North Carolina man admits orchestrating health care fraud, kickback scheme that stole $60M from taxpayers

North Carolina man admits orchestrating health care fraud, kickback scheme that stole $60M from taxpayers

WASHINGTON — A North Carolina man pleaded guilty Wednesday to defrauding Medicare out of $60 million through a kickback scheme involving bogus tests for COVID-19, flu and other viruses.

James Shuford Price III copped to filing a false tax return and paying off collectors of sham test specimens after pilfering funds from Medicare and the California Medical Assistance Program (Medi-Cal) to pay for the tests at his lab in the Golden State.

The 59-year-old Raleigh native faces up to 13 years in prison and a $500,000 fine when sentenced, along with three years of supervised release.

A North Carolina man pleaded guilty Wednesday to defrauding Medicare out of $60 million through an illegal kickback scheme involving bogus COVID-19, flu and other virus tests. U.S. Attorney’s Office, Eastern District of North Carolina

Price owned Los Angeles-based Golden Star Labs and submitted $11 million in false claims to Medicare and $85 million in false claims to Medi-Cal for SARS-CoV-2, Influenza A and B, and Respiratory Syncytial Virus (RSV) tests between August 2023 and June 2025.

Medicare and Medi-Cal responded by forking over more than $60 million to Golden Star. The FBI and US Attorney’s Office in the Eastern District of North Carolina later seized $6 million in assets.

“Stealing taxpayer dollars that should be used to help legitimate beneficiaries is lowdown, dirty pool. We have a message to fraudsters who steal federal dollars: we will catch, prosecute, and imprison you. Cheaters. Never. Win,” said Eastern North Carolina US Attorney Ellis Boyle.

The collectors committed “widespread identity theft” — including of out-of-state physicians — to obtain the samples, according to prosecutors. Vitalii Vodolazskyi – stock.adobe.com

Price worked with so-called “collectors” in California and other states who were paid more than $17 million to supply samples between August 2023 and January 2025.

The collectors committed “widespread identity theft” — including of out-of-state physicians — to obtain the specimans, according to prosecutors.

For example, upwards of 90% of the claims Price submitted from his lab to Medi-Cal used fake test requests based on stolen personal information from five clinicians.

“These fake contracts were meant to give the false appearance that GSL was complying with the law,” the Department of Justice noted in a press release. Tada Images – stock.adobe.com

Each had seemingly signed phony contracts with Price’s GSL lab to hand over the samples for a fixed fee.

“These fake contracts were meant to give the false appearance that GSL was complying with the law,” the Department of Justice noted in a press release.

“However, the same kickback scheme with GSL paying collectors on a per-specimen basis to induce referrals continued without regard to these phony contracts, resulting in millions of dollars in Medi-Cal/Medicare payouts to GSL.”

In 2022, Price also filed a false federal income tax return based on income he received — to which he also pleaded guilty.

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