Nick Shirley Just Exposed $190 Million in Medicare Fraud In NYC

Here’s how the scam works, and it’s almost insultingly simple once you see it

“No one knows who the owner is. Everyone hired in the past month. Impossible to bill for 8,000 patients. 100% fraud.” Shirley’s own summary, posted publicly, is as clean and damning as a prosecutor’s opening statement.

James O’Keefe called it “legendary reporting.” Kevin Corke, the Fox News White House correspondent, said it’s “tip of the iceberg.” He’s almost certainly right. New York City’s adult day care industry has been flagged for fraud concerns for years. Federal prosecutors have brought cases against operators in this space before. And yet the billing data Shirley accessed — which is public, available to any journalist with a laptop and a few hours — apparently wasn’t interesting enough for any major media outlet to act on before a citizen journalist with a camera beat them to it.