Dr. James Charasika, a Louisville physician, agreed to pay $250,000 to resolve allegations that he and his practice, Louisville Patient Centered Medical Home (LPCMH), submitted false claims to Medicare, Medicaid, and TRICARE related to improper billing of services provided by nurse practitioners, announced U.S. Attorney Kyle G. Bumgarner of the Western District of Kentucky. Medicare, Medicaid, and TRICARE pay for medical services provided by nurse practitioners, but the amount of payment is different than if the service is provided by a physician. The United States alleged that Dr. Charasika and LPCMH violated the False Claims Act by billing government programs as if he provided medical services when, in fact, the services were provided by nurse practitioners. For Medicare, if particular conditions are satisfied, services provided by a nurse practitioner may be billed as if they were performed by a physician, but the United States alleged that Dr. Charasika and LPCMH did not satisfy those conditions.