McAllen-Area Doctor and Assistant Plead Guilty in Health Care Fraud and Illegal Kickback Scheme
MCALLEN, TX—A McAllen area doctor has been convicted of health care fraud and aggravated identity theft, announced U.S. Attorney Kenneth Magidson. Dr. Eduardo Carrillo, 42, of Edinburg, entered his guilty plea today before U.S. District Judge Randy Crane. Also convicted today was his assistant—Martha Uribe Medrano, 48, of Edinburg.
As part of his plea, Carrillo admitted he attempted to cause others to bill Medicare for patients who were deceased on the dates that Carrillo claimed to have provided services to the patients. Carrillo submitted fraudulent documentation to a billing company so that the company would file claims with Medicare for reimbursement of physician services. Records obtained by law enforcement show that the patients were deceased on the dates that Carrillo alleged to have provided services to the patients.
Carrillo also admitted to engaging in a scheme with his co-conspirator and assistant, Medrano, 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. Carrillo admitted he used the Medicare number and personal information of a patient in the illegal kickback exchange. Medrano pleaded guilty to illegal remunerations for her role in the scheme.
Sentencing for both Carrillo and Medrano has been set for Feb. 3, 2016, at 2:00 p.m. At that time, Carrillo faces a maximum of 10 years in federal prison and a possible $250,000 fine. He also faces a mandatory two-year additional prison term which must be served consecutively to any other sentence imposed. For her conviction, Medrano faces a maximum of five years and a $25,000 possible fine.
Both were permitted to remain on bond pending that hearing.
The investigation leading to the charges was conducted by the Department of Health and Human Services‐Office of Inspector General and the FBI. Assistant United States Attorney Michael Day is prosecuting the case.