A federal grand jury in Wilmington, Delaware, has indicted Ty Mauldin, 34, of South Dakota on charges of aggravated identity theft, health care fraud, and obtaining drugs by fraud. According to the U.S. Attorney for the District of Delaware, Benjamin L. Wallace, Mauldin allegedly used his position as a medical biller and credentialer to access professional licensure information of medical professionals he worked with.
Authorities allege that Mauldin used this information to order thousands of opioid pills through wholesale pharmaceutical suppliers and prescribed himself opioids without the knowledge or approval of the medical professionals whose identities he used. Additionally, court documents state that Mauldin falsified his own electronic medical records and created forged documents to present himself as a cancer patient needing pain management services. As a result of these actions, he received treatment from a pain management doctor and caused his private health insurer to pay for related services, including an intrathecal pain pump installation and opioid prescriptions.
Mauldin is also accused of falsely representing himself as a certified health professional—including claiming at times to be a licensed nurse—and obtaining a medical assistant certification by fraudulent means. He allegedly convinced a Nurse Practitioner to allow him to perform Transcranial Magnetic Stimulation therapy on patients and submitted false claims to Medicaid for reimbursement.
U.S. Attorney Wallace stated: “Ty Mauldin’s actions resulted in the illegal diversion of thousands of doses of opioid medication. And his actions falsely portraying himself as a medical professional undermine the public’s confidence in our health system. My office and our partners will continue to do everything in our power to prevent the illegal diversion of opioids and will pursue to the fullest extent of the law those who pose a public health threat to our communities.”
FBI Baltimore Special Agent in Charge Jimmy Paul commented: “Ty Mauldin is a con artist and charlatan who abused privileged information obtained through his job to fuel his drug addiction. But his crimes didn’t end there. Mauldin recklessly masqueraded as a medical professional. His schemes and lies endangered innocent patients. The FBI will rigorously investigate allegations of healthcare fraud and root out criminals seeking to take advantage of our systems and put others in harm’s way.”
Delaware Attorney General Kathy Jennings added: “We cannot, must not, and will not tolerate healthcare fraud. The crimes and lies that rob the healthcare system prey on taxpayers and pick the pockets of everyone who relies on quality medical care. We will continue to investigate and hold accountable those who defraud our healthcare system. I’m grateful for our federal partners’ leadership on this indictment.”
Mauldin faces thirteen counts of aggravated identity theft, two counts of health care fraud, and seven counts related to obtaining drugs by fraud. If convicted, sentencing would be determined by a federal district court judge based on U.S. Sentencing Guidelines.
The case is being investigated by the Federal Bureau of Investigation along with Delaware Department of Justice’s Medicaid Fraud Control Unit; prosecution is led by Assistant U.S. Attorneys Jesse S. Wenger and William E. LaRosa.
The indictment serves only as an allegation; all defendants are presumed innocent until proven guilty beyond reasonable doubt in court proceedings.
More details about this case can be found on the website for the U.S. Attorney’s Office for the District of Delaware or through PACER under Case No. 25-CR-147-JLH.
