Doctor at Home Manager Diana Gumila Sentenced to 6 Years for Billing Medicare Millions for Unneeded House Calls; Appeal Rejected

Case from 2014–2018 (U.S. Attorney's Office latest release: July 26, 2016; later developments are from court records and other sources cited below). Published on Scammers.com Oct. 16, 2026; case status is current as of that date.

Diana Jocelyn Gumila, manager of the Schaumburg home-physician company Suburban Home Physicians, which did business as Doctor at Home, was sentenced on July 26, 2016, to six years in federal prison for scheming to bill Medicare millions of dollars for unnecessary care, the U.S. Attorney's Office for the Northern District of Illinois announced [1]. She was ordered to pay $15.6 million in restitution. A federal appeals court affirmed the sentence in 2018 [4].

How the scheme worked

According to prosecutors and the appeals court [1] [4]:

1. Unneeded house calls: Gumila directed employees to make in-home visits to patients who could leave their homes and didn't need in-home treatment.
2. Upcoding: She had employees bill routine visits at the most complicated levels.
3. "Paint the picture": Jurors heard a secret recording of Gumila telling a new doctor to "paint the picture" so patients appeared confined to their homes. In an email, she called a physician who signed orders without reading them "the type of doctor we need."
4. Nursing and oversight billing: The appeals court said she authorized skilled-nursing orders for patients no company doctor had seen, and that employees billed for care-plan oversight services that were never performed.

The people charged and sentenced

Diana Jocelyn Gumila, 47 at sentencing, of Streamwood, Ill. [1]

• Arrest (July 29, 2014): charged by criminal complaint as agents searched Doctor at Home's offices on East Higgins Road in Schaumburg [3].
• Verdict (April 15, 2016): after a two-week trial, a jury convicted her of 21 counts of health care fraud and three counts of making false statements in a health care matter [2].
• Sentence (July 26, 2016): 72 months in prison and $15.6 million in restitution, imposed by U.S. District Judge Charles P. Kocoras.
• Appeal: The Seventh Circuit affirmed on Jan. 16, 2018 (No. 16-3111), noting the sentence was less than half the low end of the guidelines range.

Related convictions [1]:

• Alan Newman, a Chicago physician, admitted in a plea agreement falsely certifying patients for nursing services they didn't need, causing about $2.6 million in Medicare losses.
• James Ademiju, a Matteson nurse who ran two nursing agencies, pleaded guilty to billing for unnecessary services improperly authorized by Doctor at Home physicians and acknowledged paying for patient referrals.

The releases we reviewed did not report Newman's or Ademiju's sentences. The investigation was conducted by the Medicare Fraud Strike Force, including HHS-OIG, the FBI and the Railroad Retirement Board's Office of Inspector General.

Red flags

• Monthly doctor "house calls" for someone who drives, shops or goes to appointments on their own.
• Pressure to keep scheduled home visits when a patient tries to cancel.
• Medicare notices showing home nursing or care-plan oversight you never received.

What to do if you're targeted

1. Review Medicare Summary Notices for home visits, nursing or oversight charges.
2. Ask why you are being certified as homebound if you are not.
3. Report suspected Medicare fraud to 1-800-MEDICARE or the HHS Office of Inspector General at 1-800-HHS-TIPS.

Case status (as of Oct. 16, 2026)

Defendant	Court	Status as of Oct. 16, 2026	Source
Diana Jocelyn Gumila, Streamwood, Ill.	N.D. Ill. (Judge Kocoras); 7th Cir. No. 16-3111	Convicted by jury April 15, 2016; sentenced July 26, 2016, to 72 months; $15.6M restitution; affirmed Jan. 16, 2018	[1]-[4]
Alan Newman, Chicago	N.D. Ill.	Pleaded guilty; sentence not reported in sources reviewed	[1]
James Ademiju, Matteson, Ill.	N.D. Ill.	Pleaded guilty; sentence not reported in sources reviewed	[1]

We have not found a source on Gumila's case after the 2018 appeal.

Sources

1. U.S. Attorney's Office, Northern District of Illinois, "Head of Schaumburg Home Health Company Sentenced to Six Years for Scheming to Fraudulently Bill Medicare for Unnecessary Care," July 26, 2016. https://www.justice.gov/usao-ndil/pr/head-schaumburg-home-health-company-sentenced-six-years-scheming-fraudulently-bill
2. U.S. Attorney's Office, Northern District of Illinois, "Federal Jury Convicts Head of Schaumburg Home Health Company in Scheme to Fraudulently Bill Medicare for Unnecessary Care," April 18, 2016. https://www.justice.gov/usao-ndil/pr/federal-jury-convicts-head-schaumburg-home-health-company-scheme-fraudulently-bill
3. U.S. Attorney's Office, Northern District of Illinois, "'Doctor At Home' Manager Arrested On Federal Health Care Fraud Charge; Allegedly Ran Extensive Medicare Fraud Scheme," July 29, 2014. https://www.justice.gov/usao-ndil/pr/doctor-home-manager-arrested-federal-health-care-fraud-charge-allegedly-ran-extensive
4. U.S. Court of Appeals for the Seventh Circuit, United States v. Diana Gumila, 879 F.3d 831 (No. 16-3111), Jan. 16, 2018. https://law.counselstack.com/opinion/united-states-v-diana-gumila-ca7-2018

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