A Florida man was sentenced Friday to 15 years in prison for his role in a wide-ranging conspiracy to defraud Medicare by billing over $67 million for medically unnecessary genetic testing, officials stated.
Jose Goyos, 38, of West Palm Beach, worked at a call center involved in fraudulent telemarketing targeting Medicare beneficiaries and their doctors, according to court documents and trial evidence.
Goyos oversaw the “doctor chase” division, which contacted primary care physicians to deceive them into ordering unnecessary genetic tests based on fabricated paperwork created by the call center.
He instructed employees to falsely claim that the Medicare beneficiaries were “mutual patients” who had requested the tests and had medical conditions warranting them—neither of which was true.
Goyos and his accomplices used fraudulent doctor orders to bill Medicare for costly, unnecessary genetic tests. The test results were often not shared with beneficiaries’ primary care physicians or used in their treatment.
Between May 2020 and July 2021, they submitted over $67 million in false claims to Medicare, receiving more than $53 million in payments.
In October 2023, a jury found Goyos guilty of conspiracy to commit wire fraud and money laundering.
Nine additional Florida residents were previously sentenced for their roles in the conspiracy:
- Daniel M. Carver, 38, of Boca Raton, was sentenced to 16 years and eight months in prison.
- Thomas Dougherty, 42, of Palm Beach, was sentenced to 14 years in prison.
- John Paul Gosney Jr., 42, of Parkland, was sentenced to seven years and 11 months in prison.
- Galina Rozenberg, 42, of Hollywood, was sentenced to four years in prison.
- Michael Rozenberg, 61, of Hollywood, was sentenced to four years in prison.
- Ethan Macier, 25, of Boynton Beach, was sentenced to three years and nine months in prison.
- Louis “Gino” Carver, 33, of Boca Raton, was sentenced to two years and eight months in prison.
- Ashley Cigarroa, 32, of North Lauderdale, was sentenced to two years and six months in prison.
- Timothy Richardson, 31, of Lantana, was sentenced to two years in prison.
The FBI and Health and Human Services-Office of the Inspector General investigated the case.
Trial Attorneys Reginald Cuyler Jr. and Andrew Tamayo, along with former Trial Attorney Patrick J. Queenan, of the Criminal Division’s Fraud Section prosecuted the case.