Doctor Indicted For Submitting Medicare and Medicaid Claims for Services Performed By Other Physicians

Dr. Antonio Reyes-Vizcarrondo was indicted for one count of conspiracy to commit health care fraud and one count of health care fraud following allegations that he submitted false claims to both Medicare and Medicaid.

According to the Department of Justice, Reyes-Vizcarrondo submitted a total of 8,159 claims between 2008 and 2015, resulting in profits of nearly $900,000. Out of these funds, Medicare and Medicaid was defrauded for almost $602,000 with the remaining funds having been paid out by other health care organizations.

As part of his health care fraud scheme, Reyes-Vizcarrondo would submit claims for services performed by other physicians, and then conceal the profits by diverting them to his personal accounts.

“The submission of false claims to health care benefit programs is unacceptable and a waste of taxpayer funds,” stated U.S. Attorney Rosa E. Rodriguez- Vélez. “Today’s arrest shows the Department of Justice and its law enforcement partners’ firm commitment to protect public funds and to safeguard the well-being of Medicare and Medicaid beneficiaries.”

Reyes-Vizcarrondo faces up to ten years of imprisonment for health care fraud and conspiracy to commit health care fraud, and is also likely to face a forfeiture fee equivalent to the reimbursements provided from Medicaid and Medicare.