|Charges||Health care fraud, conspiracy to commit Health care fraud, and aggravated identity theft|
In February 2014, complaints were filed charging Luis Emilio Deleon and Sevastion Deleon with health care fraud, conspiracy to commit health care fraud, and aggravated identity theft. Investigators believe that Luis and Sevastion received over $800,000 in reimbursement for wound care products that doctors never prescribed and that beneficiaries never ordered or received.
Luis and Sevastion owned and operated Clover Durable Medical Equipment, LLC (Clover), doing business in New Orleans, Louisiana. Luis and Sevastion used the names and NPI numbers of Louisiana doctors as prescribing physicians on Medicare claims for beneficiaries who lived outside the state of Louisiana, primarily in the state of Florida. Neither the Louisiana physicians nor the out-of-state beneficiaries had any knowledge of Clover.
Prior to purchase of the company in 2012, Clover billed Medicare for less than $100,000 per year in DME items. After Luis and Sevastion purchased the company, Medicare was billed for more than $2 million in wound care supplies in less than three months.
- Health Care Fraud