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Justice News

Department of Justice
U.S. Attorney’s Office
Southern District of Texas

Thursday, November 21, 2019

McAllen doctor imprisoned for health care fraud scam

McALLEN – A 46-year-old local man has been ordered to federal prison following his conviction of health care fraud and aggravated identity theft, announced U.S. Attorney Ryan K. Patrick. Eduardo Carrillo, of McAllen, pleaded guilty Nov. 20, 2015.

Today, U.S. District Judge Randy Crane handed Carrillo a 24-month sentence and ordered he pay $25,955 in restitution. The sentence will also be followed by three years of supervised release. 

At the time of plea, Carrillo admitted he caused others to bill Medicare for patients who were actually deceased. Carrillo submitted fraudulent documentation to a billing company, and the company would file claims with Medicare for reimbursement of physician services. Records law enforcement obtained proved the patients were deceased at the time he alleged to have provided services to the patients.

Carrillo also admitted to engaging in a scheme with his co-conspirator and assistant, Martha Uribe Medrano, 52, of Edinburg, to solicit and obtain illegal kickbacks in exchange for patient referrals. Carrillo and Medrano solicited and obtained cash in exchange for referrals of Medicare beneficiaries. He admitted he used the Medicare number and personal information of a patient in the exchange. Medrano pleaded guilty to illegal remunerations and was previously sentenced for her role in the scheme. 

Carrillo was permitted to remain on bond and voluntarily surrender to a U.S. Bureau of Prisons facility to be determined in the near future.   

The U.S. Department of Health and Human Services‐Office of Inspector General and the FBI conducted the investigation. Assistant U.S. Attorneys Michael Day and Andrew Swartz are prosecuting the case.

Health Care Fraud
Updated November 21, 2019