16 Nabbed in Miami Arrest Sweep Operation No Med Services HEADER HERE

advertisement

May 2013

Volume 3 - Issue 11

“The arrest sweep, dubbed Operation No

Med Services, is the latest in aggressive actions taken by DIF in response to the overwhelming PIP fraud problem in Florida. ”

INSIDE THIS ISSUE

1

Miami Arrests

2

Jacksonville Sweep

3

PIP Fraud News

4

Most Wanted

5

Statewide Arrests

10

Statewide Contacts

Operation No Med Services

The Division of Insurance Fraud (DIF) arrested 16 subjects including a medical doctor, clinic owners, medical licensees, and staged accident organizers as part of a round-up involving four accident clinics in Miami-Dade County. Dr. Hugo David Goldstraj, 66, was charged with insurance fraud, organized scheme to defraud and grand theft for his role in a massive false billing scheme that has been operating for several years. The arrest sweep, dubbed Operation No Med Services, is the latest in aggressive actions taken by

DIF in response to the overwhelming PIP fraud problem in Florida.

Two of the massage therapists picked up in the sweep, Emilio Gomez, 60, and Rafael

Meana, 67, were previously arrested in 2012 by DIF for fraud in related cases.

Also arrested in the round-up were clinic owners Aurora Hernandez and Emilio

Fernandez, physician assistant Carlos Millan, massage therapists / clinic owners Alexei

Alvarez and Diego Vila, receptionist Dusleivys Hernandez, staged accident organizers

Alejandro Rojo, Amado Ramos Bouso, Osmel Carmona, Osvaldo Rodriguez and Julia

Rivero, and staged accident participants Bernardo Valdes, Dayami Rojo, Manuel Mayo

Estrada and Israel Ocanto Leiro. Warrants have been issued for an additional five subjects. (Arrest details are on pages 8 and 9).

Investigation revealed that participants from five staged accidents were referred to clinics for treatment that was not provided but billed to insurance companies in excess of

$408,000. The five staged accidents occurred between August 2010 and September

2012 in Miami-Dade County. Those involved in the staged accidents face a mandatory minimum two-year prison sentence if convicted of staging an accident.

The four clinics, Clarke Medical Services, Emoge Medical Services, Magic Hands

Medical Services and New Life Rehab Services, are believed to be involved in an organized scheme to defraud involving many more staged accidents and participants than those identified and arrested in this sweep. Emoge opened in 2002, Clarke opened in 2006, New Life opened in 2010 and Magic Hands opened in 2011.

This case is part of a continuing crackdown by CFO Atwater’s Division of Insurance

Fraud and the National Insurance Crime Bureau (NICB) in the fight against auto insurance fraud in Florida. The insurance companies defrauded in these claims include

Allstate, Geico, Imperial Fire & Casualty, Kingsway Amigo, Mercury, State Farm and

United Auto.

May 2013 Page 2

DIF Arrests 36 Subjects in Jacksonville Rings

The Division of Insurance Fraud’s (DIF) Jacksonville office continues in its PIP fraud takedown of staged accident rings in northern Florida. And it’s not over yet.

Following up on its initial strike with 19 arrests (covered in the January 2013 issue of the PIP Source), we can now report an additional 36 arrests of clinic owners, organizers and participants.

Since September 2012, DIF has steadily chipped away at subjects who believed they were operating under the radar, far from the regions where PIP fraud has been a mainstay like Miami, Tampa and Orlando.

In April, a federal grand jury indicted Jacksonville chiropractor Richie Cabigting, 35, and three other Jacksonville residents with conspiracy to commit mail fraud and wire fraud where they face 10 years in federal prison on each count in connection with a staged car accident scheme.

The indictment also revealed that the United States intends to confiscate $193,002 allegedly traceable to proceeds of the offense, which was seized from a bank account.

Cabigting, owner of ChiroMed Plus, provided money to pay the “at fault” drivers in the staged accidents. The staged accident participants were then allegedly treated at ChiroMed Plus by Cabigting, who knew that the participants did not need treatment. Insurance companies were then fraudulently billed for services.

See the report from News4 in Jacksonville at http://www.news4jax.com/news/Chiropractor-3-others-accused-of-stagingcar-accidents/-/475880/19802554/-/jhva80z/-/index.html

.

A list of subjects arrested begins below and continues on page 7.

Arrested in Oct 2012

Todd Jackson, 26 - staged acct 01/20/11 (driver) $8,789 - Chiro-Med, Plus, LLC (Geico) J

Kassem Kazim Kazim, 31 - staged acct 01/20/11 (recruiter) $8,789 - Chiro-Med, Plus, LLC (Geico) J

Haidar Kazim, 27 - staged acct 01/20/11 (recruiter) $8,789 - Chiro-Med, Plus, LLC (Geico) J

Arrested in Nov 2012

Ali Mohammad Saaod, 33 - staged acct 01/20/11 (passenger) $12,682 - Chiro-Med, Plus, LLC (Geico) J

Maryam Salman Dawood, 22 - staged acct 01/20/11 (passenger) $13,500 - Chiro-Med, Plus, LLC (Amica Mutual / Geico) J

Haidar Kazim, 27 - staged acct 01/20/11 (driver) $12,883 - Chiro-Med, Plus, LLC (Geico) J

Wail Kazim, 23 - staged acct 01/20/11 (passenger) $4,991 - Chiro-Med, Plus, LLC (Geico / Infinity) J

Kristin Jeanine Honshul, 32 - staged acct 07/12/12 (driver) $37,000 - Gate Parkway Diagnostic Center / Wellness Rehab Services

(Direct General / Sentry) J

Kristin Jeanine Honshul, 32 - staged acct 03/31/11 (driver) $37,000 - Advanced MRI Diagnostics / Baymeadows Injury Center

(Farmers) J

Arrested in Jan 2013

Aldin Osorio Leesaca, 21 - staged acct 05/29/12 (driver) $39,000 - Gate Parkway Diagnostic Center / Indian Rehabilitation Center

(Farmers / Sentry / State Farm / USAA) J

Josephine Marie Valenzuela Byrne, 21 - staged acct 05/29/12 (passenger) $49,000 - Indian Rehabilitation Center (Farmers / State

Farm / USAA) J

Jessica Rivera Cruz, 34 staged acct 03/31/11 (passenger) $17,375 - Advanced MRI Diagnostic / Baymeadows Injury Center

(Farmers) J

Keith Edward Howey, Jr, 22 - staged acct 05/29/12 (passenger) $39,000 - Indian Rehabilitation Center (Farmers / State Farm) J

Shelton Thomas Bell, 19 - staged acct 06/06/12 (driver) $unk - Indian Rehabilitation Center (Progressive) J

Hector Omar Berberena Soto, 28 staged acct 03/31/11 (passenger) $34.977 - Advanced MRI Diagnostic / Baymeadows Injury

Center (Farmers / Progressive) (continued

The PIP Source Page 3

PIP FRAUD – In The News

Clinic Owners, Former Insurance Adjuster Convicted in PIP Fraud Scheme

Clinic owners Abel Hernandez and Jorge Ramos and former insurance adjuster Jose Serpa have been convicted in the case originally reported on in the August 2012 PIP Source. The Division of Insurance Fraud conducted an investigation into a PIP fraud scheme wherein Serpa created fictitious claims and issued checks for treatment never provided by clinics operated by his co-conspirators.

MAPFRE Insurance Company of Florida had referred the case to DIF and the subsequent investigation proved that their former employee Serpa, working with Hernandez and Ramos, stole approximately $186,000 by way of fraudulent payments for treatment never provided by three Miami clinics, Lakes Advantage Rehab, Exclusive Home Health

Services and Unique Relief.

Hernandez received six months in jail and 10 years probation; Ramos received one year in jail and 10 years probation and Serpa was sentenced to three years in prison and seven years probation. Each were ordered to pay back

$62,182.59 in restitution. Serpa also surrendered his adjuster license.

NICB Senior Special Agent Bill Kuhn Leaves South Florida For New Challenges

We take time to give our thanks and best wishes to William “Bill” Kuhn, who is moving north after 10 years with the NICB South Florida Medical Fraud Task

Force. Kuhn was one of the most productive agents with the task force and was involved in some of its most important cases including Operation Sunny

Skies, Operation TGIF and Operation Dark Horizon.

Before joining NICB in 2003, Bill worked for eight years at the Florida Division of Insurance Fraud’s Miami office, leaving in 2002 after being promoted to

Lieutenant in 1999. Prior to his years at DIF, Bill had a 25-year law enforcement career that included the Coast Guard, Miami Shores PD, and

Metro-Dade PD.

“Bill is one of the hardest workers you will ever know.” said Captain Steve Smith. “He worked big cases when he was at

DIF, and he helped us to continue to make big cases in his role at NICB. We will miss him.”

Operation No Med Services Subject Also Arrested in Medicare Fraud Case

Rafael Meana, a massage therapist arrested by the Division of Insurance Fraud in the Operation No Med Services sweep was also charged federally in a separate case involving massive fraud in South Florida. Meana is accused of participating in a $5 million Medicare fraud scheme at Lord’s Medical & Rehab Center and a nearly $2 million fraud scheme at Lord Family Services, both clinics in Miami-Dade county. See the press release from the US Attorney’s office at http://www.fbi.gov/miami/press-releases/2013/twenty-four-south-florida-residents-charged-as-part-of-nationwide-coordinatedtakedown-by-medicare-fraud-strike-force-operations?utm_campaign=email-Immediate&utm_medium=email&utm_source=miamipress-releases&utm_content=225187 .

Insurance Company SIUs Attend Operation No Med Services Press Conference

Representatives from the seven victim insurance companies in Operation No Med

Services attended the press conference at the Miami-Dade State Attorney’s Office on

May 1. Pictured left to right are -

Alexandra Magid, Rick Wickliffe, and Kim

Lawrence (State Farm); Sumitra Singal

(Allstate); Capt. Steve Smith (DIF); Rene

Cubas (Geico); Yolanda Velasquez

(Mercury); Lisa Lowe and Henry Cuadra

(Imperial Fire & Casualty); Lt. Rafael

Delgado (DIF); Brett Kelley (Kingsway

Amigo); Maj. Simon Blank (DIF); Jayme

Harrington (NICB); and Freddy Garcia and

Oscar Herrera (United Auto).

May 2013 Page 4

Most Wanted: Fugitive

Eduart Gonzalez

Hispanic Male, 35 years old

5’10”, 200 lbs, Blue Eyes, Brown Hair

Warrant Information:

Warrant/Case # 13-001440 CFAXX

Felony Warrant Charge: False and Fraudulent Insurance Claim / Staged

Accident

Details:

The Florida Department of Financial Services, Division of Insurance

Fraud is attempting to locate Eduart Gonzalez.

Eduart Gonzalez committed acts of Insurance Fraud resulting from knowingly participating in an intentional staged motor vehicle crash on

February 2, 2011 for the purpose of claiming personal injury protection

(PIP) benefits. After the crash, Gonzalez treated at a chiropractic clinic.

This case is part of Operation Sledgehammer, a multi-agency task force investigation involving insurance fraud in the West Palm Beach area.

If you know where Gonzalez can be located, please contact the Division of Insurance Fraud at 1-800-378-0445.

Check out the DFS Most Wanted at http://www.myfloridacfo.com/PressOffice/MostWanted/

12 Arrested in Health Clinic Scam

In April, the Miami-Dade Police Department’s public corruption bureau, working with the Division of Insurance Fraud, arrested five people who worked at AZJ Medical Center in Miami. Investigators say the clinic recruited transit workers to file bogus claims with AvMed, which administers the county’s self-funded health insurance program. While this case involves alleged health care fraud, AZJ Medical was also a PIP provider allegedly treating participants from staged accidents.

Those arrested: Juan Carlos Avila, the company’s current president; staffers Caridad Menendez Diaz and Aracelys Cruz; physical therapy assistant Hector Gutierrez; and occupational therapist Ovide Miguez. The company’s former president,

Elvis Garcia, was not immediately arrested and was considered a fugitive.

The arrests of the upper ranks of the clinic comes one year after Miami-Dade police and prosecutors arrested seven transit bus employees for their role in the scheme that involved more than $280,000 in fraudulent billing. Six of those pleaded guilty and agreed to cooperate against the ringleaders The investigation began when a cooperating source told authorities that Nancy Maradey, a bus driver, had approached the source asking to participate in the scheme.

Maradey later told detectives that Garcia paid her more than $6,000 cash to use her name to file claims for phantom treatments and to recruit other fake patients. In another case, a former Miami-Dade County bus driver allowed the clinic to bill for 135 visits and 758 treatments even though all she got was a handful of massages. Authorities said they believe the health insurance scam began in 2008. AZJ Medical has since closed.

See on page 9 the full list of persons arrested and read more by David Ovalle at http:// www.miamiherald.com/2013/04/23/3360792/westchester-pain-clinic-managers.html

.

The PIP Source Page 5

Statewide PIP Arrests – April 2013

Each issue will provide a list of PIP arrests made by the offices throughout the State. Along with each defendant’s name and age, we will include: the type of scheme involved; the fraud dollar amount; clinic name(s); victim insurance company name(s); and the arresting office. If you need additional details on any of these arrests, please contact Capt. Smith.

Mecene Dorlus Cavanaugh, 35 - patient brokering - Health South Rehab (Windhaven) B

Moses Yveto Georges, 30 - patient brokering - Health South Rehab (Windhaven) B

Malcolm G Brown, 49 - jump-in - $0 (Allstate) T

Brittany Domonique Donar, 23 - fake ins card (First Acceptance) T

Juan Carlos Sanchez-Reyes, 39 - staged acct 06/06/10 (passenger) $52,306 - Health Professional Services (Progressive / State

Farm) M

Juvenal Castro Duque, 45 - staged acct 05/31/11 (recruiter) $99,781 - ORD Medical / RCR Rehabilitation Center (Geico / MGA /

State Farm) M

Ryan Michael Smith, 31 - jump-in - $15,155 (State Farm) F

Jorge Aviel Sabates, 32 staged acct 06/06/10 (driver) $49,833 - Miami Dade Medical Center (Republic Western / State Farm) M

Graciela Maria Gutierrez, 28 - staged acct 01/25/12 (driver) $70,791 - Advanced Orthopedics and Pain Management / Angels

Diagnostic Group / Atrium Chiropractic & Rehab / Biscayne Rehab Center / Gentle Care Rehab Services / South Florida Medical

Health Center / YH Imaging (Esurance / Geico / State Farm) M

Jermelle Sharod Stlot, 24 - fake ins card (Kingsway Amigo) W

Ailenys Carmenate, 24 - staged acct 04/21/12 (recruiter) $46,465 - Gentle Care Rehab Services / Well-Care Rehab Services (State

Farm / Titan) M

Josue Hildalgo Pena, 35 - staged acct 06/06/10 (driver) $52,306 - Health Professional Services (Progressive / State Farm) M

Johnson Delhomme, 21 - staged acct 06/22/11 (driver) $10,426 - Grace Chiropractic (Farmers / Mendota) O

Macquilon Mitil, 52 - staged acct 06/22/11 (recruiter) $10,426 - Grace Chiropractic (Farmers / Mendota) O

Denise Suzetter Brown, 41 - fake ins card (Progressive) T

Carlos M Torres, 44 - PIP patient - $5,435 - (Liberty Mutual) T

Carlos Manuel Torres, 22 - PIP patient - $5,435 - (Liberty Mutual) T

Eva Ledesma, 40 - PIP patient - $5,435 - (Liberty Mutual) T

Wilguerre Brianvil, 42 - jump-in - $921 - NU-Look Chiropractic Center (Farmers) W

Francisco Silva, 41 - staged acct 03/12/12 (driver) $61,729 - All Future Medical Center / Benefica Health Center, Corp (United Auto)

M

Luz Maria Castro Blanco, 26 - PIP patient - $1,294 - Columbus Rehabilitation Center (Farmers) T

Matthew James Buchner, 21 - false injury claim - $1179 (Allstate / Infinity) T

Lumey Vegas, 38 - staged acct 09/27/11 (recruiter) $72,695 - A & O Service Corp / Doctors Professional Medical Center / RCR

Rehabilitation Center (Geico / State Farm) M

Luis Guzman-Martinez, 51 - staged acct 07/23/12 (pedestrian) $4,091 - (Geico / Infinity) T

Stacy Nordelus, 18 - PIP patient - $5,440 - Health South Rehab (Windhaven) O

Sharlyne Nordelus, 24 - PIP patient - $5,440 - Health South Rehab (Windhaven) O

Donna Clarice Crawler, 44 - fake ins card (Assurance America) T

Maritza de Villarino Machado, 50 - staged acct 03/25/10 (driver) $46,208 - B & A Diagnostic / Pentacle Rehabilitation Center /

Sunlight Rehabilitation (Geico / MGA / Progressive) M

Yankiel Borrego, 31 - clinic employee - $5,435 - Auto Injury Doctors of Tampa (Liberty Mutual) T

Code – B (Broward) F (Ft Myers) J (Jacksonville) M (Miami) O (Orlando) P (Pensacola) TL (Tallahassee) T (Tampa/St Pete) W (West Palm Beach)

May 2013 Page 6

Statewide PIP Arrests – April 2013

Each issue will provide a list of PIP arrests made by the offices throughout the State. Along with each defendant’s name and age, we will include: the type of scheme involved; the fraud dollar amount; clinic name(s); victim insurance company name(s); and the arresting office. If you need additional details on any of these arrests, please contact Capt. Smith.

Amado Rodriguez, 45 - staged acct 08/23/10 (driver) $16,244 - Universal Rehab Medical Group (State Farm) W

Rene Aquino, 45 - staged acct 08/23/10 (passenger) $14,144 - Universal Rehab Medical Group (Safeco) W

Wanda Ivette Rivera Torres, 44 – staged acct 02/05/12 (driver) $11,936 - Advanced 3D Diagnostic / HR Healthy Rehab, LLC

(Infinity / USAA) O

Victor Jimenez, 35 – staged acct 02/05/12 (passenger) $10,000 - Vity Medical Center (USAA) O

Sabrina Vonshakatrice Turner, 27 - staged acct 11/26/10 (driver) $8,354 - Pompano Beach Chiropractic Center and South Florida

Orthopedic Specialists (Gainsco / Travelers) B

Vivian Lopez, 40 - staged acct 03/12/12 (passenger) $61,729 - All Future Medical Center / Benefica Health Center (United Auto) M

Dorgis Ernesto Lemoynes Galardy, 45 - staged acct 03/12/12 (recruiter / driver) $61,729 - All Future Medical Center / Benefica

Health Center (United Auto) M

Jesus Quintano Bello, 29 - staged acct 07/12/11 (passenger) $154,407 - Centinel Medical Center / HET Medical / Rosenberg Clinic

(21st Century / Allstate / Geico / State Farm) M

Soradi Velazquez, 43 - certified chiropractic physician assistant – $14,778 - Centinel Medical Center (State Farm) M

Soradi Velazquez, 43 - certified chiropractic physician assistant – $47,085 - Centinel Medical Center (Geico) M

Ralph Joly, 29 – staged acct 05/10/12 (recruiter) $36,811 - First Choice Care Chiropractic & Rehabilitation Center (Nationwide) O

Angel Pena, 53 – staged acct 02/05/12 (passenger) $9,701 - Advanced 3D Diagnostic / HR Healthy Rehab, LLC (USAA) O

Yakiely Cepero Casanas, 29 - staged acct 03/25/10 (passenger) $46,208 - B & A Diagnostic / Pentacle Rehabilitation Center /

Sunlight Rehabilitation (Geico / MGA / Progressive) M

Misleiby Oviedo Laza, 34 - staged acct 07/12/11 (passenger) $154,407 - Centinel Medical Center / HET Medical / Rosenberg Clinic

(21st Century / Allstate / Geico / State Farm) M

Lea Gomez Mittrany, 27 - staged acct 08/13/12 (driver) $55,610 - Emanuel Therapeutic Massage / Miami Medical Care Corp /

Palmetto West Rehab (Esurance / Windhaven) M

Josue Raziel Zavala, 20 - staged acct 08/13/12 (passenger) $55,610 - Emanuel Therapeutic Massage / Miami Medical Care Corp /

Palmetto West Rehab (Esurance / Windhaven) M

Ashley Lynne Hunt, 30 - massage therapist / insurance fraud - $20,163 - Sunshine Medical & Rehabilitation (Nationwide / Titan) T

Arrested in Oct 2012

Emilio Gomez, 59 - massage therapist / unlicensed clinic - $196,763 - RER Medical Services (State Farm / United Auto) M

Code – B (Broward) F (Ft Myers) J (Jacksonville) M (Miami) O (Orlando) P (Pensacola) TL (Tallahassee) T (Tampa/St Pete) W (West Palm Beach)

The PIP Source Page 7

Statewide PIP Arrests – April 2013

Each issue will provide a list of PIP arrests made by the offices throughout the State. Along with each defendant’s name and age, we will include: the type of scheme involved; the fraud dollar amount; clinic name(s); victim insurance company name(s); and the arresting office. If you need additional details on any of these arrests, please contact Capt. Smith.

Jacksonville Arrests (continued from page 2)

Arrested in Feb 2013

Terrence Kevin Franklin, 22 - staged acct 05/29/12 (passenger) $49,000 - Indian Rehabilitation Center (Farmers / State Farm /

USAA) J

Jassim Jawad, 30 - staged acct 05/09/11 (driver) $6,684 - Chiro-Med Plus Chiropractic (MGA / Peak) J

Noujoud Zaytoun, 37 - staged acct 05/09/11 (passenger) $6,100 - Chiro-Med Plus Chiropractic (MGA) J

Michelle Lynn Watson, 43 - staged acct 06/06/12 (passenger) $unk - Indian Rehabilitation Center (Direct) J

Marlena Nancy Nasca, 22 - staged acct 06/06/12 (passenger) $unk - Indian Rehabilitation Center (Direct) J

Yamil A Delgado, 29 - staged acct 06/06/12 (passenger) $3,000 - Indian Rehabilitation Center (USAA) J

Rene Ricky Cardenas, 19 staged acct 05/07/12 (passenger) $7,000 - Indian Rehabilitation Center (Direct) J

Roman Shane Alistair Walsh, 21 - staged acct 06/06/12 (driver) $10,000 - Indian Rehabilitation Center (unk) J

Emmanuel Santiago, 25 - staged acct 05/30/12 (driver) $34,000 - Gate Parkway Diagnostic Center / Wellness Rehab Services

(Farmers / Geico / Progressive) J

Freddie Alberto Freytes, 41 - staged acct 05/30/12 (passenger) $34,000 - Gate Parkway Diagnostic Center / Wellness Rehab

Services (Farmers / Geico / Progressive) J

George Orlando Ortiz, Jr, 32 - staged acct 05/30/12 (passenger) $34,000 - Gate Parkway Diagnostic Center / Wellness Rehab

Services (Farmers / Geico / Progressive) J* (also charged in 3 other accidents)

Arrested in Mar 2013

Emilio deJesus Zapata, 25 - staged acct 05/30/12 (driver) $34,000 - Gate Parkway Diagnostic Center / Wellness Rehab Services

(Geico) J

Renier Ferrer, 40 - staged acct 03/14/12 (passenger) $10,000 - Indian Rehabilitation Center (Sentry) J

Kijora Trevel Hall, 25 - staged acct 06/01/12 (driver) $0 (USAA) J

Clifford Bernard Davis, 43 - staged acct 05/16/12 (driver) $unk - unk (Infinity) J

Kenny Edward Adcock, III, 22 - staged acct 06/17/12 (driver) $6,150 - Indian Rehabilitation Center (Progressive) J

Yoan Manuel Moreno, 30 - staged acct 05/18/12 (driver) $29,000 - Indian Rehabilitation Center (Sentry) J

Abed Jasim Albashagha, 45 - staged acct 06/25/11 (passenger) $1,519 - Chiro-Med Plus Chiropractic / Lakewood Chiropractic

Clinic (Geico) J

Arrested in Apr 2013

Richie Cabigting, 35 - chiropractor - Chiro-Med Plus - mail fraud () J

Vicente Rodriguez, 49 - clinic owner - accessory after the fact / tampering with evidence - Indian Rehabilitation Center - J

Leonardo Santos Rodriguez, 41 money laundering - J

David Rodriguez Lopez, 46 organized scheme to defraud / staged acct 03/14/12 () $35,000 - Indian Rehabilitation Center (Geico) J

Code – B (Broward) F (Ft Myers) J (Jacksonville) M (Miami) O (Orlando) P (Pensacola) TL (Tallahassee) T (Tampa/St Pete) W (West Palm Beach)

May 2013 Page 8

Statewide PIP Arrests – April 2013

Each issue will provide a list of PIP arrests made by the offices throughout the State. Along with each defendant’s name and age, we will include: the type of scheme involved; the fraud dollar amount; clinic name(s); victim insurance company name(s); and the arresting office. If you need additional details on any of these arrests, please contact Capt. Smith.

Subjects Arrested in Operation No Med Services case

Hugo Goldstraj, 66 - doctor - $14,925 - Clarke Medical Services (United Auto) M

Hugo Goldstraj, 66 - doctor - $16,807 – Clarke Medical Services (United Auto) M

Hugo Goldstraj, 66 - doctor - $60,075 - Clarke Medical Services (Geico) M

Hugo Goldstraj, 66 - doctor - $15,009 - Clarke Medical Services (Geico) M

Carlos Millan, 74 - physician assistant - $42,310 – C & N Therapy Center / Emoge Medical Services / M & E Diagnostic Services

(Geico) M

Carlos Millan, 74 - physician assistant - $75,541 - Clarke Medical Services / Emoge Medical Services / Magic Hands Medical

Services (Geico / United Auto) M

Carlos Millan, 74 - physician assistant - $39,326 – Emoge Medical Services (Imperial Fire & Casualty) M

Carlos Millan, 74 - physician assistant - $17,622 - Emoge Medical Services (United Auto) M

Carlos Millan, 74 - physician assistant - $26,855 – Emoge Medical Services (Mercury) M

Carlos Millan, 74 - physician assistant - $33,150 – Emoge Medical Services / New Life Rehab Services (Allstate / State Farm) M

Rafael Meana, 67 - massage therapist - $39,326 - New Life Rehab Services (Imperial Fire & Casualty) M

Rafael Meana, 67 - massage therapist - $60,075 – Magic Hands Medical Services (Geico) M

Rafael Meana, 67 - massage therapist - $26,855 – Emoge Medical Services (Mercury) M

Rafael Meana, 67 - massage therapist - $33,150 - New Life Rehab Services (Allstate / State Farm) M

Emilio Gomez, 60 - massage therapist - $29,824 – Clarke Medical Services (United Auto) M

Emilio Gomez, 60 - massage therapist - $37,439 – Clarke Medical Services (United Auto) M

Alexei Ariosa Alvarez, 30 - massage therapist - $45,717 - Magic Hands Medical Services (Geico) M

Alexei Ariosa Alvarez, 30 - physical therapist - $60,075 - Magic Hands Medical Services (Geico) M

Alexei Ariosa Alvarez, 30 - massage therapist - $15,009 - Magic Hands Medical Services (Geico) M

Dusleivys Cabrera Hernandez, 34 - clinic employee - $29,824 – Clarke Medical Services (United Auto) M

Dusleivys Cabrera Hernandez, 34 - clinic employee - $37,439 – Clarke Medical Services (United Auto) M

Dusleivys Cabrera Hernandez, 34 - staged accident 09/15/12 (driver) $78,790 - Clarke Medical Services / Emoge Medical Services /

Magic Hands Medical Services / New Life Rehab Services (Allstate / Geico / Kingsway Amigo / State Farm) M

Diego Vila, 48 - massage therapist / clinic owner - $39,326 - New Life Rehab Services (Imperial Fire & Casualty) M

Diego Vila, 48 massage therapist / clinic owner - $14,572 - New Life Rehab Services (United Auto) M

Diego Vila, 48 - massage therapist / clinic owner - $33,150 - New Life Rehab Services (Allstate / State Farm) M

Aurora Hernandez, 32 - clinic owner / staged acct 01/12/12 (recruiter) $94,051 – Clarke Medical Services / Emoge Medical Services /

Magic Hands Medical Services / New Life Rehab Services (Geico / United Auto) M

Aurora Hernandez, 32 - clinic owner / staged accident 09/15/12 (recruiter) $78,790 - Clarke Medical Services / Emoge Medical

Services / Magic Hands Medical Services / New Life Rehab Services (Allstate / Geico / Kingsway Amigo / State Farm) M

Code – B (Broward) F (Ft Myers) J (Jacksonville) M (Miami) O (Orlando) P (Pensacola) TL (Tallahassee) T (Tampa/St Pete) W (West Palm Beach)

The PIP Source Page 9

Statewide PIP Arrests – April 2013

Each issue will provide a list of PIP arrests made by the offices throughout the State. Along with each defendant’s name and age, we will include: the type of scheme involved; the fraud dollar amount; clinic name(s); victim insurance company name(s); and the arresting office. If you need additional details on any of these arrests, please contact Capt. Smith.

Subjects Arrested in Operation No Med Services case (continued from page 8)

Alejandro Rojo, 52 - staged acct 10/25/11 (recruiter) $75,541 – Clarke Medical Services / Magic Hands Medical Services (Geico /

United Auto) M

Bernardo Valdes, 46 - staged acct 10/25/11 (driver) $75,541 – Clarke Medical Services / Magic Hands Medical Services (Geico /

United Auto) M

Osvaldo Rodriguez, 39 - staged acct 08/16/11 (recruiter) $76,765 – Clarke Medical Services / Emoge Medical Services / New Life

Rehab Services (Imperial Fire & Casualty / United Auto) M

Julia Rivero, 42 - staged acct 08/16/11 (recruiter) $76,765 – Clarke Medical Services / Emoge Medical Services / New Life Rehab

Services (Imperial Fire & Casualty / United Auto) M

Manuel Pastor Mayo Estrada, 46 - staged acct 08/16/11 (passenger) $76,765 – Clarke Medical Services / Emoge Medical Services /

New Life Rehab Services (Imperial Fire & Casualty / United Auto) M

Israel Ocanto Leiro, 35 - staged acct 08/16/11 (passenger) $76,765 – Clarke Medical Services / Emoge Medical Services / New Life

Rehab Services (Imperial Fire & Casualty / United Auto) M

Emilio Fernandez, 46 - clinic owner - $26,855 – Emoge Medical Services (Mercury) M

Osmel Carmona Reyna, 26 - staged accident 09/15/12 (recruiter) $78,790 - Clarke Medical Services / Emoge Medical Services /

Magic Hands Medical Services / New Life Rehab Services (Allstate / Geico / Kingsway Amigo / State Farm) M

Subjects Arrested in AZJ Medical Center case

Arrested in August 2012

Nancy M Maradey, 36 - runner - $280,800 - AZJ Medical Center

Ada F Grath, 52 - insurance fraud / patient brokering - $38,440 - AZJ Medical Center

Bruno Pulcini, 53 - insurance fraud / patient brokering - $7,595 - AZJ Medical Center

Jorge L Pujadas, 35 - insurance fraud / patient brokering - $30,260 - AZJ Medical Center

Mercedes R Alba, 53 - insurance fraud / patient brokering - $16,040 - AZJ Medical Center

Daniel E Diaz, 29 - insurance fraud / patient brokering - $34,185 - AZJ Medical Center

Jose A Nunez, 51 - insurance fraud / patient brokering - $11,635 - AZJ Medical Center

Arrested in April 2013

Carlos Juan Avila, 42 - clinic owner - AZJ Medical Center

Caridad Diaz, 50 - clinic employee - AZJ Medical Center

Aracelys Cruz, 37 - clinic employee - AZJ Medical Center

Hector Claudio Gutierrez Jr, 37 - physical therapist assistant - AZJ Medical Center

Ovide Joseph Miguez Jr, 64 - occupational therapist - AZJ Medical Center

Code – B (Broward) F (Ft Myers) J (Jacksonville) M (Miami) O (Orlando) P (Pensacola) TL (Tallahassee) T (Tampa/St Pete) W (West Palm Beach)

May 2013 Page 10

Statewide PIP Contacts

PANHANDLE REGION

Counties: Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf,

Holmes, Jackson, Jefferson, Lafayette, Leon, Liberty,

Madison, Okaloosa, Santa Rosa, Taylor, Wakulla, Walton,

Washington

Tallahassee Field Office - 850.413.3115

Lt. Ernie STOLL

Pensacola Field Office - 850.453.7802

Capt. David LINDSAY

NORTH REGION

Counties: Alachua, Baker, Bradford, Citrus, Clay, Columbia,

Dixie, Duval, Flagler, Gilchrist, Hamilton, Levy, Marion,

Nassau, Putnam, St. Johns, Sumter, Suwannee, Union

Jacksonville Field Office - 904.798.5802

Capt. Brian McCOY

Lt. Kevin JONES

WEST CENTRAL REGION

Counties: Charlotte, Collier, DeSoto, Glades, Hardee, Hendry,

Hernando, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk,

Sarasota

Tampa Field Office - 813.972.8602

Capt. Michael BYRNE

Lt. Carlos ROSARIO

Lt. Darrell WILSON

Fort Myers Field Office - 239.278.7527

Lt. Mark FRITZ

EAST CENTRAL REGION

Counties: Brevard, Lake, Orange, Osceola, Seminole, Volusia

Orlando Field Office - 407.835.4402

Capt. Glen HUGHES

Acting Lt. Laquanda GREEN

Lt. Paul MEYERS

SOUTH CENTRAL REGION

Counties: Broward, Highlands, Indian River, Martin,

Okeechobee, Palm Beach, St. Lucie

Plantation Field Office - 954.958.5402

Capt. John DYGON

Lt. Bill LEE

West Palm Beach Field Office - 561.837.5601

Lt. Evangelina BROOKS

SOUTH REGION

Counties: Dade, Monroe

Miami Field Office - 305.536.0302

Capt. Steven SMITH

Lt. Violeta SERRANO

Lt. Stanley JEAN-FELIX

Lt. Rafael DELGADO

South Florida Major Medical Fraud Task Force

Supervisory Special Agent Fred Burkhardt 847.544.7141

Central Florida Major Medical Fraud Task Force

Supervisory Special Agent Jose Olivier 813.558.6387

On page 1, we cover Operation No Med

Services in Miami, involving 16 arrests.

On page 2, we cover 37 more arrests in the PIP takedown under way in Jacksonville.

On page 4, we feature another fugitive in

Insurance Fraud’s Most Wanted.

As always, we report on PIP Fraud in the News and this month we have 5 pages of the latest

PIP-related arrests.

And remember, not just on Memorial Day, but every day, the sacrifices of those who serve to protect our freedoms in the United States.

Download