A man from Florida has been sentenced for committing an estimated $67 million in Medicare fraud claims.
The Justice Department released details of the jail term for Jose Goyos, a West Palm Beach, Flordia resident.
The Federal Bureau of Investigations (FBI) and the Health and Human Services Office of the Inspector General (HHS-OIG) investigated this million-dollar healthcare case.
Florida man hit with 15 years for $67 million Medicare fraud
Goyos was a telemarketing call center company employee that targeted Medicare beneficiaries, policyholders, and their physicians. Goyos was in charge of a department in this company colloquially called the “Doctor Chase” section.
The court report and evidence at trial stated that Goyos “contacted the primary care physicians of targeted Medicare beneficiaries and tricked these medical providers into ordering medically unnecessary genetic tests based on medical paperwork that the call center created.”
He allegedly instructed staff to present the idea to providers that Medicare beneficiaries were, in fact, “mutual patients” who needed these genetic tests.
Nine people, all from the Florida area have been convicted and sentenced as part of the Medicare conspiracy: Daniel M. Carver, 6 years and eight months in prison, and Thomas Dougherty, 14 years in prison.
John Paul Gosney Jr. was sentenced to seven years and 11 months in prison. Galina Rozenberg and Michael Rozenberg were sentenced to four years in prison. Ethan Macier was sentenced to three years and nine months in jail. Louis “Gino” Carver was sentenced to two years and eight months in jail. Ashley Cigarroa was sentenced to two years and six months in jail. Timothy Richardson was sentenced to two years in prison.
Due reported healthcare fraud and financial scams have been a target of the federal government and the FBI across 2024.
In California, a man was sentenced after he pleaded guilty to million-dollar healthcare fraud in Los Angeles. Lilit Gagikovna Baltaian is the person at the center of the guilty plea. Over the best of a decade, their crime infringed on the United States Medicare program.
Baltaian was investigated by the Human Services Office of Inspector General (HHS-OIG) and the Federal Bureau of Investigation (FBI) for $1,449,050 in damages resulting from fraudulent Medicare claims
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