Southern District of Texas Licensed professional counselor indicted in 2 million health care fraud scheme United States Department of Justice
pAn official website of the United States governmentppHeres how you knowpp
Official websites use gov
A gov website belongs to an official government organization in the United States
pp
Secure gov websites use HTTPS
A lock
Lock
Locked padlock
or https means youve safely connected to the gov website Share sensitive information only on official secure websites
ppMcALLEN Texas A 46yearold resident of Mission has been taken into custody on charges of health care fraud and aggravated identity theft in connection with a scheme to defraud the Texas Medicaid Program announced US Attorney Alamdar S HamdanippJuan Martin Flores 46 is set to make his initial appearance before US Magistrate Judge J Scott Hacker at 9 amppThe indictment returned Aug 7 and unsealed upon his arrest Sept 12 alleges he submitted or caused the submission of over 15000 fraudulent claims to Medicaid for services that were never provided Between 2018 and 2022 the claims resulted in approximately 2 million in Medicaid payments according to the charges The indictment further alleges Flores used the personal information of Medicaid beneficiaries without their consent to facilitate the fraudulent billing schemeppAccording to the charges Flores submitted claims under his national provider identifier number representing that he provided counseling services at his office in Brownsville However he allegedly never actually rendered those services The indictment details multiple instances in which he unlawfully used Medicaid beneficiaries identities in the fraudulent claimsppFlores is charged with 10 counts of health care fraud each carrying a possible 10yearmaximum sentence and up to a 250000 fine He is also facing three counts of aggravated identity theft If convicted he faces a mandatory two years in federal prison which must be served consecutively to any other sentence imposedppThe FBI Department of Health and Human Services Office of Inspector General and Texas Attorney Generals Medicaid Fraud Control Unit conducted the investigation Assistant US Attorney Andrew R Swartz and Eric D Flores are prosecuting the caseppAn indictment is a formal accusation of criminal conduct not evidence A defendant is presumed innocent unless convicted through due process of law ppA 53yearold Sugar Land man has agreed to pay 2095946 to resolve allegations he submitted false claims for the placement of electroacupuncture devicesppA 59yearold man has been convicted of all 15 counts as charged for heading a massive Medicare fraud scheme involving the fraudulent billing of expensive topical creamsppTwo mental health care providers in the South Texas area have agreed to pay 1083000 to resolve False Claims Act FCA allegations regarding the submission of claims to Medicare TRICAREppSouthern District of Texas
1000 Louisiana Ste 2300
Houston TX 77002ppEmail USAOSDTXppHouston 7135679000
Fax Line 7137183300ppStay ConnectedppppHave a question about Government Servicesp
Official websites use gov
A gov website belongs to an official government organization in the United States
pp
Secure gov websites use HTTPS
A lock
Lock
Locked padlock
or https means youve safely connected to the gov website Share sensitive information only on official secure websites
ppMcALLEN Texas A 46yearold resident of Mission has been taken into custody on charges of health care fraud and aggravated identity theft in connection with a scheme to defraud the Texas Medicaid Program announced US Attorney Alamdar S HamdanippJuan Martin Flores 46 is set to make his initial appearance before US Magistrate Judge J Scott Hacker at 9 amppThe indictment returned Aug 7 and unsealed upon his arrest Sept 12 alleges he submitted or caused the submission of over 15000 fraudulent claims to Medicaid for services that were never provided Between 2018 and 2022 the claims resulted in approximately 2 million in Medicaid payments according to the charges The indictment further alleges Flores used the personal information of Medicaid beneficiaries without their consent to facilitate the fraudulent billing schemeppAccording to the charges Flores submitted claims under his national provider identifier number representing that he provided counseling services at his office in Brownsville However he allegedly never actually rendered those services The indictment details multiple instances in which he unlawfully used Medicaid beneficiaries identities in the fraudulent claimsppFlores is charged with 10 counts of health care fraud each carrying a possible 10yearmaximum sentence and up to a 250000 fine He is also facing three counts of aggravated identity theft If convicted he faces a mandatory two years in federal prison which must be served consecutively to any other sentence imposedppThe FBI Department of Health and Human Services Office of Inspector General and Texas Attorney Generals Medicaid Fraud Control Unit conducted the investigation Assistant US Attorney Andrew R Swartz and Eric D Flores are prosecuting the caseppAn indictment is a formal accusation of criminal conduct not evidence A defendant is presumed innocent unless convicted through due process of law ppA 53yearold Sugar Land man has agreed to pay 2095946 to resolve allegations he submitted false claims for the placement of electroacupuncture devicesppA 59yearold man has been convicted of all 15 counts as charged for heading a massive Medicare fraud scheme involving the fraudulent billing of expensive topical creamsppTwo mental health care providers in the South Texas area have agreed to pay 1083000 to resolve False Claims Act FCA allegations regarding the submission of claims to Medicare TRICAREppSouthern District of Texas
1000 Louisiana Ste 2300
Houston TX 77002ppEmail USAOSDTXppHouston 7135679000
Fax Line 7137183300ppStay ConnectedppppHave a question about Government Servicesp
