Florida physician, infusion clinic owner sentenced to 5+ years in prison for billing fraud

A medical director and an owner of four Orlando, Fla.-based infusion clinics were convicted Monday of submitting fraudulent claims to Medicare for expensive and medically unnecessary infusion-therapy treatments.

A district judge sentenced Miguel Burgos, MD, and owner Yosbel Marimon to more than five years and seven and a half years in prison, respectively. Dr. Burgos and Mr. Marimon pled guilty to one count of conspiracy to commit healthcare fraud in February.

In his plea, Dr. Burgos said he billed Medicare and private payers for anticancer chemotherapeutic medications and other expensive infusion drugs despite never administering the drugs. Mr. Marimon also admitted to falsely billing Medicare for the infusions. The fraud took place between July 2008 and September 2011.

The defendants also admitted to submitting false claims for physical therapy treatment at the four Orlando clinics, despite lacking a licensed physical therapist on staff.

The judge ordered the defendants to pay $9.8 million in restitution. Mr. Marimon will forfeit property valued at about $1.7 million as part of his plea.

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