Tampa, FL – United States District Judge Mary S. Scriven today sentenced Lisvet Martinez (42, Tampa) to two years in federal prison for health care fraud. The Court also entered a forfeiture money judgment of $124,676.25, along with a restitution order in the amount of $224,715.09. Martinez pleaded guilty on February 25, 2015.
According to court documents, Martinez operated Lissmart Medical Supply and Lissmart Pharmacy. She fraudulently billed Medicare and Medicaid for enteral nutrition services and supplies for beneficiaries who are not intubated and, therefore, not qualified to receive these services. Instead, Martinez provided oral nutrition products, like Boost, that are normally available at retail locations. She billed Medicare and Medicaid by submitting false documentation that these services were medically necessary and that she had the medical documentation of their intubated condition, when she did not.
In addition, Martinez fraudulently billed Medicare Part D and Medicaid for prescriptions that had not been prescribed by a physician, were not medically necessary, and had not been supplied to Lissmart Pharmacy.
This case was investigated by the U.S. Department of Health and Human Services, Office of Inspector General and the Florida Attorney General’s Medicaid Fraud Control Unit. It was prosecuted by Assistant United States Attorney Kelley C. Howard-Allen.