A pair of Medicare scammers in Florida got their comeuppance on Wednesday. Miguel Burgos, a 60-year-old doctor from Gotha, Florida, was sentenced to 64 months in prison, and Yosbel Marimon, a 40-year-old clinic owner from Winter Park, Florida, was sentenced to 90 months in prison for their roles in a $13.7 million Medicare fraud scheme.
The scheme, which ran from July 2008 to September 2011, involved Burgos and Marimon billing Medicare and private insurance companies for expensive infusion therapy medications, including anticancer chemotherapeutic medications, despite never administering the drugs. They also submitted false claims to Medicare and private insurance companies for physical therapy conducted at the clinics, even though there was no licensed physical therapist on staff at the clinics.
The duo admitted to billing Medicare and private insurers approximately $13.7 million, of which approximately $9.8 million was paid on the fraudulent claims. In addition to their prison sentences, Burgos and Marimon were ordered to pay $9.8 million in restitution and to forfeit the same amount. Marimon also consented to the forfeiture of real property valued at approximately $1.7 million.
The case was investigated by the U.S. Department of Health and Human Services-Office of Inspector General. Fraud Section Trial Attorney Timothy Loper prosecuted the case, with assistance from Assistant U.S. Attorney Nicole Andrejko on asset forfeiture issues.
The Medicare Fraud Strike Force, which is led by the Criminal Division’s Fraud Section, has charged nearly 3,200 defendants who have collectively billed the Medicare program for more than $12 billion since its inception in March 2007.
Miguel Burgos and Yosbel Marimon each pleaded guilty to one count of conspiracy to commit health care fraud. Burgos pleaded guilty on February 9, and Marimon pleaded guilty on February 16. They were sentenced by U.S. District Judge Roy B. Dalton, Jr. of the Middle District of Florida.
Mandatory facts: Defendant: Miguel Burgos and Yosbel Marimon; Criminal Charges: Conspiracy to commit health care fraud; City and State: Orlando, Florida; Date: February 9 and 16, 2023; Sentence: 64 months and 90 months in prison, respectively; Dollar Amounts: $13.7 million in fraudulent claims, $9.8 million in restitution, and $1.7 million in forfeited real property.
Key Facts
- State: Federal
- Category: White Collar Crime|Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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