Related Federal Cases
- Orlando Pascual Jr., HIV Treatment Medicare Fraud, Miami FL, 2023 · Mississippi
- Juan A. Tony Marrero, Medicare Fraud Scheme, Miami FL, 2023 · Texas
- Juan A. Tony Marrero, Medicare Fraud Scheme, Miami FL, 2024 · Alabama
- Juan El Rey Martinez, Heroin Smuggling, Chicago IL, 2023 · New Mexico
- Letitia James Blocks Trump Admin’s School Mental Health Funding Cut… · Texas
Tampa Woman Indicted on Health Care Charges
Lisvet Martinez, 42, a local business owner, has been charged with twelve counts of health care fraud and two counts of making false statements in connection with health care matters, announced United States Attorney A. Lee Bentley, III.
Martinez faces a maximum penalty of 20 years in federal prison on the health care fraud charge and five years on each of the false statement offenses if convicted on all counts.
The indictment also notifies Martinez that the United States intends to seek a forfeiture money judgment in the amount of at least $251,650.00, which is alleged to be traceable to proceeds of the offense.
According to the indictment, Martinez operated Lissmart Medical Supply and Lissmart Pharmacy. Martinez allegedly fraudulently billed Medicare and Medicaid for enteral nutrition services and supplies for beneficiaries who are not intubated and, therefore, not qualified to receive these services.
Instead, Martinez provided oral nutrition products, like Boost, that are normally available at retail locations, and billed Medicare and Medicaid by submitting false documentation that these services were medically necessary and that she had the medical documentation of their intubated condition, when she did not.
It is further alleged that Martinez also fraudulently billed Medicare Part D and Medicaid for prescriptions that were not prescribed by a physician, not medically necessary, and not supplied to Lissmart Pharmacy.
An indictment is merely a formal charge that a defendant has committed a violation of the federal criminal laws, and every defendant is presumed innocent unless, and until, proven guilty.
This case was investigated by the U.S. Department of Health and Human Services, Office of Inspector General and the Medicaid Fraud Control Unit of the Florida Attorney General’s Office. It is being prosecuted by Assistant United States Attorney Kelley C. Howard-Allen.
Key Facts
- State: Florida
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
ðŸâ€Â’ Get the grimiest stories delivered weekly. Subscribe free →
MORE FEDERAL CRIME NEWS
US NewsUS NewsUS NewsUS News