Man charged with United Health, BCBS false claims plan
Federal prosecutors announced on Friday that a man in Miami was accused of filing a false and fraudulent health care claim worth approximately $38 million.
Armando Valdes, 63, was charged with 10 counts of medical fraud. According to a federal law enforcement officer, he was arrested by federal law enforcement officers on Friday morning. Press Releases From the Ministry of Justice.
According to the federal grand jury indictment, Valdes allegedly submitted false statements to UnitedHealthcare and Blue Cross Blue Shield through a clinic called Gasiel Medical Services in Miami. Valdes allegedly owned and operated the clinic from February 2015 to July 2021.
The indictment stated that the alleged fraudulent claims were related to infliximab infusions, which were allegedly not medically necessary and were not provided to patients as billed.
According to the U.S. Attorney’s Office for the Southern District, infliximab, also known as Remicade, is a prescription immunosuppressive drug approved for the treatment of Crohn’s disease, ulcerative colitis, rheumatoid arthritis, and tonic Spondylitis, psoriatic arthritis and plaque psoriasis in Florida.
Allegedly, Valdes used the proceeds of the fraudulent claim to purchase four real estate properties, including a waterfront apartment in Pompano Beach, Florida.
The indictment stated that he allegedly used the proceeds to purchase luxury cars including Cadillac Escalade and Tesla Model S.
According to the U.S. Attorney’s Office for the Southern District of Florida, Valdes could face up to 100 years in prison if convicted.