Orisbel Espinosa Hernandez

On February 20, 2013, Orisbel Espinosa Hernandez was arrested at Miami International Airport after arriving on a flight from Cuba. He was sentenced on September 25, 2013, to 2 years and 6 months of incarceration and ordered to pay $1.3 million in restitution.

In July 2009, Hernandez was indicted on charges of health care fraud, mail fraud, aggravated identity theft, and false statements related to health care matters. Investigators believe that Hernandez caused his two companies to submit approximately $2.5 million in false claims to Medicare.

Hernandez acquired the durable medical equipment company Active Medical Solutions (AMS) and the outpatient rehabilitation facility Total Care Therapy Specialists (Total Care), based outside of Miami and Jacksonville, respectively. According to the indictment, Hernandez obtained the Medicare numbers of beneficiaries as well as the names and Medicare provider numbers and names of physicians in order to submit fraudulent claims to Medicare.

Between November 2005 and September 2008, the average monthly claims AMS submitted to Medicare was approximately $4,871. After AMS was acquired by Hernandez and between October 2008 and December 2008, AMS submitted $1.5 million in false claims to Medicare for reimbursement. After Total Care was acquired by Hernandez, the facility billed Medicare for approximately $1 million for therapy services that were either never performed or were not necessary.