The money was fraudulently
billed to Medicare for DME that was not medically necessary.
According to a statement
from the US Department of Justice, Ayodeji Temitayo Fatunmbi, 47, was sentenced
to 46 months in prison by U.S. District Judge, Christina A. Snyder of the
Central District of California, who also ordered Fatunmbi to pay $1,076,893.15
in restitution.
A Nigerian man is to spend
46 months (approximately four years) in prison for his role in $8.3 million
Durable Medical Equipment (DME) scheme.
Fatunmbi pleaded guilty on
May 8, 2019 to one count of conspiracy to commit health care fraud and one
count of conspiracy to commit money laundering.
Fatunmbi was charged along
with Olufunke Ibiyemi Fadojutimi, 47, of Carson, California, and Maritza
Elizabeth Velasquez, 44, of Las Vegas, Nevada.
As part of his guilty plea,
Fatunmbi admitted that he and others paid cash kickbacks to patient recruiters
and physicians for fraudulent prescriptions for DME such as power wheelchairs,
which the Medicare beneficiaries did not have a legitimate medical need.
Fatunmbi and
co-conspirators caused Lutemi Medical Supply (Lutemi), a DME supply company
that he co-ran, to submit approximately $8.3 million in claims to Medicare,
which resulted in the company being paid over $3.5 million.
Fatunmbi further admitted
that he was responsible for $2,090,434 in false and fraudulent claims for
medically unnecessary DME and that as a result of his conduct, Medicare paid
Lutemi a total of $1,076,893.
In furtherance of this
scheme, Fatunmbi and a co-conspirator wrote checks from Lutemi’s bank account
to Lutemi employees and others, and Fatunmbi instructed that those monies be
returned to him to pay the illegal cash kickbacks to the patient recruiters and
doctors, he admitted.
Fatummbi admittedly
directed others at Lutemi to engage in these transactions to conceal the nature
and source of the proceeds of the health care fraud conspiracy.
Velasquez pleaded guilty on
July 24, 2013, to one count of conspiracy to commit health care fraud, and was
sentenced to 15 months in prison and restitution in the amount of $3,411,428.
Fadojutimi was found guilty after a jury trial on July 31, 2014, of one count
of conspiracy to commit health care fraud, seven counts of health care fraud
and one count of money laundering, and was sentenced to four years in prison
and restitution in the amount of $4,372,466.
This case was investigated
by the HHS-OIG, the FBI and IRS-CI. Trial Attorneys Claire Yan, Emily Z.
Culbertson and Justin P. Givens of the Criminal Division’s Fraud Section are
prosecuting the case. The Asset Forfeiture Section of the U.S. Attorney’s
Office for the Central District of California is handling the asset forfeiture
aspects of the case.
The Fraud Section leads the
Medicare Strike Force, which is part of a joint initiative between the
Department of Justice and HHS to focus their efforts to prevent and deter fraud
and enforce current anti-fraud laws around the country.
Since its inception in
March 2007, the Medicare Fraud Strike Force, which maintains 14 strike forces
operating in 23 districts, has charged nearly 4,000 defendants who have
collectively billed the Medicare program for more than $14 billion. In
addition, the HHS Centers for Medicare & Medicaid Services, working in
conjunction with HHS-OIG, are taking steps to increase accountability and
decrease the presence of fraudulent providers.
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