The indictment alleges that, between ... HHS-OIG Miami, FBI Miami, and the Medicaid Fraud Control Unit of the Florida Agency for Health Care Administration (MFCU) investigated the case. Assistant U.S. Attorney Timothy Abraham is prosecuting it....
The indictment alleges that, between March 2022 and September 2022, the defendant, through Newtech, submitted $2,946,910 in false and fraudulent claims to Medicare and Medicaid for durable medical equipment that was not needed or provided and was paid approximately $1,310,277. HHS-OIG Miami, FBI Miami, and the Medicaid Fraud Control Unit of the Florida Agency for Health Care Administration (MFCU) investigated the case. Assistant U.S. Attorney Timothy Abraham is prosecuting it.Assistant U.S. Attorney Marx Calderon is handling asset forfeiture. In United States v. Sergio De La Noval, Case No. 25-20276-CR-Williams, Sergio De La Noval, 54, of Miami Lakes, Florida, was charged by indictment with conspiracy to offer and pay health care kickbacks to patients.As alleged in the indictment, De La Noval, as a beneficial owner of the clinic Florida Behavior Health, Inc., located in Hialeah, Florida, participated in a conspiracy to pay patients illegal kickbacks to attend psychosocial rehabilitation (PSR) services at the clinic which were then billed to Medicaid. The co-conspirators used the recruited patients to submit claims to Medicaid and were paid a total of approximately $1,264,974. HHS-OIG Miami, FBI Miami, and Florida MFCU investigated the case. Assistant U.S. Attorney Timothy Abraham is prosecuting it.Assistant U.S. Attorney Marx Calderon is handling asset forfeiture. In United States v. Ernesto Davila, 25-60163-CR-Damian, Ernesto Davila, 52, of Miami, Florida, was charged by information with conspiracy to offer and pay health care kickbacks to patients.