On Tuesday, November 29, 2011, the Department of Justice (“DOJ”) announced that a Miami resident, Santiago Villa-Restrepo, had pleaded guilty in the United States District Court for the Eastern District of Michigan to one count of conspiracy to commit health care fraud. According to the Government, Villa-Restrepo participated as a patient recruiter in a Medicare fraud scheme which was operated out of three Detroit-area health care clinics. As revealed in the plea documents, Villa-Restrepo’s role in the scheme was to recruit patients who, in exchange for a cash bribe, would provide the health care clinics with their Medicare numbers and other information. The clinics would then bill Medicare for services that were either unnecessary or that the patients never received. All told, the Government believes that the scheme defrauded Medicare out of $5.4 million in payments for medically unnecessary diagnostic tests. At sentencing, Villa-Restrepo will face up to ten years in prison and a maximum fine of $250,000.
This is another in a recent string of Medicare fraud cases brought by the Medicare Fraud Strike Force. As we have previously reported, the Strike Force is operating in nine districts, including the Eastern District of Michigan. Since 2007 the Strike Force’s efforts have lead to indictments against more than 1,140 individuals for crimes involving Medicare fraud. Those 1,140 individuals, collectively, had billed Medicare more the $2.4 billion for services that were either never rendered or were medically unnecessary.
For more information see the DOJ Press Release announcing the guilty plea.