fake claims for reimbursement for personal gain,” said State Comptroller DiNapoli. “Thanks to my partnerships with District Attorney Nneji, the FBI, and the State Police, her scheme was exposed and she has been held accountable.”
Ulster County District Attorney Emmanuel C. Nneji emphasized the importance of interagency collaboration. “The cooperation among the various agencies in the Hudson Valley White Collar Crime Task Force, along with our Office and the Comptroller’s Office, is essential in detecting and prosecuting fraud against New York and Ulster County taxpayers. I thank all the investigators whose dedicated service led to accountability for the defendant in this case.”
New York State Police Superintendent Steven G. James highlighted the collective effort in this investigation. “This guilty plea is a direct result of the cooperative efforts of the many agencies involved. Ms. Bradshaw knowingly exploited the health insurance system for personal profit. Financial crimes of any kind will not be tolerated in New York State. I thank the Comptroller’s Office, Ulster County District Attorney’s Office, FBI, and the Hudson Valley White Collar Crime Task Force for their partnership in exposing this fraud.”
The Scheme and Investigation
Gina Bradshaw, 50, of Maybrook, N.Y., worked as an office manager for multiple Manhattan doctors’ offices. Her family was enrolled in NYSHIP through her husband’s state employment. NYSHIP members using out-of-network providers can get a portion of their costs reimbursed directly. Bradshaw exploited this by submitting false claims for non-existent services at the offices where she worked, resulting in over $12,000 in unwarranted payments.
The investigation began with a complaint from United Healthcare’s Special Investigations Unit, who also assisted in the investigation. Bradshaw pleaded guilty to Health Care Fraud in the third degree.
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