Green Cove Springs, Florida, January 21, 2026
Clay Eye Holdings LLC, an ophthalmology practice in Clay County, has agreed to a $2.1 million settlement to resolve allegations of submitting false claims for unnecessary medical procedures. The U.S. Department of Justice announced the settlement, which includes $1.8 million to the U.S. and $300,000 to Florida’s Medicaid program. This case highlights the ongoing efforts to combat healthcare fraud and emphasizes the need for compliance among healthcare providers to avoid similar issues in the future.
Clay County Eye Practice Settles Kickback Allegations for $2.1 Million
Green Cove Springs, Florida – Clay Eye Holdings LLC, an ophthalmology practice based in Clay County, has agreed to pay $2.1 million to resolve allegations of submitting false claims to Medicare and Medicaid. The U.S. Department of Justice announced the settlement on January 15, 2026.
Details of the Settlement
The settlement addresses claims that Clay Eye Holdings LLC knowingly submitted false claims for medically unnecessary cranial ultrasounds. These procedures were performed on patients diagnosed with conditions such as diabetes, hypertension, and glaucoma. The ultrasounds were conducted under agreements with a third-party provider, who identified patients as having serious diagnoses that could qualify for Medicare or Medicaid reimbursement. However, most patients did not have these conditions, leading to false claims for reimbursement. The settlement amount includes $1.8 million to the United States and $300,000 to the State of Florida for its share of Medicaid.
Context and Background
This case is part of a broader effort by the Department of Justice to combat healthcare fraud. Similar settlements have been reached with other ophthalmology practices in Florida, including Brandon Eye Associates P.A., which agreed to pay $1.3 million in November 2024 for similar allegations. These actions underscore the government’s commitment to ensuring the integrity of federal healthcare programs and holding providers accountable for fraudulent activities.
Implications for Healthcare Providers
Healthcare providers are reminded of the importance of compliance with federal regulations, particularly the Anti-Kickback Statute and the False Claims Act. Engaging in fraudulent billing practices not only results in significant financial penalties but also damages the trust between providers and patients. It is crucial for healthcare organizations to implement robust compliance programs to prevent such violations and maintain the integrity of healthcare services.
About Clay Eye Holdings LLC
Clay Eye Holdings LLC is an ophthalmology practice located in Clay County, Florida. The practice offers a range of eye care services, including routine eye exams, cataract surgery, and treatment for various eye conditions. The recent settlement does not affect the quality of care provided to patients but serves as a reminder of the importance of ethical billing practices in the healthcare industry.
Related News
- Florida Ophthalmology Practice Agrees to Pay $1.3M to Resolve Allegations of Fraudulent Claims for Cranial Ultrasounds
- Drug Maker Teva Pharmaceuticals Agrees to Pay $450M in False Claims Act Settlement to Resolve Kickback Allegations Relating to Copayments and Price Fixing
- Drug Wholesaler Agrees to $1.5 Million Settlement of Anti-Kickback Statute and False Claims Act Allegations
FAQ
What allegations were made against Clay Eye Holdings LLC?
Clay Eye Holdings LLC was accused of knowingly submitting false claims for medically unnecessary cranial ultrasounds performed on patients who did not have the serious diagnoses claimed.
How much is the settlement that Clay Eye Holdings LLC agreed to pay?
The settlement amounts to $2.1 million, which includes $1.8 million to the United States and $300,000 to the State of Florida for its share of Medicaid.
What has been the government’s response to healthcare fraud?
The Department of Justice has taken a broader effort to combat healthcare fraud, with similar settlements against other ophthalmology practices in Florida highlighting its commitment to integrity in federal healthcare programs.
What does this case signify for healthcare providers?
This case serves as a critical reminder for healthcare providers about the importance of compliance with federal regulations and the negative consequences of engaging in fraudulent billing practices.
How does this settlement impact the quality of care at Clay Eye Holdings LLC?
The recent settlement does not affect the quality of care provided to patients at Clay Eye Holdings LLC.
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