The U.S. Department of Justice’s Office of Public Affairs recently announced the uncovering of a $328 million cardiovascular genetic testing fraud ploy involving former NFL player, Keith J. Gray.
Gray, along with his clinical laboratories Axis Professional Labs LLC (Axis) and Kingdom Health Laboratory LLC (Kingdom), is accused of:
- Spearheading a plot to invoice Medicare for “medically unnecessary genetic tests designed to evaluate the risk of various cardiovascular diseases and conditions.”
- Bribing marketers to share information about Medicare beneficiaries such as their DNA samples, personal information, and unnecessary test orders. Test orders were obtained by the marketers through harassing primary care physicians to approve them. The marketers alleged that the patients in question were previously approved for testing. The “qualification” happened “during telephone calls conducted by non-medical personnel at one of the companies retained by the marketers,” not by the patients’ physicians.
- Using false contracts and invoices and money laundering to cover up the scheme.
Gray was convicted of:
- “Conspiracy to defraud the United States and to pay and receive health care kickbacks
- Five counts of violating the Anti-Kickback Statute
- Three counts of money laundering”
Gray is facing up to a decade in prison per count. A sentence is yet to be made.
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