Erik X. Alonso (psychotherapist — repeat offender)

New Hampshire, NH 2020--2025 Behavioral Health
DOJ OIG Medicaid Fraud False Claims Billing While Excluded Repeat Offense
Penalty
$0

Outcome

Repeat offender psychotherapist Erik Alonso — already excluded from federal health care programs after a 2015 conviction — pleaded guilty to fraudulently billing New Hampshire Medicaid for psychotherapy sessions while on the OIG exclusion list.

Details

Erik X. Alonso (New Hampshire) — Repeat Healthcare Fraud While Excluded

Outcome: Psychotherapist Erik Alonso pleaded guilty to healthcare fraud for billing New Hampshire Medicaid for psychotherapy sessions while already on the OIG exclusion list from a 2015 Florida conviction.

Erik X. Alonso (age 55), a psychotherapist based in Miami, Florida, was previously convicted in 2015 in the Southern District of Florida of conspiracy to commit healthcare fraud. Following that conviction, he was placed on the HHS-OIG Exclusion List — a federal debarment that bars him from receiving any payments from Medicare, Medicaid, or other federal healthcare programs.

Despite being excluded, Alonso continued to engage in healthcare fraud, this time targeting New Hampshire Medicaid by submitting fraudulent billing for psychotherapy sessions. The scheme required either billing under another provider's credentials or concealing his excluded status to obtain payment from a Medicaid program he was legally prohibited from participating in.

Alonso pleaded guilty to one count of healthcare fraud on November 13, 2025, prosecuted by the U.S. Attorney's Office for the District of New Hampshire. This case illustrates why exclusion list checks at claim submission — not just at enrollment — are essential compliance controls.

Primary Source: Repeat Offender Pleads Guilty To Health Care Fraud Scheme In New Hampshire

How Crucible Prevents This

Crucible's OIG exclusion list screening hooks would directly prevent excluded individuals from billing; a real-time LEIE check at every claim submission — not just at enrollment — would block claims from excluded providers even if they obtain credentials through a new entity.

Source: Repeat Offender Pleads Guilty To Health Care Fraud Scheme In New Hampshire

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