A former operator of New York City health clinics has pleaded guilty to participating in a scheme to defraud Medicare out of more than $12 million.
Jorge Juvier, 56, a resident of Manhattan, pleaded guilty to one count of conspiracy to commit health care fraud in Manhattan federal court. The maximum sentence for this charge is 10 years in prison.
According to the criminal complaint, Juvier and his co-conspirators set up and operated multiple health care clinics in New York City that purported to provide injection and infusion treatments to Medicare-eligible HIV/AIDS patients.
The clinics, however, were health care fraud mills that routinely billed Medicare for medications that were never provided or were provided at highly diluted doses and were often medically unnecessary.
Juvier and his co-conspirators recruited HIV/AIDS patients who were eligible for Medicare to come to the clinics multiple times per week, for multiple months, to undergo expensive treatments that were often unnecessary.
The patients were paid cash kickbacks of up to $300 per week in exchange for coming to the clinics and agreeing to undergo the treatments.
Juvier and his co-conspirators then used these patients’ status as Medicare beneficiaries to submit claims to Medicare for reimbursement for the treatments purportedly administered to the patients.
As a result of the scheme, from 2010 through 2013, Juvier and his co-conspirators defrauded the Medicare system out of at least $12 million.
Juvier agreed to pay over $12 million in forfeiture and restitution as part of his plea.
The defendant is scheduled to be sentenced by Judge Kimba Wood on May 18, 2015, at 11:00 a.m.
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Key Facts
- State: New York
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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