Doctor and Owner of Medical Supply Company Charged in $1.3 Million Power Wheelchair Scam
|U.S. Attorney’s Office July 25, 2012|
United States Attorney Laura E. Duffy announced that a medical doctor and an owner of a medical supply company were charged with submitting $1.3 million in fraudulent power wheelchair claims to Medicare. Dr. Irving Schwartz was arrested by federal agents on Tuesday in Yuba City, California, and arraigned on one count of conspiracy to receive health care kickbacks and defraud the Medicare trust fund. Jose Melendez, owner and operator of Oceanside Medical Services, was arrested on Wednesday in Long Beach, California, and arraigned on charges of conspiracy, witness tampering, and health care fraud.
According to the indictment, the scheme focused on the sale of fraudulent power wheelchair prescriptions, with the end-goal being to obtain reimbursements from Medicare for power wheelchairs that patients did not need and, in some cases, did not want. The indictment alleges that Schwartz and a co-conspirator would travel to El Centro, California in search of elderly Medicare patients. Schwartz would write the patients prescriptions for power wheelchairs, even though the patients did not need the equipment and could walk without assistance. Schwartz collected a $300 cash kickback in exchange for each power wheelchair prescription. One of Schwartz’ co-conspirators would then sell the power wheelchair prescriptions to Melendez, charging him $1,000 per fraudulent prescription.
Melendez, in turn, sold some of the power wheelchair prescriptions to other co-conspirators, charging an additional mark-up on each prescription. As the last step in the scheme, Melendez and other co-conspirator owners of medical supply companies would submit the fraudulent prescriptions to Medicare for reimbursement, billing up to $5,865 for each power wheelchair. The indictment further alleges that Melendez attempted to persuade one of the co-conspirators to lie to federal agents in an effort to hinder the Medicare fraud investigation.
If convicted, Schwartz faces a maximum penalty of five years, and Melendez faces a maximum penalty of 20 years in prison.
In separate but related cases, three co-conspirators, Gloria Hernandez, Aristeo Tavares, and Laura Tavares, have pled guilty and face a maximum of 10 years in prison. All the defendants each also face a maximum $250,000 fine and a mandatory order of restitution to repay the fraudulently obtained proceeds of the scheme.
The public is reminded that an indictment itself is not evidence that the defendants committed the crimes charged. The defendants are presumed innocent until the government meets its burden in court of proving guilt beyond a reasonable doubt.
Both defendants are expected to make their initial appearance in federal court in San Diego on July 31, 2012, at 10:30 a.m. before Magistrate Judge Nita Stormes.
Defendants in Criminal Case 12cr2599-H
Irving J. Schwartz, 67, Yuba City, California
Jose Melendez, 51, Long Beach, California
Summary of Charges
Count one: conspiracy to pay and receive health care kickbacks and defraud-Title 18, United States Code, Section 371; maximum penalties: five years in custody; $250,000 fine; three years of supervised release; and mandatory restitution.
Counts two through 11: health care fraud-Title 18, United States Code, Section 1347; maximum penalties: 10 years in custody; $250,000 fine; three years of supervised release; and mandatory restitution
Count 12: attempt to tamper with a witness-Title 18, United States Code, Section 1512; maximum penalties 20 years in custody; $250,000 fine; three years of supervised release
Federal Bureau of Investigation
Department of Health and Human Services-Office of Inspector General