Houston Man Arrested for Health Care Fraud
|Nov. 16, 2011|
HOUSTON – Endurance Iyamu, 47, of Houston, has been indicted and arrested for devising and executing a scheme to commit health care fraud, United States Attorney Kenneth Magidson announced today. Iyamu will appear for his arraignment and detention hearing on Friday, Nov. 18.
The indictment charges Iyamu with one count of conspiracy to commit health care fraud, 11 counts of health care fraud and three counts of aggravated identity theft.
According to the indictment, Iyamu owned and operated Skyline Medical, a durable medical equipment (DME) company located in Lafayette, La. Allegedly, Iyamu unlawfully received Medicare beneficiaries’ information, including names, addresses and Medicare numbers, which he would then use to file false claims. Through his DME company, Iyamu routinely and falsely billed Medicare for orthotic kits (neck, shoulder, elbow, waist, knee and ankle braces) that he did not deliver to the Medicare beneficiaries. In addition, the indictment charges that the beneficiaries’ treating physicians had not prescribed the DME items. In fact, the Medicare beneficiaries did not need or want the orthotic kits and other types of DME in the first place. While Skyline Medical was operating from Lafayette, most of the alleged recipients reside in Houston. Iyamu also billed for allegedly delivering the orthotic kits to deceased patients.
Iyamu executed the scheme to defraud from January 2007 through December 2009. The indictment alleges Iyamu billed Medicare for claims totaling approximately $1,232,306 and received payments for those claims totaling approximately $663,370.
If convicted, he faces a maximum of 10 years imprisonment and a $250,000 fine for conspiracy charge and a maximum of 10 years imprisonment and a $250,000 fine on each count of health care fraud. For identity theft, Iyamu also faces two mandatory two-year-terms of imprisonment on each count.
This case is the result of the investigative efforts of the Department of Health and Human Services, Office of Inspector General. Special Assistant United States Attorney Justo A. Mendez is prosecuting the case.
An indictment is a formal accusation of criminal conduct, not evidence.
A defendant is presumed innocent unless convicted through due process of law.