MURDER USA: Dr. Kofi Shaw Taylor and Dr. Hasan H. Babaturk Hit with Pill Mill Indictments
Maryland Board of Physicians suspended medical license of Shaw-Taylor on May 9, 2017; Attorney General says Shaw-Taylor killed two patients
BALTIMORE, MD –– Maryland Attorney General Brian E. Frosh announced on Aug.10, 2017, the indictments of Kofi Shaw-Taylor and nine co-conspirators, and Hasan H. Babaturk for the alleged unlawful distribution of controlled dangerous substances, and operating as “pill mills.”
Defendant Babaturk faces 21 counts of drug distribution and improper dispensing charges. Defendant Shaw-Taylor faces 289 counts of conspiracy to commit drug distribution, Medicaid fraud and other charges.
The indictments and arrests of Kofi Shaw-Taylor and his co-defendants come as a result of a collaborative investigation between the Maryland Office of the Attorney General, the U.S. Drug Enforcement Administration, and the U.S. Department of Health and Human Services Office of the Inspector General.
The indictment and arrest of Hasan Babaturk comes as the result of a joint investigation between the Maryland Office of the Attorney General and the Baltimore County Police Department.
“These physicians were using their skills not to heal, but to spread the disease of addiction,” said Attorney General Frosh. “They enriched themselves by stealing from the state and exploiting their patients. Today, they face the consequences.”
The Maryland Board of Physicians took action prior to the indictments, to pull the license of Shaw-Taylor and included details of their investigation which revealed the defrocked doctor was responsible for the death of at least one patient and likely many more as he spilled pills into the hands of hundreds of Maryland residents, as well as some from Virginia.
Disciplinary Panel B (“Panel B”) of the Maryland State Board of Physicians (the “Board”) hereby SUMMARILY SUSPENDS the license of Kofi Etruw Shaw-Taylor, M.D. (the “Respondent”) to practice medicine in the State of Maryland, License Number D26832.
Panel B takes such action pursuant to its authority under Md. Code Ann., State Gov’t Il (“State Gov’t”) S (2014 Repl. vol. and 2016 Supp.), concluding that the public health, safety or welfare imperatively requires emergency action. Panel B bases its conclusion on the following investigative findings after conducting an investigation.
Eighty-nine percent of all intoxication deaths that occurred in Maryland in 2016 were opioid-related. Opioid-related deaths include deaths related to heroin, prescription opioids, and non-pharmaceutical fentanyl. The number of opioid-related deaths increased by 70% between 2015 and 2016 and has nearly quadrupled since 2010
- . Prescribes controlled dangerous substances (“CDS”) out of his scope of practice and experience. Respondent claims he has gained experience of pain management “by extension of addiction medicine”; however, only through a brief three-hour training course, once a year, which he did not attend this past year;
- Prescribes excessively high doses of CDS, particularly opioids, without justification, creating a cycle of rapid tolerance and dependence;
- Prescribes benzodiazepines with opioids which place patients at an increased risk for respiratory depression;
- Fails to order regular toxicology screens for patients for whom he has prescribed high doses of CDS;
- Fails to address urine toxicology screening results that are inconsistent with prescribed medications, which are suggestive that the patients are either selling the prescribed CDS or are taking unprescribed CDS;
- Continues to prescribe opioids to patients after the urine toxicology screens are positive for cocaine, heroin, and/or methadone;
- Predominately prescribes opioid pain medications and other CDS as his sole method of “pain management;”
- Prescribes opioids prior to exhausting alternative therapeutic options such as injection therapy, physical therapy, chiropractic therapy, or surgery;
- Fails to adequately describe the rationale for his prescribing;
- Prescribes CDS without seeing the patients for an office visit;
- Fails to act in the best interest of patients by denying patients the care they require by appropriately trained specialists who could provide interventional and non-interventional procedures to actually alleviate the pain rather than mask it with opiates; and
- Fails to maintain a regular and predictable office schedule which causes patients to wait many hours to be seen or Respondent to pre-write prescriptions for patients without seeing them for an office visit, and leads to disorganization, poor charting, and inability to maintain consistent staffing.
The Board of Physicians concluded:
Respondent’s practicing pain medicine, a medical specialty for which he has had no training, his failure to maintain consistent, predictable office hours and to be available by telephone to pharmacists, the lack of organization in his practice and the level of chaos and near violence in the office, his lack of control over his patients, his rapidly increasing his “pain management” practice to levels that he could not adequately treat, and his lack of timely responses to the Board’s investigative subpoenas, are unprofessional, and in part, are the basis for Panel B’s finding that the public health, safety, and welfare imperatively requires emergency action.
Officials note epidemic
“Maryland and the country are in the midst of an opioid epidemic, much of it started by prescription drug abuse. When licensed prescribers, as alleged in the indictment, fail to do their due diligence in prescribing powerful medications, it often leads to the death and despair we are seeing across the country,” said Don Hibbert, Assistant Special Agent in Charge, Drug Enforcement Administration, Baltimore District Office.
“Greed continues to be the main driver in the illegal diversion of opioids and other drugs, which leads to further addictions, broken homes, deaths, and a drain on resources that could be used to keep people healthy and safe,” said Nick DiGiulio, Special Agent in Charge for the Inspector General’s Office of the U.S. Department of Health and Human Services in Philadelphia. “We will continue to work with our law enforcement partners to bring criminals to justice and thereby enable honest providers to serve our Medicare and Medicaid recipients.”
“Law Enforcement must use all available resources to fight the opioid epidemic. All of us, federal, state, and local agencies must work together to see a successful end to this crisis. Irresponsible medical professionals must and will be held accountable for their actions,” said Chief Terrence B. Sheridan of the Baltimore County Police Department.
Defendant Kofi Shaw-Taylor and Co-Defendants
The indictments allege that Kofi Shaw-Taylor and nine co-defendants operated two clinics that functioned as pill mills. A pill mill is a physician’s office, clinic or health care facility that routinely engages in the practice of prescribing and dispensing controlled dangerous substances outside the scope of professional practice and without legitimate medical purpose.
During the period of criminal activity alleged in the indictment, Shaw-Taylor was a licensed physician with a valid Maryland medical license number and U.S. Drug Enforcement Administration registration number. Shaw-Taylor was also a provider recognized by the State of Maryland’s Medicaid program.
From June 2015 through April 2017, Tormarco Harris, Kofi Shaw-Taylor, Happiness Aguzie, Minnie Ndem, and Alex Green owned and/or operated Starlife Wellness Center, and would see patients, many of whom paid up to $500 in cash for each visit. The owner, Tormarco Harris also paid the medical providers in cash. In addition, beginning in January 2013, Shaw-Taylor, Aguzie, and Green, as well as Kwame Asafo-Adjei, Sabina Acquah, Lisa Diehl, Brandy Gnacek, and Monique Ford owned and/or operated Westside Medical Group, a pain management clinic located directly across the street from Western High School, an all-girls high school in Baltimore City. Many patients also paid cash for their visits at Westside.
During this time period, Shaw-Taylor and his co-defendants are alleged to have routinely dispensed dangerous controlled substances, including opioids, such as oxycodone, and benzodiazepines, such as Alprazolam, without a medical purpose. Oxycodone is highly addictive, causing physical and psychological dependence. Abuse of oxycodone, and its use with other controlled dangerous substances, such as Alprazolam or other benzodiazepines, can lead to overdose, and in some cases, death.
Medicaid pharmacy claims data showed that approximately 1,083 Medicaid beneficiaries were prescribed medication listing Shaw-Taylor as the prescriber. Shaw-Taylor was listed as the prescriber for 737 beneficiaries even though no corresponding medical visits were billed by either Shaw-Taylor or Westside.
During that same time period, 403 beneficiaries were prescribed 283,666 doses of oxycodone with Shaw-Taylor listed as the prescriber. Three hundred thirty-six beneficiaries received prescriptions for both opiates and benzodiazepines from Shaw-Taylor.
During this time period, according to the indictments, Shaw-Taylor and his co-defendants from the Westside location, also submitted fraudulent Medicaid claims. Just the period in which Kofi Shaw-Taylor was not physically present amounts to over $100,000 in fraudulent Medicaid claims.
According to the indictments, some of Shaw-Taylor’s patients traveled over 25 miles to see the prescriber. One patient drove 245 miles from Youngstown, Ohio. Another patient traveled 122 miles from western Maryland, while others traveled 86 miles from Salisbury, and 50 miles from Leesburg, Virginia.
Twenty-eight out of the 39 customers that traveled over 25 miles to see Shaw-Taylor received fulfilled claims for oxycodone. Seven of the 39 customers who traveled more than 25 miles received a drug combination of an opioid and a benzodiazepine.
According to the indictments, Shaw-Taylor, as a result of prescribed medications, is responsible for the death of two beneficiaries, with whom Shaw-Taylor submitted fraudulent Medicaid claims.
Defendant Shaw-Taylor is charged with Conspiracy to Distribute Controlled Dangerous Substance, Count 1; Distribution of Controlled Dangerous Substance, Counts 2 – 93; Distribution of Controlled Dangerous Substance Near School, Counts 94 – 185; Unlawful Prescription of Controlled Dangerous Substance by Provider, Counts 186 – 277; Medicaid Fraud Involving Death of Beneficiary, Counts 278 and 279; Conspiracy to Commit Medicaid Fraud, Count 280; Medicaid Fraud, Count 281; Conspiracy to Commit Theft Scheme, Count 282; Theft Scheme, Count 283; Conspiracy to Keep Common Nuisance, Counts 284 and 285; and Failure to File Income Taxes, Counts 286 – 289.
Charges of conspiracy to distribute and distribution of unlawfully distributing controlled dangerous substances carry potential penalties of up to 20 years in prison and a fine of up to $25,000. Charges of distribution of controlled dangerous substance near a school carry potential penalties of 20 years in prison for the first offense, with a fine of up to $20,000. For any subsequent offense, charges carry a potential of 40 years maximum of prison and a fine of up to $40,000. Charges of unlawful prescription of a controlled dangerous substance by the provider, a misdemeanor, carry potential penalties of up to 2 years in prison and a fine of up to $100,000. Charges of Medicaid Fraud involving the death of a beneficiary carries potential penalties of life in prison and a fine of up to $200,000. Charges of conspiracy to commit Medicaid Fraud and Medicaid Fraud carry potential penalties of up to 5 years in prison and a fine of up to $100,000.
Charges of conspiracy to commit theft scheme and theft scheme carry potential penalties of up to 15 years in prison and a fine of up to $15,000. Charges of keeping a common nuisance carry potential penalties of up to 5 years in prison and a fine of up to $15,000. Failure to file tax returns can carry potential penalties of up to 5 years in prison and a fine of up to $10,000.
His co-defendants are charged with related crimes.
Defendant Hasan Babaturk
The indictment alleges that over the course of four months, from December 2015 to March 2016, Babaturk, a licensed medical doctor at the time of the alleged criminal activity, unlawfully distributed, dispensed, and prescribed controlled dangerous substances, including oxycodone, oxymorphone, fentanyl, and Xanax. During this time, the indictments allege that at times, Babaturk sold prescriptions for these narcotics from his vehicle.
Defendant Babaturk is charged with Distribution of a Controlled Dangerous Substance, 10 Counts; Keeping Common Nuisance, 1 Count; and Unlawful Prescription of a Controlled Dangerous Substance by Provider, 10 Counts.
Charges of unlawfully distributing controlled dangerous substances carry potential penalties of up to 20 years in prison and a fine of up to $25,000. Charges of keeping a common nuisance carry potential penalties of up to 5 years in prison and a fine of up to $15,000. Charges of unlawful prescription of a controlled dangerous substance by the provider, a misdemeanor, carry potential penalties of up to 2 years in prison and a fine of up to $100,000.
Eighty-nine percent of all intoxication deaths that occurred in Maryland in 2016 were opioid-related. Opioid-related deaths include deaths related to heroin, prescription opioids, and non-pharmaceutical fentanyl. The number of opioid-related deaths increased by 70% between 2015 and 2016 and has nearly quadrupled since 2010. Non-opioid-related drug deaths have also been increasing but at a slower rate.
The number of prescription opioid-related deaths has been rising since 2012. Opioid abuse is a widespread epidemic.