DOJ, FBI Win Conviction Of Florida Docs For $31-M Medicare Fraud

A federal jury convicted two Florida doctors on Jan. 31, 2023, for their roles in a scheme to defraud Medicare by submitting over $31 million in claims for expensive Durable Medical Equipment (DME) that Medicare beneficiaries did not need and that were procured through the payment of kickbacks.

Photo Insert: Chiropractor Dean Zusmer owned one of four DME companies that collectively billed Medicare over $31 million for unnecessary DME, of which over $15 million was paid.

Dean Zusmer, 54, of Miami, was a chiropractor who conspired with others to steal millions of dollars from Medicare. Zusmer owned one of four DME companies that collectively billed Medicare over $31 million for unnecessary DME, of which over $15 million was paid.

Zusmer and his co-conspirators, including Jeremy Waxman, acquired patient referrals and signed doctors’ orders by paying kickbacks to marketers who used overseas call centers to solicit patients and telemedicine companies to procure prescriptions for unnecessary braces for these patients.

Court documents showed that Dr. Lawrence Alexander, 45, of Miami, was an orthopedic surgeon who owned one of the DME firms with Waxman and concealed both his and Waxman’s roles in the scheme by putting the DME company in the name of one of Alexander’s family members.

Zusmer was convicted of conspiracy to commit health care fraud, health care fraud, conspiracy to pay illegal health care kickbacks, paying illegal health care kickbacks, and false statements relating to health care matters.

He is scheduled to be sentenced on April 20 and faces a maximum penalty of 10 years in prison on each of the following counts: Conspiracy to commit health care fraud; health care fraud, and; paying illegal health care kickbacks.

He faces a maximum penalty of five years in prison for these counts-- conspiracy to pay illegal health care kickbacks and false statements relating to health care matters. Alexander was convicted of false statements relating to healthcare matters. He is scheduled to be sentenced on April 20 and faces a maximum penalty of five years in prison.

A federal district court judge will determine any sentence after considering the US Sentencing Guidelines and other statutory factors. Waxman was previously sentenced to over 15 years in prison for his role in the scheme.

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