WASHINGTON, July 1 /PRNewswire-USNewswire/ -- A federal jury in Los Angeles convicted a physician assistant late yesterday for his role in a $7.7 million Medicare fraud scheme, announced Assistant Attorney General Lanny A. Breuer of the Criminal Division, U.S. Attorney Thomas P. O'Brien of the Central District of California and Inspector General Daniel R. Levinson of the Department of Health & Human Services (HHS).
After a seven-day trial in federal court in Los Angeles, a jury found Ronald Luis Bradshaw,
59, guilty on all charged counts, including conspiracy to commit health
care fraud, multiple counts of health fraud and aggravated identity
theft for prescribing medically unnecessary durable medical equipment
to hundreds of Medicare beneficiaries under the stolen identity of a
doctor.
"At the core of Medicare fraud schemes,
individuals place personal greed above providing legitimate medical
care. In this case, the defendant not only defrauded the Medicare
program, he also stole the identification of a doctor to do it," said
Assistant Attorney General Lanny A. Breuer. "The
jury's conviction sends a message to health care providers committing
Medicare fraud - American taxpayers will not tolerate abuse of a
program intended to benefit the elderly and disabled."
"Fraud
against public health care programs not only robs taxpayers but also
adversely affects millions of legitimate patients in need of the
services and equipment to improve their lives," said U.S. Attorney Thomas P. O'Brien.
"For years we have pursued fraudsters who attempt to exploit the health
care system for their own personal gain. Now, we have another example
of an unscrupulous provider being brought to justice."
"Today's conviction is another milestone for our Medicare Fraud Strike Force here in Los Angeles," said Glenn R. Ferry,
Special Agent-in-Charge for the Los Angeles Region of the Office of
Inspector General for the Department of Health of Human Services. "Our
collaborative partnership under the HEAT initiative is getting concrete
results as we continue our efforts to combat health care fraud on
behalf of the American people."
According to the evidence presented at trial, Bradshaw worked as a licensed physician assistant at a Los Angelesclinic, Glenmountain Medical Group (Glenmountain), allegedly under the
supervision of a doctor. Evidence at trial established that from
approximately April 2005 to April 2008,
Bradshaw prescribed hundreds of motorized wheelchairs and custom-fitted
orthotics to Medicare beneficiaries under the apparent authority and
supervision of a doctor. Bradshaw also ordered diagnostic tests for
these beneficiaries under the same doctor's apparent authority.
The
doctor, whose unique physician identification number had been used by
the defendant to forge medically unnecessary prescriptions, testified
that he never worked at Glenmountain and that he never authorized the
defendant to use his number. The total amount billed under this
doctor's name for medical equipment and tests prescribed by the
defendant was $7,708,069.
Several
beneficiaries testified at trial that they were recruited by patient
recruiters to be examined at Glenmountain. Some beneficiaries testified
that they were enticed by the promise of a free exam, while others were
promised free, expensive medical equipment. Juana Aranda,
a professional patient recruiter who previously pleaded guilty in
connection with this scheme, testified that she was paid cash for
bringing Medicare beneficiaries to Glenmountain and that she was paid
more if the beneficiary was prescribed a motorized wheelchair.
Each
of the beneficiaries who testified at trial stated that they had no
difficulties walking and that they did not complain about any
difficulties during their respective examinations. After their
examinations, however, each received a motorized wheelchair delivered
to them by Star Medical Supply Inc., a durable medical equipment
company owned and operated by Karen Arakelyan, who previously pleaded guilty in connection with this scheme. Arakelyan testified that he paid a Glenmountain representative $1,200per prescription. Arakelyan admitted he then delivered a motorized
wheelchair to the beneficiary and filed a fraudulent claim with
Medicare based on the bogus prescription that he purchased from
Glenmountain.
At sentencing, scheduled for Nov. 12, 2009,
Bradshaw faces a maximum penalty of 10 years in prison on each of the
four health care fraud counts as well as the conspiracy to commit
health care fraud count for which he was convicted. In addition, he
faces a mandatory two-year prison sentence on the aggravated identity
theft count, which must be served consecutive to the sentence on the
fraud counts.
The case was prosecuted by Trial Attorney Steven Kim of the Criminal Division's Fraud Section and Assistant U.S. Attorney Christopher K. Lui,
with the investigative assistance of the HHS Office of the Inspector
General and the FBI. The case was brought as part of the Medicare Fraud
Strike Force. Federal prosecutors have indicted 115 cases with 257
defendants in Miami, Los Angeles and Detroit since the inception of strike force operations in March 2007. Collectively, these defendants are alleged to have fraudulently billed the Medicare program for more than $600 million.
The
joint DOJ-HHS Medicare Fraud Strike Force is a multi-agency team of
federal, state and local investigators designed to combat Medicare
fraud through the use of Medicare data analysis techniques and an
increased focus on community policing. In May 2009, the
Department of Justice and HHS announced the Health Care Fraud
Prevention & Enforcement Action Team (HEAT), a joint effort to
prevent fraud and enforce current anti-fraud laws around the country.
As part of the HEAT initiative, Medicare Fraud Strike Force operations
were expanded from South Florida and Los Angeles to Detroit and Houston. To learn more about the HEAT initiative, go to: www.hhs.gov/stopmedicarefraud.