David Nogaki admitted to submitting claims to AmeriHealth, Aetna, Horizon Blue Cross Blue Shield of New Jersey and United Healthcare, prosecutors said.
PRINCETON — A North Brunswick man admitted today that he defrauded health insurance companies through a Princeton exercise coaching business, federal prosecutors said.
David Nogaki, 42, could face up to 10 years in prison and hundreds of thousands of dollars in fines for falsely claiming that Source Institute for Human Performance provided clients with physical therapy, a news release from the U.S. Attorney’s Office of New Jersey said. Court records show that Source Institute received over $200,000 from the scheme, the office said.
Nogaki was a partner at Source Institute, a company that provided exercise, strength, conditioning and performance services to students, faculty and staff at certain high schools in New Jersey, prosecutors said.
According to court records, Nogaki and unnamed conspirators at Source Institute developed a scheme to enrich themselves by billing their personal training session as physical therapy sessions that could be covered by health insurance, the U.S. attorney’s office said.
Records also show that Nogaki and his conspirators would ask clients for their health insurance information and then lie to the insurance companies, indicating Source provided physical therapy, officials said.
Officials said records also show Source treated individuals who had prescriptions for physical therapy and then billed insurers. For others, who did not have prescriptions, Nogaki allegedly made up his own diagnosis and then billed insurers as if he had provided physical therapy.
Nogaki admitted to submitting claims to AmeriHealth, Aetna, Horizon Blue Cross Blue Shield of New Jersey and United Healthcare, prosecutors said.
He is scheduled for sentencing in May.
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