Government
Federal Suit Alleges ‘Staggering’ Urine Drug Testing Fraud at Pain Clinics
The Justice Department on Monday accused a defunct chain of Tennessee-based pain clinics of cheating Medicare and other taxpayer-funded health insurers out of at least $25 million in needless urine drug tests and genetic testing.
The civil lawsuit names Comprehensive Pain Specialists, also known as Anesthesia Services Associates PLLC; four of its physician owners; and a former top executive. The doctors include Tennessee Republican State Sen. Steven Dickerson and Peter Kroll, both anesthesiologists.
At its peak, CPS ran 60 pain clinics in a dozen states and treated some 48,000 patients per month, according to the suit. It shut down abruptly last summer, leaving many chronic pain patients scrambling to find a new source of narcotic medicines.
The Justice Department fraud case centers largely on the company’s lucrative urine-testing lab in Brentwood, Tenn., which CPS financed with a $1.5 million loan. The suit also alleges overbilling from acupuncture and other services offered to patients.
CPS was the subject of a November 2017 investigation by Kaiser Health News that scrutinized Medicare billings for urine drug tests.
Medicare and other federal programs paid over $70 million from 2011 to 2018 for CPS-ordered urine tests, an amount the lawsuit called “staggering.” TennCare, the state’s Medicaid program, paid more than $9 million more during that time.
“For this reason, CPS considered [urine tests] to be ‘liquid gold’ — with revenues of tens of millions of dollars for what was largely unnecessary medical testing,” according to the suit.
The chain’s owners and then-CEO John Davis “viewed every CPS patient as an opportunity to make money, without regard to the individualized need for treatment,” the suit alleges. Davis was convicted last year in Nashville on federal criminal health care fraud charges. He has since filed a motion for a new trial.
Dan Martin, an attorney representing Kroll, said in an emailed statement: “We are aware of the allegations and very familiar with the actual facts. Dr. Kroll did not engage in any wrongdoing whatsoever, and we look forward to correcting the government’s misunderstanding of the facts.”
Dickerson’s attorney, Ed Yarbrough, also issued a statement that read: “Dr. Dickerson is an honest man. We will prove that in court.”
In its investigation, KHN, with assistance from researchers at the Mayo Clinic, found that spending on urine screens and related genetic tests quadrupled from 2011 to 2014 to an estimated $8.5 billion a year — more than the entire budget of the Environmental Protection Agency. The federal government paid medical providers more to conduct urine drug tests in 2014 than it spent on the four most recommended cancer screenings combined.
CPS was among the nation’s most aggressive testers. KHN found that in 2014 five of its medical professionals stood among the nation’s top billers. Anita Bayles, a nurse practitioner working at a CPS clinic in Cleveland, Tenn., generated $1.1 million in urine-test billings that year, according to Medicare records analyzed by KHN.
The Justice Department suit says that CPS believed Bayles ordered too many urine tests and overprescribed opioids and in September 2016 decided to fire her. But the decision was reversed by CEO Davis “because of her ability to generate revenues,” according to the suit. Bayles could not be reached for comment.
Though CPS ran six or more urine tests a year on many patients receiving narcotics, its doctors often did not review the results to make sure patients did not abuse them, according to the suit.
Kroll, who also served as CPS’ medical director, told KHN in 2017 that the high volume of tests was justified to keep patients safe and to reduce chances of black market sales of pills. Kroll billed Medicare $1.8 million for urine tests in 2015, the KHN analysis of Medicare billing records found.
Kroll said in a 2017 interview that he and Dickerson came up with the idea to open a high-quality pain practice over a cup of coffee at a Nashville Starbucks in 2005.
But the Justice Department alleges that CPS expanded rapidly through bilking the government, conduct that its top executives and founders “failed to take any action to stop,” according to the suit.
In what is called a “particularly egregious example of this fraudulent conduct,” the Justice Department alleged that Kroll caused over 2,500 claims to be submitted to Medicare, for which CPS was paid almost $350,000, during a 10-day period in May 2017 when Kroll was on vacation in Italy.
“Because of these fraudulent claims, Kroll’s billing privileges with Medicare have been revoked,” according to the suit.
The lawsuit states that Medicare officials began investigating overcharging for urine testing at CPS in 2014 and eventually directed the company to repay the government $27.4 million in an extrapolated penalty. But CPS aggressively appealed the decision and managed to get it overturned and stay in business.
Activism
Oakland Post: Week of December 24 – 30, 2025
The printed Weekly Edition of the Oakland Post: Week of – December 24 – 30, 2025
To enlarge your view of this issue, use the slider, magnifying glass icon or full page icon in the lower right corner of the browser window.
Alameda County
Oakland Council Expands Citywide Security Cameras Despite Major Opposition
In a 7-1 vote in favor of the contract, with only District 3 Councilmember Carroll Fife voting no, the Council agreed to maintain its existing network of 291 cameras and add 40 new “pan-tilt-zoom cameras.”
By Post Staff
The Oakland City Council this week approved a $2.25 million contract with Flock Safety for a mass surveillance network of hundreds of security cameras to track vehicles in the city.
In a 7-1 vote in favor of the contract, with only District 3 Councilmember Carroll Fife voting no, the Council agreed to maintain its existing network of 291 cameras and add 40 new “pan-tilt-zoom cameras.”
In recent weeks hundreds of local residents have spoken against the camera system, raising concerns that data will be shared with immigration authorities and other federal agencies at a time when mass surveillance is growing across the country with little regard for individual rights.
The Flock network, supported by the Oakland Police Department, has the backing of residents and councilmembers who see it as an important tool to protect public safety.
“This system makes the Department more efficient as it allows for information related to disruptive/violent criminal activities to be captured … and allows for precise and focused enforcement,” OPD wrote in its proposal to City Council.
According to OPD, police made 232 arrests using data from Flock cameras between July 2024 and November of this year.
Based on the data, police say they recovered 68 guns, and utilizing the countywide system, they have found 1,100 stolen vehicles.
However, Flock’s cameras cast a wide net. The company’s cameras in Oakland last month captured license plate numbers and other information from about 1.4 million vehicles.
Speaking at Tuesday’s Council meeting, Fife was critical of her colleagues for signing a contract with a company that has been in the national spotlight for sharing data with federal agencies.
Flock’s cameras – which are automated license plate readers – have been used in tracking people who have had abortions, monitoring protesters, and aiding in deportation roundups.
“I don’t know how we get up and have several press conferences talking about how we are supportive of a sanctuary city status but then use a vendor that has been shown to have a direct relationship with (the U.S.) Border Control,” she said. “It doesn’t make sense to me.”
Several councilmembers who voted in favor of the contract said they supported the deal as long as some safeguards were written into the Council’s resolution.
“We’re not aiming for perfection,” said District 1 Councilmember Zac Unger. “This is not Orwellian facial recognition technology — that’s prohibited in Oakland. The road forward here is to add as many amendments as we can.”
Amendments passed by the Council prohibit OPD from sharing camera data with any other agencies for the purpose of “criminalizing reproductive or gender affirming healthcare” or for federal immigration enforcement. California state law also prohibits the sharing of license plate reader data with the federal government, and because Oakland’s sanctuary city status, OPD is not allowed to cooperate with immigration authorities.
A former member of Oakland’s Privacy Advisory Commission has sued OPD, alleging that it has violated its own rules around data sharing.
So far, OPD has shared Flock data with 50 other law enforcement agencies.
Activism
Families Across the U.S. Are Facing an ‘Affordability Crisis,’ Says United Way Bay Area
United Way’s Real Cost Measure data reveals that 27% of Bay Area households – more than 1 in 4 families – cannot afford essentials such as food, housing, childcare, transportation, and healthcare. A family of four needs $136,872 annually to cover these basic necessities, while two adults working full time at minimum wage earn only $69,326.
By Post Staff
A national poll released this week by Marist shows that 61% of Americans say the economy is not working well for them, while 70% report that their local area is not affordable. This marks the highest share of respondents expressing concern since the question was first asked in 2011.
According to United Way Bay Area (UWBA), the data underscores a growing reality in the region: more than 600,000 Bay Area households are working hard yet still cannot afford their basic needs.
Nationally, the Marist Poll found that rising prices are the top economic concern for 45% of Americans, followed by housing costs at 18%. In the Bay Area, however, that equation is reversed. Housing costs are the dominant driver of the affordability crisis.
United Way’s Real Cost Measure data reveals that 27% of Bay Area households – more than 1 in 4 families – cannot afford essentials such as food, housing, childcare, transportation, and healthcare. A family of four needs $136,872 annually to cover these basic necessities, while two adults working full time at minimum wage earn only $69,326.
“The national numbers confirm what we’re seeing every day through our 211 helpline and in communities across the region,” said Keisha Browder, CEO of United Way Bay Area. “People are working hard, but their paychecks simply aren’t keeping pace with the cost of living. This isn’t about individual failure; it’s about policy choices that leave too many of our neighbors one missed paycheck away from crisis.”
The Bay Area’s affordability crisis is particularly defined by extreme housing costs:
- Housing remains the No. 1 reason residents call UWBA’s 211 helpline, accounting for 49% of calls this year.
- Nearly 4 in 10 Bay Area households (35%) spend at least 30% of their income on housing, a level widely considered financially dangerous.
- Forty percent of households with children under age 6 fall below the Real Cost Measure.
- The impact is disproportionate: 49% of Latino households and 41% of Black households struggle to meet basic needs, compared to 15% of white households.
At the national level, the issue of affordability has also become a political flashpoint. In late 2025, President Donald Trump has increasingly referred to “affordability” as a “Democrat hoax” or “con job.” While he previously described himself as the “affordability president,” his recent messaging frames the term as a political tactic used by Democrats to assign blame for high prices.
The president has defended his administration by pointing to predecessors and asserting that prices are declining. However, many Americans remain unconvinced. The Marist Poll shows that 57% of respondents disapprove of Trump’s handling of the economy, while just 36% approve – his lowest approval rating on the issue across both terms in office.
-
#NNPA BlackPress4 weeks agoLIHEAP Funds Released After Weeks of Delay as States and the District Rush to Protect Households from the Cold
-
Alameda County3 weeks agoSeth Curry Makes Impressive Debut with the Golden State Warriors
-
Activism4 weeks agoOakland Post: Week of November 26 – December 2, 2025
-
#NNPA BlackPress4 weeks agoSeven Steps to Help Your Child Build Meaningful Connections
-
#NNPA BlackPress4 weeks agoSeven Steps to Help Your Child Build Meaningful Connections
-
#NNPA BlackPress4 weeks agoTrinidad and Tobago – Prime Minister Confirms U.S. Marines Working on Tobago Radar System
-
#NNPA BlackPress4 weeks agoTeens Reject Today’s News as Trump Intensifies His Assault on the Press
-
#NNPA BlackPress4 weeks agoThanksgiving Celebrated Across the Tri-State




