South Florida Health Care Clinic Owners, Employees Sentenced

Miami, Florida – A federal district judge in Miami sentenced the very last of five defendants for his position in a well being treatment fraud scheme operated out of a physical remedy clinic in Doral. 

In accordance to court docket data, the defendants recruited and paid off beneficiaries of Blue Cross Blue Protect (BCBS) health insurance policies programs, then billed BCBS for companies the clinic possibly never furnished or which have been not medically essential.  The two clinic house owners also made use of the business, Polyclinic Healthcare Corp., to fraudulently attain COVID-19 reduction resources.

The five defendants were sentenced as follows:

  • Carlos Rafael Saez Dorta, age 42, (clinic proprietor) was sentenced to 135 months in prison next a jury trial, a few years’ supervised release, and purchased to spend $4,434,069 in restitution
  • Veronica Ramos Hernandez, age 35, (clinic proprietor) was sentenced to 135 months in jail pursuing a jury demo, three years’ supervised release, and purchased to pay $4,434,069 in restitution
  • Michael Burrowes, age 43, (affected individual recruiter) was sentenced to 46 months in jail next a guilty plea, 3 years’ supervised release, and ordered to shell out $73,116.61 in restitution
  • Dianelis Garcia Alvarez, age 41, (business manager) was sentenced to 35 months in prison following a guilty plea, three years’ supervised launch, and ordered to pay out $357,256 in restitution and
  • Deandre Mitchell Gabriel, age 33, (patient recruiter) was sentenced to 24 months in prison next a guilty plea, a few years’ supervised release, and purchased to fork out $30,810 in restitution

Juan Antonio Gonzalez, United States Attorney for the Southern District of Florida, and George L. Piro, Exclusive Agent in Cost, FBI, Miami Field Office environment, made the announcement.

In accordance to evidence launched in courtroom, the billing fraud conspiracy resulted in far more than $8 million in untrue statements remaining submitted to BCBS.  Most of the statements were being for unneeded or in no way-provided bodily therapy treatment plans, these types of as electrical stimulation, ultrasound remedy, and therapeutic exercise, as properly as for tough professional medical machines.  

Also, the proof showed that in 2021 the clinic proprietors (Saez and Ramos) applied for a $607,585 Paycheck Security System (PPP) bank loan as nicely as a $500,000 Financial Injuries Disaster Loan (EIDL) from the U.S. Modest Company Administration (SBA).  As a outcome, Saez and Ramos received above $1 million via these COVID-19 reduction systems, stealing money that was meant for legitimate small organizations struggling from the devastating outcomes of the COVID-19 pandemic.

FBI Miami investigated the scenario.  Assistant U.S. Lawyers Shannon Shaw and Stephanie Hauser for the Southern District of Florida prosecuted the situation.  Assistant U.S. Lawyer Annika Miranda handled asset forfeiture.

The Coronavirus Support, Reduction, and Economic Safety (CARES) Act is a federal law designed to offer unexpected emergency fiscal guidance to millions of Individuals who suffered economically from the COVID-19 pandemic.  One supply of reduction offered by the CARES Act was the authorization of hundreds of billions of dollars in forgivable loans to compact enterprises for job retention and sure other expenses by means of the PPP. The CARES Act also licensed and offered funding to the SBA to give EIDLs to eligible little businesses, like sole proprietorships and impartial contractors, going through considerable monetary disruptions due to the COVID-19 pandemic to allow them to satisfy economical obligations and running expenses that could usually have been met experienced the catastrophe not occurred.  EIDL apps have been submitted right to the SBA by means of the SBA’s on-line software website, and the apps had been processed and the loans funded for qualifying applicants straight by the SBA.

On May 17, 2021, the Attorney Typical founded the COVID-19 Fraud Enforcement Activity Power to marshal the sources of the Department of Justice in partnership with businesses across government to enhance endeavours to fight and avert pandemic-relevant fraud. The Endeavor Drive bolsters efforts to examine and prosecute the most culpable domestic and global prison actors and assists organizations tasked with administering aid systems to avert fraud by, amid other approaches, augmenting and incorporating present coordination mechanisms, figuring out resources and tactics to uncover fraudulent actors and their techniques, and sharing and harnessing info and insights acquired from prior enforcement efforts. For additional information and facts on the Department’s reaction to the pandemic, remember to go to https://www.justice.gov/coronavirus.

Anybody with information and facts about allegations of tried fraud involving COVID-19 can report it by calling the Office of Justice’s Nationwide Centre for Catastrophe Fraud (NCDF) Hotline at 866-720-5721 or by using the NCDF World wide web Complaint Form at: https://www.justice.gov/catastrophe-fraud/ncdf-catastrophe-criticism-sort.

Connected court documents and details might be located on the web site of the District Courtroom for the Southern District of Florida at www.flsd.uscourts.gov or at http://pacer.flsd.uscourts.gov, under case range 21-cr-20324.

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