United States Attorney Rebecca A. Gregory
Eastern District of Texas
FOR IMMEDIATE RELEASE CONTACT: Donna Krise
WEDNESDAY, JUNE 26, 2008 ACTING PUBLIC INFORMATION OFFICER
www.usdoj.gov/usao/txe PHONE: (936) 639-4003
TRIO SENTENCEDFOR HEALTH CARE FRAUD
(BEAUMONT, TX) United States Attorney Rebecca A. Gregory announced today that three east Texas men have been sentenced for health care fraud offenses in the Eastern District of Texas.
BRIAN KEITH WILSON, 34, of Orange, ARMANDO MARTINEZ CARMONA, 52, of Vidor, and JIMMIE ADAMS, 56, of Beaumont, were all sentenced today for their involvement in health care fraud scheme during an appearance before United States District Judge Marcia Crone.
According to information presented in Court, Wilson, the CEO of Assessment Professionals, a drug and alcohol counseling center in Beaumont, Texas, directed employees to obtain Medicaid numbers, and then use those numbers to fraudulently bill Medicaid. To obtain the numbers, parties were held for children in low income neighborhoods, complete with food and entertainment. Wilson and employees of Assessment Professionals obtained the Medicaid numbers of attendees, and then used those numbers to fraudulently bill Medicaid for drug and alcohol counseling. In reality, little or no counseling was ever accomplished. From September 2004 until August 2005, over 50,000 claims were submitted to Medicaid for individual and group therapeutic sessions. Carmona and Adams, who were both employed as counselors with Assessment Professionals, participated in the fraudulent filing of claims, by creating and signing progress notes for each "patient" in an effort to make the billing appear legitimate.
Wilson was sentenced to thirty months in federal prison, and must pay restitution in the amount of $347,161.89. Carmona was sentenced to two years probation, three hundred hours of community service and ordered to pay restitution in the amount of $2,293.20. Adams received a sentence of three years probation, four hundred hours of community service, and ordered to pay restitution in the amount of $42,765.50.
This case was investigated by the Texas Attorney General's Office and the Federal Bureau of Investigation, and was prosecuted by Special Assistant United States Attorney Chris Tortorice and Assistant United States Attorney Robert Rawls.
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