February 19, 2010 - Jeffrey H. Sloman, United States Attorney for the Southern District of Florida, and John V. Gillies, Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office, announced that a Miami doctor was sentenced yesterday, Feb. 17, 2010, following his conviction for Medicare and Medicaid HIV-infusion fraud. Walter Proano was sentenced to 92 months in prison, to be followed by three years of supervised release. In addition, Proano was ordered to pay $3,790,874.33 in restitution.
Proano's conviction resulted from his involvement in a scheme to defraud the Medicare and Medicaid programs through his work at Diagnostic Medical Choice, a Southwest Miami clinic that billed these health care programs for expensive infusion medications intended to treat a rare illness suffered by a small portion of those afflicted with HIV/AIDS. To execute the scheme, Proano fabricated patient medical records and wrote prescriptions for large quantities of these medications. He then sought federal and state reimbursement for the medications, which had not been provided as claimed.
Mr. Sloman commended the investigative efforts of the Federal Bureau of Investigation's Health Care Fraud Squad and the Florida Attorney General's Medicaid Fraud Control Unit. This case was prosecuted by Special Assistant Attorney General Stephen A. LeClair.
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