June 28, 2022

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South Florida Overall health Care Clinic Owners, Health practitioner, Other folks Sentenced in Healthcare Billing Fraud Scheme | USAO-SDFL

Miami, Florida – Yesterday, a federal district judge in Miami sentenced the past of 10 defendants for her function in a health and fitness treatment fraud scheme involving three bodily treatment clinics that recruited and paid kickbacks to beneficiaries of Blue Cross Blue Defend overall health profit applications (BCBS) and submitted bogus claims to BCBS for expert services that the clinics never offered to the beneficiaries or ended up not medically essential. 

The a few South Florida clinics associated in the rip-off were Daily life Blue Healthcare Center, Corp. (“Life Blue”), Blue Existence Professional medical Centre, LLC (“Blue Life”), and Miami Medical Therapy (“Miami Medical”). The defendants, all South Florida citizens now convicted and sentenced, involve clinic homeowners, a physician, patient recruiters, a physical therapist assistant, and an business staff. 

The conspiracy resulted in more than $17 million in fake promises currently being billed to BCBS, of which BCBS compensated close to $5 million.  Most of the statements were being for unneeded or never ever-presented electrical stimulation, ultrasound treatment, therapeutic work out, and other bodily therapy processes, as nicely as for allergy tests and resilient professional medical machines.  The conspirators expended the dollars they obtained from BCBS on private goods and to further the fraud.

Just about every defendant formerly pled guilty to a person count of conspiracy to dedicate health care fraud.  United States District Judge K. Michael Moore sentenced the defendants as follows:

  • Jorge Gonzalez Perez, 57, (operator of Daily life Blue and Blue Everyday living clinics) was sentenced to 120 months in jail, adopted by three years supervised release, and requested to pay $4,143,892.16 in restitution
  • Orlando Leiva, 66, (a physician at Daily life Blue and Miami Health-related) was sentenced to 57 months in jail, followed by a few years supervised release, and ordered to pay $2,867,770.57 in restitution
  • David Vladimir Sacerio, 30, (co-operator of Miami Healthcare) was sentenced to 51 months in jail, adopted by three years supervised launch, and ordered to spend $686,086.33 in restitution
  • Kiamy Perez, 36, (co-owner of Miami Medical) was sentenced to 34 months in prison, followed by three several years supervised release, and requested to shell out $686,086.33 in restitution
  • Enry Guzman, 43, (patient recruiter) was sentenced to 33 months in prison, followed by a few years supervised release, and requested to spend $228,075.73 in restitution
  • Kyrenia Maquiera Rodriguez, 40, (physical treatment assistant) was sentenced to 30 months in prison, adopted by a few a long time supervised launch 3 a long time supervised release, and ordered to shell out $686,086.33 in restitution
  • Freymil Lozada, 34, (individual recruiter) was sentenced to 27 months in jail, adopted by three years supervised release, and requested to pay $184,393.52 in restitution and
  • Haniel Rodriguez, 45, (client recruiter) was sentenced to 24 months in jail, followed by three several years supervised release, and requested to pay $198,540.57 in restitution.

Two defendants have been requested to spend restitution: Brian McIntosh, 53, (affected person recruiter) in the total of $119,174.66, and Melissa Cruz, 21, (Miami Medical place of work worker) in the volume of $686,086.33.

Juan Antonio Gonzalez, U.S. Lawyer for the Southern District of Florida, and George L. Piro, Particular Agent in Demand, FBI Miami, produced the announcement.

FBI Miami investigated the scenario.  Assistant U.S. Attorney Shannon Shaw prosecuted the case.  Assistant U.S. Lawyer Annika Miranda is managing asset forfeiture.

Linked court files and details could be found on the web site of the District Court docket for the Southern District of Florida at www.flsd.uscourts.gov or at http://pacer.flsd.uscourts.gov, less than situation variety 21-cr-20376.

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