Massachusetts man pleads guilty in healthcare fraud case

BOSTON (WWLP) – A healthcare company executive has pleaded guilty in a health benefit program fraud case.

According to the U.S. Attorney’s office in Boston, 42-year-old Miguel Saravia of Hanson pleaded guilty to six counts of healthcare fraud in a Boston federal court on Thursday. Saravia is the CEO of Dana Group Associates, and also the former COO of Prime Behavioral Health.

Investigators say that from 2017-2022, Saravia had persons with no billing or medical training enter Current Procedural Terminology codes (CPT) for therapy services that were not provided and to upcode CPT codes used for psychotherapy visits. He submitted, or directed the submission of, false claims for treatment that was not provided or for more complex and expensive treatment than was provided.

Saravia is scheduled for sentencing on January 2, 2025, and could face up to 10 years in prison and a fine of up to $250,000.

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