A federal grand jury in Wilmington, Delaware has indicted Ty Mauldin, 34, of South Dakota, on charges related to the illegal diversion of opioid pills and health care fraud. The announcement was made by Benjamin L. Wallace, U.S. Attorney for the District of Delaware.
According to court documents, Mauldin worked as a medical biller and credentialer, giving him access to professional licensure information for various medical professionals. Prosecutors allege that he used this access to steal the identities of these professionals and order thousands of opioid pills from wholesale pharmaceutical suppliers without their knowledge or approval.
Authorities also state that Mauldin falsified his own electronic health records and created forged documents to present himself as a cancer patient in need of pain management. Based on these false representations, he received treatment from a pain management doctor, including the installation of an intrathecal pain pump and prescriptions for opioids. His private health insurer paid for these services under fraudulent pretenses.
Additionally, Mauldin allegedly misrepresented himself as a certified health professional, at times claiming to be a licensed nurse and obtaining a medical assistant certification through fraudulent means. These false claims led him to perform Transcranial Magnetic Stimulation therapy on patients with the approval of a Nurse Practitioner who believed his credentials were legitimate. He then submitted false claims to Medicaid for reimbursement for these services.
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 said: “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 of obtaining drugs by fraud. If convicted, sentencing would be determined by a federal district court judge according to U.S. Sentencing Guidelines.
The investigation is being conducted by the Federal Bureau of Investigation (FBI) along with the Delaware Department of Justice’s Medicaid Fraud Control Unit. Assistant U.S. Attorneys Jesse S. Wenger and William E. LaRosa are prosecuting the case.
It is emphasized that an indictment is an allegation; all defendants are presumed innocent until proven guilty beyond reasonable doubt in court proceedings.
More information about this case can be found at the website for the U.S. Attorney’s Office for the District of Delaware or through PACER by searching Case No. 25-CR-147-JLH.
