Professional Documents
Culture Documents
Sep 9, 2021
UNITED STATESDISTRICT COURT
SOUTH ERN DISTRICT OF FLORIDA
21-80139-CR-CANNON/REINHART
Case N o.
18U.S.C.j1349
18U.S.C.j1347
18U.S.C.j371
42U.S.C.j1320a-7b(b)(2)(A)
18U.S.C.j1956(h)
18U.S.C.j1956(a)(1)(B)(i)
18U.S.C.j981(a)(1)(C)
18U.S.C.j982(a)(1)
18U.S.C.j982(a)(7)
U NITED STATE S O F AM ER ICA
VS.
JOH N M AM O N E,
JOH N AN TH O N Y M AM O N E,and
JO SEPH M AM O NE ,
D efendants.
INDICTM ENT
Individuals who received benefits under M edicare were com monly referred to as M edicare
Glbeneficiaries.''
health services provided by hospitals, sldlled nttrsing facilities, hospices, and hom e health
individual's access to durable medical equipment (;&DME''), such as orthotic devices and
w heeldhairs.
4. Orthotic deviceswere a type ofDM E thatincluded rigid and sem i-rigid devices,
thatstated:
of a D M E supplier. CM S Form 8555 defm ed &W dverse LegalA ctions''as,nm ong other things,
conviction, tm der federal or state law, relating to the unlawftzl m anufacttlre, distdbution,
regulations governing reimblzrsem ent. To receive M edicare funds, enrolled providers were
and regulations.
11. M edicare reim bursed DM E com panies and otherhealth care providers for item s
and selwices rendeied to beneficiaries. To receive paym ent from M edicare,providers subm itted
com pany.
things,the beneficiary's nam e Mnd tm ique M edicare identification nllm ber,the DM E provided to
the beneficiary,the datethe DM E wasprovided,the costoftheDM E,and the nam e and llnique
T elem edicine
14. Telem edicine provided a m eans of colm ecting patients to doctors by using
Telem edicine com pnnies provided telem edicine serd ces,or telehealth services,to
individuals by hiring doctors or otherhealth care providers. Telem edicine com panies typically
paid doctors a fee to conduct consultations w ith patients. In order to generate revenue,
4
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rçquirementsweremet.Theserequirementsincludedthat(a)thebeneficiarywaslocatedinarural
orhealthprofessionalshortagearea;(b)selwicesweredeliveredviaaninteractiveaudioandvideo
telecommlmicationssystem;and (c)thebeneficiary wasin apractitioner'soffice oraspecified
m edical facility- not at a beneficiary's hom e---during the telehealth service with a rem ote
?
practitioner. In oraround M azch 2020,in response to the COVlD-19 pandem ic,som e ofthese
requirem ents were nm ended temporarily to,nm ong other things,cover telehealth services for
professionalshortage area and even ifthe telehealth selwicesw ere ftumished to beneficiaries in
theirhom e.
a plincipalplace ofbusiness in B roward Cotm ty,Florida. Com pany 1 held an accotm tatJPM C
endinginx4131(theçtcompany 1Accotmf').
Company 2 wasalimited liability company form edtmderthelawsofFlorida,with
BankingandTnzstCompany(:%B&T'')endinginx7724(theEtcompany2Accounf).
CO U N T 1
C onspiracy to C om m itH ealth C are Fraud and W ireFraud
(18U.S.C.j1349)
The GeneralAllegationssection ofthis Indictm entisre-alleged and incorporated
JO lo M A M O N E
zo> AxoTlloxvMAMV E,and
zo sEpH M A M O N E ,
did lcnowingly and willfully,thatis,with the intentto furtherthe objects ofthe conspiracy,
combine,conspire,confederate,and agreewith each other,and othersknown and llnknown tothe
care benefitprogrnm affecting com merce,as defined in Title 18,United States Code,Section
andarrmlgingfortheorderingofDME?orMedicarebeneficiaries,withoutregardtothemedical
necessity oftheprescribed DM E orwhethertheDM E waseligible forM edicare reim bursem ent;
(c) submi.
tting and causing the submission,via interstate wire commllnication,of false and
âaudulentclaim sto M edicare through A LPHA and HORIZON forDM E thatwasnotm edically
necessary and not eligible for M edicare reimbursement; (d) concealing and causing the
concealmentoffalseandfraudulentclaimstoM edicare;and(e)divertingfraudproceedsfortheir
personaluse and benefit,the use and benetitofothers,and to fuirtherthefraud.
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The m anner and m eans by w hich the defendants and their co-conspirators sought to
accomplishtheobjectsandptlposeoftheconspiracyincluded,nmongothertllings:
4. JO H N M A M O NE ,JO H N A N TH O N Y M A M O N E,JO SEPH M AM O N E,and
and H O W ZON .
sel've as nom inee owners ofD M E suppliers,including A LPH A ,in orderto concealthe identities
ofthebeneficialownersoftheDM E suppliers.
other co-conspirators,through and on behalf ofA LPHA and H ORIZON ,offered and paid,and
orders for DNIE thatw as notm edically necessary and not eligible for M edicare reim btlrsem ent.
These doctors' orders w ere w ritten by doctors contracted w ith the telem edicine com pnnies w ho
Case 9:21-cr-80139-AMC Document 3 Entered on FLSD Docket 09/09/2021 Page 10 of 30
v1S1t.
other co-conspirators subm itted, and caused the subm ission of, false and fraudulent claim s to
M edicare, through the use of interstate wire comm llnications, on behalf of'ALPHA and
fraud.
C O UN TS 2-5
H ealth C are Fraud
(18U.S.C.j1347)
The GeneralAllegationssection ofthisIndictm entisre-alleged and incorporated
zo > M AM O N E,
Jo sEpH M A M O NE ,and
JO H N A N TH O N Y M A M O NE ,
in cozm ection w ith the delively of and paym ent forhealth care benefhs,item s,and services,did
know ingly and w illfully execute,and attem ptto execute,a schem e and artifice to defraud a health
10
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care benefitprogram affecting comm erce,as defined in Title 18,United States Code,Section
of,said healthcarebenefitprogrnm .
3. Itwasapurposeoftheschemeandartificeforthedefendantsandtheiraccomplices
H ORIZON for D M E that w as not m edically necessary and not eligible for M edicare
The M anner and M eans section ofCotmt 1 ofthis Indidm ent is re-alleged and
incorporated by reference as though fully set forth herein as a description of the schem e and
artifice.
Case 9:21-cr-80139-AMC Document 3 Entered on FLSD Docket 09/09/2021 Page 12 of 30
the Southem District of Florida, and elsewhere,the defendants did knowingly and willfully
execute,and attem ptto execute,theabove-described schem eand artificeto deâaud ahealth care
claim s,seelcing the identified dollar nmolmts,and representing that such benefits,item s,and
servicesw ere m edically necessary and eligible for M edicare reim btlrsem ent:
A T otal
pprox. yw sto rthosis in Approx
C ount B eneficiary Billing Entity D ate of Cl .
Service aim ;C laim N o. ABi
ml ount
l
ed
D unee orthosis;
L.
. HORIZON 10/1/2019 119276783797001 $4,820
3 S Ankle footorthosis;
R.
. ALPHA 4/16/2020 120107737047000 $1,000
Ankle footorthosis;
. 4 B.T. ALPHA 5/11/2020 120140800637001 $4,100
;
. Lum bar-sacral
5 L.J. HORIZON 5/26/2020 orthosis; $4,870
120150800728000
CO U N T 6
C onspiracy to D efraud the United Statès and to Pay H eaIth C are K ickbacks
(18U.S.C.j371)
The G eneralA llegations section of tllis Indictm ent is re-alleged and incorporated
2020,in Palm B each Cotmty,in the Southern D istrictofFlorida,and elsew here,the defendants,
12
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JO H N M A M O N E ,
JOH N A N TH O NY M A M O N E,and
zo sEpH M A M O N E,
did knowingly and willfully,thatis,with the intentto f'urtherthe objects ofthe conspiracy,
com bine,conspire,confederate,and agreewith each other,and with otherslcnown and llnknown
is,toviolateTitle42,UnitedStatesCode,Section 1320a-7b(b)(2)(A),byknowinglyandwillfully
offering and paying remlm eration,includingkickbacksand bribes,directly and indirectly,ove/ly
and covertly,in cash and in ldnd,to a person to induce such person to referan individualto a
person forthe furnishing and anu ging forthe farnishing ofan item and service forwhich paym ent
ALPHA andHORIZON;(b)offering,paying,andcausingthepaymentofldckbacksandbribesin
exchange fortherefen'
alofM edicare beneficiariesand doctors'ordersforDM E to ALPHA and
HORIZON;(c)offering,paying,andcausingthepaymentoflcickbacksandbribestotelemedicine
com panies in exchange for ordering and arranging for the ordering of D M E for M edicare
referralofM edicarebeneficiariesanddoctors'orders'
,(e)concealingandcausingtheconcealment
13
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of claims to M edicare thatwere obtained through the paym entofldckbacks and bribes forthe
conspiracy.
The m nnner and m eans by w hich the defendants and their co-conspirators sought to
accomplishtheobjectsandpurposeoftheconspiracyincluded,amongotherthings,tjaefollowing:
JOHN M AM ONE,JQHN ANTHONY M AM ONE,andJOSEPH M AM ONE
acquiredbeneficialownership interestsin M PHA and HORIZON .
M A M O NE .
JO H N M A M O N E,JO H N A N TH O W M AM O NE ,and JO SE PH M AM O NE
recruitedindividualstoserveasthenomineeownersofALPHA in ordertoconcealtheirbeneficial
H O RIZON .
other co-conspirators,on behalf of A LPHA and H O RIZON ,negotiated the ldckback and bribe
14
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arrangements,ancidisguisedthenatureandsotu'ceofthesekickbacksandbribesasbeingforother
services,such as Gçm arketing''services,mld furtherconcealing such paym ents by entering into
sham contrad s.
otherco-conspiratorssubm itted,and caused the submission of, claim sto M edicaze forDM E on
otherco-conspiratorsused the proceedsreceived from M edicare to benefk them selves and others,
O vertA cts
Infurtheranceoftheconspiracy,andtoaccomplish itsobjectsandpurpose,atlèastoneco-
conspiratorcom mittedand causedtobecommitted,in theSouthem DistrictofFlorida,atleastone
the sole ow ner and person w ith m anaging controlofH OW ZON ,w hen in factJO H N M A M O N E
H ORIZON .
15
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ALPH A .
Outsom cing Agreem ent between ALPHA and Company 1, which falsely represented that
to A LPH A .
Processing and Outsourcing A greem ent between H OR IZON and C om pany 1, which falsely
represented that Com pany 1 w ould provide Gtbusiness, processing and outsotlrcing'' services,
16
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A LPH A and Com pany 2,w llich falsely represented that Com pany 2 w ould provide çûm arketing
Thisagreem entalso falsely represented thatthe compensation Gçshallnotin any way berelated to
thevalue,volume,oradjudication ofreferralsbetweentheparties.''
8. On or about January 3, 2020,JOSEPH M AM ONE executed a M anagement
notinanywayberelatedtotievalue,volume,oradjudicationofrefenulsbetweentheparties.''
On or about January 3, 2020,JOSEPH M AM ONE and JOIIN ANTH ONY
M AM ONE transferred and caused to be transferred approxim ately $15,000,via wire trrnsfer,
from theHorizon A ccountto the Company 2 Accotmt.
certifying that, as of Februaty 10,2020,that individual w as the sole ow ner and person w ith
and JO SEPH M AM O N E w ere also beneficialow ners and participated in m anaging A LPHA .
CO U N TS 7-10
Paym entofK ickbacksin Connectiûn w ith a FederalH eaIth CareProgram
(42U.S.C.j1320a-7b(b)(2)(A))
The GeneralAllegationssection ofthisIndictm entisre-alleged and incorporated
zo H N M A M o N E ,
JOH x A N TH O NY m M O NE ,and
zo sEpu M A M O N E,
person to referan individualto a person forthefurnislling and arranging forthe furnishing ofan
A pprox.Date Approx.A m t.
C ount ofK ickback ofK ickback D escription ofK ickback Paym ent
Pa m ent Pa m ent
7 11/8/2019 $15 000 W
A iretransferf'
rom theAlphaW ellsFargo
,
ccolm tto the Com an 1 A ccotmt.
8 11/15/2019 $30 000 W iretransferfrom the Horizon A ccotmt
t
,
o the Com an 1 Account.
9 1/3/2020 $15 000 W iretransferf'
t rom the Horizon A ccount
,
o the Com an 2 Account.
18
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C O U NT 11
C onspiracy to Com m itM oney Laundering
(18U.S.C.j1956(h))
The G eneralA llegations section ofthis Indictm ent is re-alleged and incop orated
byreferenceasthoujhfullysetforthherein.
2. From in orarotm d Janualy 2019,and continuing through in orarotmd September
JO H N M A M O N E ,
JOH N AN TH O NY M AM O NE ,and
Jo sEl,ll m M O N E,
did lcnowingly and voltmtarily combine,conspire,and agree with each other,and with others
known and llnknown to theGrand Jury,to conducta financialtransaction affecting interstate and
foreign comm erce, which transaction involved the proceeds of specified llnlawful activity,
19
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with a Federal health care program ,in violation of Title 42, United States Code, 1320a-
7b(b)(2)(A).
A11in violation ofTitle18,UnitedStatesCode,Section 1956(h).
C O IJN TS 12-15
M oney Laundering
(18U.S.C.j1956(a)(1)(B)(i))
The GeneralAllegationssection ofthisIndictmentisrealleged and incorporated
JOHN M AM ONE ,
zo u x AN TH O N Y M A M O N E,and
JpsEpllMxM ONE,
did know ingly conduct and attem pt to conduct a financial transaction affecting interstate and
foreign comm erce, which financial transaction involved the proceeds of '
specified tmlawful
20
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with a Federal health care program , in violation of Title 42, U nited States 'Code, 1320a-
7b(b)(2)(A).
In violation ofTitle18,United StatesCode,Sections1956(a)(1)(B)(i)and 2.
FO R FEITUR E AT,LEG A TIO N S
The allegations of lhis lndictm ent are re-alleged and by this reference fully
Upon conviction ofa conspiracy to comm ita violation ofTitle 18,United States
United States any property, real or personal, which constitm es or is derived from proceeds
traceabletosuch offense,p'
ursuanttoTitle 18,United StatesCode,Section 981(a)(1)(C).
3. Upon conviction ofa violation,or conspiracy to comm ita violation,ofTitle 18,
United States Code,Section 1347,or Title 42,United States Code,Section 1320a-7b,as alleged
q '
alleged in tlnis Indictm ent,the defendantso convicted shallforfeit to the United States any
pursuanttoTitle18,UnitedStatesCode,Section 982(a)(1).
5. Theproperty subjecttoforfeitureasaresultofthèallegedoffensesincludes,butis
notlimited to,asum ofatleast$3,805,073,which representsthetotalnmotmtoffundsinvolved
inorderivedfrom theallegedoffensesandmaybesoughtasaforfeituremoneyjudgment.
Ifany ofthepropertysubjecttoforfeiture,asaresultofany actoromission ofthe
defendants:
hasbeenplacedbeyondthejurisdiction ofthecourt;
hasbeen substantially dim inishedin value;or
has been comm ingled with other property which cnnnot be divided without
difficulty,
Section2461(c),andTitle18,UnitedStatesCode,Sections982(a)(1)and(a)(7)andtheprocedures
setforth in Title 21,United States Code,Section 853,as incorporated by Title 18,United States
Code,Section982(b)(1).
A TRU E BILL
GR AN D Y F REPER SON
/.<- .
JU ANTONIO O ZA EZ
A CTIN G U N ITED S A T O RN EY
(.
f
PATRICK J.QUE NAN
TRIA L ATTORN EY
CRIM FN AL DIV ISION ,FR AU D SECTION
U .S.DEPA RT= N T OF JU STICE
Case 9:21-cr-80139-AMC Document 3 Entered on FLSD Docket 09/09/2021 Page 24 of 30
U NITED STATESDISTRIG Co IJRT
SOU TH ERN DISTRIG OF FLO IUDA
l
'v
:
PATRICK .Q EENAN
DOJ TrialAttorney
CourtID No. A5502715
*penaltySheetts)attached REV 3/19/21
Case 9:21-cr-80139-AMC Document 3 Entered on FLSD Docket 09/09/2021 Page 25 of 30
PEN A LTY SH E ET
D efendant's N am e: JO H N M A M ON E
C ase N o:
Cotmt#: 1
Conspiracv to
1
Comm itHea1th CareFraud and W ireFraud
4
PENALTY SHEET
D efendant's N am e: JO H N M A M O N E
Case N o:
Count#: 11
Title18sUnitedStatesCodeeSedion 1956(h)
Conspiracv to Com m itM oney Latm dering
Counts#: 13 - 15
Defendant'sN am e: JO H N A NTH O N Y M A M O N E
Case N o:
Count#: 1
Colmts#:
Hea1th CareFraud
PENALTY SHEET
Case N o:
Cotmt#:
Cotmts#: 12 - 15
Title18.UnitedStatesCode.Section 1956(a)(1)(B)(i)
s4onev Laundedn:
D efendant'sN am e: JO SEPH M AM O NE
CaseN0:
'Count#:
*M axPenaltv: Five(5)yem's'imprisonment
Colm ts#; 7 - 10
D efendant's N am e: JO SEPH M A M O N E
CaseN o:
Cotmt#: