{"id":49105,"date":"2022-03-08T16:02:35","date_gmt":"2022-03-09T00:02:35","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=49105"},"modified":"2022-03-08T16:08:17","modified_gmt":"2022-03-09T00:08:17","slug":"49105-2","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=49105","title":{"rendered":"Physician and Marketer Charged with Allegedly Stealing $30 Million from Medicare"},"content":{"rendered":"

LOS ANGELES<\/strong><\/span><\/p>\n

\"\"<\/p>\n

Authorities Tuesday arrested a physician and a marketer on federal charges stemming from a scheme that bilked Medicare out of more than $30 million for medically unnecessary hospice services provided to patients who were obtained through illegal kickbacks.<\/span><\/p>\n

Dr. Victor Contreras, 66, of Santa Paula, and Callie Jean Black, 63, were named in a 14-count indictment unsealed Tuesday. <\/span><\/p>\n

Also named is the former Pasadena resident who controlled the hospices, Juanita Antenor, 59, who remains at large and is believed to be in the Philippines.<\/span><\/p>\n

If convicted of the charges in the indictment, Contreras is facing up to 50 years in prison, while Black faces up to 40 years. <\/span><\/p>\n

\"\"<\/a>
Juanita Antenor<\/figcaption><\/figure>\n

According to court documents, Antenor owned a Pasadena hospice company called Arcadia Hospice Provider, Inc., and she controlled a second, Saint Mariam Hospice, Inc., that billed Medicare and Medi-Cal for hospice services for patients who were not terminally ill.<\/span><\/p>\n

In some case, the companies submitted bills for services that were never provided.<\/span><\/p>\n

Contreras, who was on probation imposed by the California Medical Board while he was part of the scheme, provided fraudulent certifications for some of these patients, including patients he claimed to have examined, but never actually saw, according to the indictment.<\/span><\/p>\n

Antenor allegedly paid marketers, including Black, illegal kickbacks for the patients referred to Arcadia and Saint Mariam.<\/span><\/p>\n

\"\"From approximately September 2014 until April 2019, Arcadia submitted to Medicare nearly $23 million in claims for hospice services provided to beneficiaries and was paid approximately $18,853,757 for those claims, according to the indictment. <\/span><\/p>\n

Between February 2015 and April 2019, St. Mariam submitted to Medicare approximately $13,742,116 in claims for hospice services and was paid approximately $11,395,849 for those claims. <\/span><\/p>\n

Contreras is linked to about $5.1 million of the total claims paid by Medicare.<\/span><\/p>\n

Additionally, Arcadia and St. Mariam submitted more than $5.5 million in claims to Medi-Cal, which paid the companies a total of just over $1.35 million.<\/span><\/p>\n

Antenor and Contreras are charged in the indictment with health care fraud \u2013 six counts name Antenor, and Contreras is charged with five counts. <\/span><\/p>\n

Additionally, Antenor is charged with four counts of paying illegal kickbacks for health care referrals, and Black is charged with four counts of receiving illegal kickbacks.<\/span><\/p>\n

The defendants are presumed innocent unless proven guilty.<\/span><\/p>\n

\n","protected":false},"excerpt":{"rendered":"

LOS ANGELES Authorities Tuesday arrested a physician and a marketer on federal charges stemming from a scheme that bilked Medicare out of more than $30 million for medically unnecessary hospice services provided…<\/p>\n","protected":false},"author":1,"featured_media":49106,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3255],"tags":[],"class_list":["post-49105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-federal-court"],"yoast_head":"\nPhysician and Marketer Charged with Allegedly Stealing $30 Million from Medicare<\/title>\n<meta name=\"description\" content=\"LOS ANGELES Authorities Tuesday arrested a physician and a marketer on federal charges stemming from a scheme that bilked Medicare out of more than $30\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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