Central Texas optometrist Dr. Tony Jacob has consented to pay over a million dollars to settle allegations of submitting false claims to federal healthcare programs. According to the U.S. Attorney's Office for the Western District of Texas, the claims were made utilizing incorrect National Provider Identifiers (NPIs), which are vital for tracking healthcare services in administrative transactions.

This settlement aims to fully to settle the charges brought against Dr. Jacob for alleged misuse of NPIs—unique identifiers required by healthcare providers for submitting claims for reimbursement. The government claimed that Dr. Jacob’s practices wrongfully billed Medicare, TRICARE, and Medicaid for services rendered by optometrists not enrolled or credentialed with these federal programs using NPIs of different optometrists. The United States will receive $922,071.59, with Texas receiving the remaining $133,308.37.

U.S. Attorney Jaime Esparza emphasized the gravity of the allegations, stating, "Providers who submit inaccurate billing information threaten the integrity of program funds." He promised continued efforts with law enforcement to ensure compliance with federal healthcare regulations. Moreover, Acting Special Agent in Charge Ryan Settle of the Defense Criminal Investigative Service’s Southwest Field Office acknowledged the dedication of DCIS to safeguarding the health and well-being of TRICARE beneficiaries, vigorously pursuing those who compromise the healthcare system for personal gain.

The civil case, originating from a qui tam lawsuit, was a result of a whistleblower taking action. These provisions allow private parties to sue on behalf of the government and potentially share in the recovery. 

Assistant U.S. Attorney Thomas Parnham managed the negotiations leading up to the settlement on behalf of the United States. While the hefty settlement of $1,055,379.96 helps to address the misuse of funds, it comes with no admission of liability as the claims settled are merely allegations.