A Miami-area medical doctor has been sentenced to 60 months in prison for his role in a $5.5 million Medicare fraud scheme involving fraudulent billings by a psychiatric hospital in Hollywood, Florida.
Barry Kaplowitz, 54, of Aventura, Florida, a licensed physician, was convicted of making false statements related to health care matters on February 20, 2015, following a six-week jury trial.
According to evidence presented at trial, Kaplowitz served as the medical director at Hollywood Pavilion (HP), a state-licensed psychiatric hospital, from approximately 2008 to 2011.
During that time, Kaplowitz signed false and fraudulent medical records in order to make it appear that HP’s patients qualified for and received intensive outpatient services, even though they did not.
HP used these falsified medical records to submit over 2,800 false claims to Medicare totaling over $5.5 million. Medicare paid $2.9 million on those false claims.
Kaplowitz was ordered to pay more than $2.9 million in restitution, in addition to his prison sentence.
Five other individuals have previously been convicted and sentenced in this case, including Karen Kallen-Zury, Daisy Miller, Michele Petrie, Christian Coloma, and Christopher Gabel.
Kallen-Zury was sentenced to 25 years in prison and ordered to pay more than $39 million in restitution, while Miller was sentenced to 15 years in prison. Petrie was sentenced to six years in prison and ordered to pay more than $39 million in restitution. Coloma was sentenced to 12 years in prison and ordered to pay more than $20 million in restitution. Gabel was sentenced to six years in prison and ordered to pay more than $39 million in restitution.
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Key Facts
- State: Florida
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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