Nine Miami Defendants in Strike Force Cases Sentenced for $56.5 Million in Medi... (y. The fight against Health Care fr...)

Nine Miami Defendants in Strike Force Cases Sentenced for $56.5 Million in Medicare Fraud

Date:1/23/2008

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"The fight against Health Care fraud in Miami is a top priority," said U.S. Attorney Acosta. "With the help of the newly formed HHS-OIG Florida Region which will add federal agents to our efforts we expect to see a significant impact on reducing fraud."

According to data from the Centers for Medicare and Medicaid Services (CMS), Miami-Dade County alone accounted for more paid DME claims than 44 other states. Only some of the most populous states in the country including California, Texas, New York, Michigan, and Ohio billed Medicare for more than Miami-Dade County. According to that same data, an average Medicare patient in Miami-Dade County allegedly receives $6,200 worth of DME every year based on paid amounts; whereas patients throughout the rest of the United States average approximately $1,200 per year.

The Soto and De La Serna cases were prosecuted by Deputy Chief Kirk Ogrosky from the Criminal Division's Fraud Section in Washington, D.C., and Assistant U.S. Attorney Ryan Stumphauser of the Southern District of Florida. The Vasquez and Betancourt cases were prosecuted by Assistant U.S. Attorney Stumphauser. The Rodriguez case was prosecuted by Deputy Chief Ogrosky, and Assistant U.S. Attorney Randy Katz. The Gonzalez case was prosecuted by Trial Attorney John S. Darden of the Fraud Section, the Prieto and Herrera cases were prosecuted by Trial Attorney Jerrob Duffy and Deputy Chief Ogrosky of the Fraud Section; and the Lopez case was prosecuted by Trial Attorney John Cunningham of the Fraud Section.

All cases were done with the investigative assistance of the U.S. Department of Health and Human Services Office of Inspector General and the FBI. The cases were each brought as part of the Medicare Fraud Strike Force, supervised by the Fraud Section of the Criminal Division and U.S. Attorney Acosta of the Southern District of Florida.

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