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Florida Men Plead Guilty to $67M Medicare Fraud Scheme
Two Florida men have pleaded guilty to their roles in a scheme to defraud Medicare by submitting over $67 million in false claims for genetic testing and durable medical equipment that patients did not need and that the defendants procured with kickbacks.
Daniel M. Carver, 36, of Boca Raton, and Louis “Gino” Carver, 32, of Delray Beach, face prison time after pleading guilty to their involvement in the Medicare fraud scheme.
According to court documents, Daniel Carver owned and managed call centers that he used to conduct deceptive telemarketing campaigns targeting Medicare beneficiaries to solicit them for unnecessary genetic testing and durable medical equipment. Louis Carver worked for these call centers and acted as a straw owner for a laboratory that submitted false genetic testing claims.
The Carvers and their co-conspirators paid kickbacks and bribes to telemedicine companies in exchange for completed doctors’ orders, sold doctors’ orders to laboratories and durable medical equipment companies in exchange for kickbacks, forged doctors’ and patients’ signatures, and tricked medical providers into ordering medically unnecessary genetic testing.
Between January 2020 and July 2021, the scheme resulted in the submission of over $67 million in false claims to Medicare for medically unnecessary genetic tests and durable medical equipment.
Daniel Carver pleaded guilty to conspiracy to commit health care fraud and wire fraud and conspiracy to defraud the United States and to pay and receive kickbacks. He faces a maximum penalty of 25 years in prison. Louis Carver pleaded guilty to conspiracy to commit health care fraud and faces a maximum penalty of 10 years in prison.
Both men are scheduled to be sentenced on Dec. 5. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.
In addition to last week’s guilty pleas, five other defendants in this case have pleaded guilty and are awaiting sentencing. Three defendants are scheduled for a trial set to commence on Sept. 26.
The FBI and HHS-OIG are investigating the case.
According to the U.S. government, Defendant Daniel M. Carver, 36, of Boca Raton, Florida: charges, Defendant Daniel M. Carver owns and manages call centers, City Boca Raton, State Florida, Date N/A, Sentence Up to 25 years in prison, and Amount $67M.
Key Facts
- State: Florida
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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