Over $12 Million Medicaid Fraud Scheme Leads to 14 Years of Prison for Substance Abuse Facility, Owner, Compliance Officer, and Office Manager

NEW BERN, N.C. – A federal judge has handed down more than 14 years in federal prison to participants in a $12.7 Million Medicaid fraud scheme that paid more than $1 Million in kickbacks to drug addict patients.  The case also resulted in the permanent closure of the fake substance abuse facility that carried out the crime, a $15 Million dollar fine, and the seizure of more than $6 Million in criminal proceeds, including cash, cars, and homes.

According to court documents, Keke Komeko Johnson, 53, of Goldsboro; Francine Sims Super, 64, of Kinston; Brandon Eugene Sims, 40, of Manvel, Texas; and Kimberly Mable Sims, 39, of Snow Hill; operated Life Touch, LLC, a purported substance abuse facility operating in Kinston and Goldsboro, and 1^st Choice Healthcare Services, a urine drug screening company.  Between 2018 and 2023, Inmates Johnson and Super oversaw payments of more than $1 Million in illegal kickbacks to Life Touch’s Medicaid patients, who were drug users. They paid these kickbacks to lure patients to show up for costly substance abuse and lab services that Inmate Johnson billed to Medicaid on behalf of Life Touch and 1^st Choice. Inmate Sims, Inmate Super’s daughter, owned 1^st Choice Healthcare, and paid Medicaid kickbacks to Inmates Super and Johnson for fake lab services ordered by Life Touch, LLC. Meanwhile, Inmate Brandon Sims, who owned Life Touch and resided in Texas, received Millions in illegal proceeds from the Life Touch operation, but failed to file or pay taxes on that money.  The gift card kickback scheme resulted in more than $12.7 Million fake billings to the Medicaid program.

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