Maybrook Resident Pleads In Health Care Fraud Case: NYS Comptroller

HUDSON VALLEY, NY — A Maybrook resident who bilked the New York State Insurance Plan for about $12,000 has pleaded guilty to third-degree health care fraud.

Gina Bradshaw, an office manager for numerous doctors’ offices in Manhattan, was arrested in September 2023 following a joint investigation by the New York State Comptroller's Office, the Ulster County District Attorney’s office, the Federal Bureau of Investigations (FBI) – Hudson Valley White Collar Crime Task Force, and the New York State Police.

Through her husband’s employment with New York state, Bradshaw's family was enrolled in NYSHIP. When a NYSHIP member uses an out-of-network health care provider they can have a portion of the medical costs they paid to a provider reimbursed by a check from NYSHIP sent directly to them.

In order to obtain unwarranted payments, Bradshaw, 50, used her positions to submit false claims to NYSHIP, purporting that services were provided to her by two medical offices where she worked although they never occurred, prosecutors said. She received over $12,000 in reimbursement checks.

"Ms. Bradshaw thought she could game New York State’s employee benefit system by submitting fake claims for reimbursement for personal gain,” State Comptroller Thomas DiNapoli said in a news release. “Thanks to my partnerships with District Attorney Nneji, the FBI, and the State Police, her scheme was exposed and she has been held accountable.”

The investigation into her activities began with a complaint from United Healthcare Special Investigations Unit, who assisted with the investigation.

"The collaboration among the various agencies that are part of the Hudson Valley White Collar Crime Task Force, as well as between our Office and the New York State Office of the Comptroller, is essential to the detection and prosecution of fraud against New York and Ulster County taxpayers," said Ulster County District Attorney Emmanuel C. Nneji. "I thank all the investigators from across the state whose dedicated service led to accountability for the defendant in this case.”