Eight Others Previously Sentenced
A Florida pharmacist was sentenced to 120 months in prison
today followed by three years supervised release. He was also orderd to pay
$3.2 million in restitution and $1.4 million in forfeiture for his role in a
massive compounding pharmacy fraud scheme, which impacted private insurance
companies, Medicare and TRICARE. Eight
other individuals have previously been sentenced in connection with the
scheme. Various real properties, cars
and a 50-foot boat have been forfeited as part of the sentencings.
Assistant Attorney General Brian A. Benczkowski of the
Justice Department’s Criminal Division, U.S. Attorney Ariana Fajardo Orshan of
the Southern District of Florida, Special Agent in Charge George Piro of the
FBI’s Miami Field Office, Special Agent in Charge Shimon Richmond of the U.S.
Department of Health and Human Services Office of Inspector General’s (HHS-OIG)
Miami Regional Office and Special Agent in Charge John F. Khin of the U.S.
Defense Criminal Investigative Service’s (DCIS) Southeast Field Office made the
announcement.
Ademola O. Adebayo, 55, of Odessa, Florida, was convicted on
Jan. 11 after a four-day trial of one count of conspiracy to commit health care
fraud and wire fraud, three counts of health care fraud, and one count of
conspiracy to commit money laundering.
He was sentenced before U.S. District Judge Federico A. Moreno of the
Southern District of Florida, who presided over the trial.
According to evidence presented at trial, from 2012 to 2015,
Adebayo and his co-conspirators engaged in a scheme to defraud private
insurance companies, Medicare and TRICARE out of $121 million by submitting
false and fraudulent claims for compounded drugs, primarily pain and scar
creams, and other prescription medications that were not medically necessary,
never provided, or both. The evidence
established that in his role as the pharmacist at A to Z Pharmacy, a
now-defunct pharmacy located in New Port Richey, Florida, Adebayo conspired to
submit or cause the submission of claims that often amounted to several
thousands of dollars for a single tube of pain or scar cream. In 2014, when insurance companies discovered
the fraud at A to Z Pharmacy and terminated their contracts with the pharmacy,
Adebayo agreed to become the straw owner of Havana Pharmacy & Discount in
Miami, which Adebayo and his co-conspirators used to continue the fraud, the
evidence showed.
The evidence further established that Adebayo personally
benefited from the fraud and received $1.5 million through the fraud, which he
used to purchase luxury vehicles, including a Ferrari, a Lamborghini, a
Bentley, a Porsche and two Cadillacs, as well as a house in Land O Lakes,
Florida. All of these items were seized
by the government.
Eight other defendants have pleaded guilty in this
case. Nicholas Borgesano, 46, of New
Port Richey, is serving 15 years for his role as the owner of A to Z Pharmacy
in the fraud that involved Havana Pharmacy, Medplus/New Life Pharmacy and
Metropolitan Pharmacy, all of Miami; and Jaimy Pharmacy and Prestige Pharmacy,
both of Hialeah, Florida.
In addition to Borgesano, the following defendants have
previously been sentenced for their roles in the scheme:
Scott P.
Piccininni, 50, of Fort Lauderdale, Florida, sentenced to serve 51 months in
prison;
Bradley Sirkin,
56, of Boca Raton, Florida, sentenced to serve 46 months in prison;
Peter B. Williams,
58, of New Port Richey, sentenced to serve 26 months in prison, to be served
consecutively to a 60-month sentence of imprisonment he is serving as a result
of his guilty plea to a separate indictment returned in the Southern District
of Florida;
Wayne M.
Kreisberg, 41, of Parkland, Florida, placed on probation for a term of five
years, to be served consecutively to a sentence of probation he is serving as a
result of his guilty plea to a separate indictment returned in the Middle
District of Florida;
Joseph Degregorio,
71, of New Port Richey, sentenced to serve one year and one day in prison;
Matthew N.
Sterner, 48, of New Port Richey, sentenced to serve 36 months in prison; and
Edwin Patrick
Young, 49, of New Port Richey, sentenced to serve 66 months in prison.
This case was investigated by the FBI with support from
HHS-OIG and DCIS and was brought as part of the Medicare Fraud Strike Force,
under the supervision of the Criminal Division’s Fraud Section and the U.S.
Attorney’s Office for the Southern District of Florida. The case was prosecuted by Trial Attorneys
Timothy P. Loper and Aleza Remis of the Fraud Section.
The Criminal Division’s Fraud Section leads the Medicare
Fraud Strike Force, which is part of a joint initiative between the Department
of Justice and HHS to focus their efforts to prevent and deter fraud and
enforce current anti-fraud laws around the country. Since its inception in March 2007, the
Medicare Fraud Strike Force, which maintains 14 strike forces operating in 23
districts, has charged nearly 4,000 defendants who have collectively billed the
Medicare program for more than $14 billion.
In addition, the HHS Centers for Medicare & Medicaid Services,
working in conjunction with the HHS-OIG, are taking steps to increase
accountability and decrease the presence of fraudulent providers.
No comments:
Post a Comment