Nigerian King Must Pay $72k Restitution For Defrauding NC Medicaid During Pandemic

Authored by Stephen Horn via The Triangle Trumpet,

Ekelekamchukwu Alphonsus Ngwadom, 61, received a suspended sentence requiring three years probation and $72,014.66 in restitution after pleading guilty to twenty-seven felonies in regards to hundreds of Medicaid claims for children’s therapy he fraudulently filed in 2020 and 2021 at his Raleigh practice, Almarch Counseling. (¹, ², ³)

It was during this same period that Ngwadom was crowned King or “Eze” of the Mbubu-Amiri kingdom in Nigeria’s Imo State, according to a local news source which also identified him as the Chairman of African Diaspora Coalition of North Carolina and Professor of Psychology and Sociology at the University of Mount Olive. (There are many such “traditional rulers“ recognized by and holding limited power under the Federal Republic of Nigeria).

Ngwadom is listed as the Director of Partnerships and Development for Nigerian Mental Health Practitioners USA and a member of the Board of Trustees of the Nigeria-American Institute for Mental Health.

Records show Ngwadom resides at a Garner address and has voted in Johnston County since 2008.

Investigation and prosecution

According to a search warrant obtained by the Medicaid Investigation Division of the North Carolina Department of Justice, Ngwadom’s practice was flagged by Alliance Health, the manager of the NC Medicaid plan for counties including Wake, Johnston, and Durham.

Ngwadom’s fraud was revealed when a legitimate claim for therapy was submitted for one of the children for which he had filed fraudulent claims, and it was discovered that the family had never received services from Ngwadom or Almarch Counseling.

In the ensuing investigation into the “overlapping services,” a total of 210 fraudulent claims were identified involving children from three families who never receiving services from Ngwadom or Almarch Counseling:

• fifty-two claims for two minor children for a total of $3,037.28

• one hundred and three claims for three minor children for a total of $8,476.88

• fifty-five claims for two minor children for a total of $3,529.46

At sentencing, the state prosecutor explained that Ngwadom had met these families through an after-school program in the years prior to the pandemic, as reported by the News & Observer.

Although the search warrant was obtained and executed in 2022, the charges were not filled until January 2025.

The total amount of fraudulent claims submitted by Ngwadom totaled $72,014.66 across 27 Medicaid recipients between February 18, 2020, and March 18, 2021, according to a press release by Attorney General Jeff Jackson.

Ngwadom plead guilty to twenty-seven counts of obtaining property by false pretenses, a Class H felony, and received a sentence of 6-17 months incarceration, which was suspended with the following conditions:

• three years probation

• ninety days house arrest

• surrendering professional license

• one hundred hours community service

• $72,014.66 in restitution

Zero stars: state inspections find repeat deficiencies at adult care facility

Outside of his counseling practice, Ngwadom’s five-bed adult residential care facility Almarch Family Care in Rocky Mount has racked up numerous statements of deficiency and penalties from the NC Division of Health Service Regulation which licenses and inspects such facilities, which assigned AFC a rating of zero out of four stars at seven out of the last eight inspections.

The NCDHSR website only lists penalties for the past 36 months, in which time AFC has racked up $35,200 in penalties, with $16,700 paid in full and the most recent $18,500 under appeal.

Sixteen statements of deficiencies are listed for the nineteen inspections since 2015, with the most recent statement consisting of eighty-four pages detailing how the facility violated at least nine rules, including by failing to have certified staff, failing to meet health care needs, failing to properly store and administer prescribed medication, and failing to implement an activity program.

AFC is located at an 1825 sq. ft. home in a residential neighborhood in east Rocky Mount; although Ngwadom’s lawyer cited his need to take out a second mortgage in order to pay the $72k restitution, Edgecombe County records show that Ngwadom and his wife Ngozichukwuka Mary Ngwadom sold the AFC property for $10 to a “Chukwuebuka Michael C Ngwadom” less than two months before his sentencing. (The property has a tax valuation of $113,866.00).

Raleigh provider recruited refugees for Medicaid scam

Although perhaps not as prevalent as the recently publicized Somali scams in Minnesota, Ngwoma is not the only Nigerian to be charged with Medicaid fraud relating to “therapy” services in the Raleigh area, with a recent case matching a pattern of fraud enabled by modern immigration and welfare policy.

An investigation into the billing practices of “Our Treatment Center,” a Medicaid provider in Raleigh, resulted in the conviction of seven “mental health practitioners,” according to a June 2025 press release by the U.S. Attorney’s Office, Eastern District of North Carolina, with at least three of the fraudsters appearing to have African origins:

• Pius Ondachi (Kenya), Licensed Clinical Mental Health Counselor

• Ifeoma Ezugwu (Nigeria), Licensed Clinical Social Worker Associate

• Queensly Onuzulike (Nigeria), Licensed Clinical Social Worker

The charging documents allege that OTC recruited “refugees” in North Carolina in order to fraudulently bill Medicaid for providing “social assistance” to the “indigent” foreigners for services not covered by the welfare program, including:

• assistance with reading and understanding mail

• understanding the American legal system

• assistance with English as a second language

• transportation to grocery stores, the Division of Motor Vehicles, and other appointments

Ondachi and Onuzulike are alleged to have helped recruit the refugees, obtaining Medicaid Identification Numbers and personally identifiable information from entire households of refugees with the promise of this “assistance with social needs.”

The scheme then involved fraudulently billing these services to Medicaid as “psychotherapy,” with Ondachi, Ezugwu, and Onuzulike each being accused of fabricating psychotherapy notes to justify billing for these non-psychotherapy services, and altering the dates/times of the services provided to meet the Medicaid coverage limitation of only one hour of psychotherapy per patient per day.