DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland

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1 DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard Baltimore, Maryland Center for Program Integrity Date: October 11, 2012 To: From: Re: All Medicare Medicare Advantage and Part D Sponsors John Spiegel Medicare Program Integrity Group Medicare Fraud Strike Force On Thursday, October 4, 2012 there was a national law enforcement operation in multiple cities resulting in indictments and/or arrests against 91 Medicare providers. The providers include home health agencies, pharmacies, ambulance companies and durable medical equipment suppliers. These enforcement actions are the result of Medicare Fraud Strike Force investigations, which are part of the Health Care Fraud Prevention & Enforcement Action Team (HEAT) initiative. HEAT is a joint initiative between the Department of Justice and HHS focused on combining efforts to detect, prevent and deter fraud and enforce anti-fraud laws across the nation. We are alerting you to this information so that you can take appropriate measures regarding these providers and the Medicare Part C and Part D benefits you offer. These measures, in particular, should be focused on the appropriate detection and identification of fraud, waste, and abuse as required under Part C and Part D. Enclosed is a list of all of the providers that were indicted as part of this investigation. If you identify egregious billings from these providers, please contact Health Integrity, CMS National Benefit Integrity Medicare Drug Integrity Contractor (NBI MEDIC) or CMS. Any questions you may have on this subject should be directed to your CMS Account Manager and Martina Gilly of the National Benefit Integrity MEDIC at The MEDIC may also be reached at SAFERX ( ). 1

2 List of Indicted Providers Legal Entity/Provider Name Address NPI DEA NCPDP HOLLYWOOD PAVILION LLC 1201 N 37TH AVE HOLLYWOOD, FL STATE LICENSE COLOMA, CHRISTIAN CARING NURSE HOME HEALTH, GOOD QUALITY HOME HEALTH CARE LTC PROFESSIONAL CONSULTANTS, INC. PROFESSIONAL HOME CARE SOLUTIONS SERENDIPITY HOME HEALTH INC PHARMOVISA INC DOING BUSINES AS (DBA): MORALES PHARMACY PHARMOVISA INC DBA: MORALES PHARMACY 1200 N 35TH AVE HOLLYWOOD, FL NW 72ND AVE MIAMI, FL W 76TH ST 406 HIALEAH, FL SW 48TH ST MIAMI, FL W FLAGLER ST SUITE SW 1ST ST STE W 60TH ST HIALEAH, FL SW 137TH AVE MIAMI, FL PHARMOVISA, MD, INC MBM MEDICAL SERVICES INC I & L THERAPY CENTER 7035 SW 87TH AVENUE MIAMI,FL WEST FLAGLER ST MIAMI, FL SW 72ND ST SUITE 104 MIAMI, FL PH24335 HCC VENUS MEDICAL SUPPLY, INC. 385 E 8TH ST MIAMI, FL STERLING PHARMACY INC AD PHARMACY INC. PHARMACY SOLUTION 1090 SW 27TH AVE 3253 NW 7TH ST MIAMI, FL SW 72ND ST MIAMI, FL PH PH P&Y PHARMACY DISCOUNT, INC 1555 SW 8TH ST MIAMI,FL PH

3 Y & Y PHARMACY,INC 24 HOUR COMMUNITY PHARMACY INC. MUSOMED HEALTH CARE SAFE HOME HEALTH CARE AGENCY, INC. 515 SW 12TH AVE STE 513 MIAMI, FL NW 2ND ST MIAMI, FL PH FONTAINEBLEAU BLVD SUITE 2G-8 MIAMI, FL SW 142ND AVE MIAMI, FL PITSOULAKIS,WENDY M S.W. 84TH ST. MIAMI,FL ALPHA AMBULANCE, INC 425 S FAIRFAX AVE, 205 LOS ANGELES, CA LAS TUNAS MEDICAL EQUIPMENT INC FENDIH MEDICAL SUPPLIES, INC. SRI WIJEGOONARATNA BONFEE INC 1060 E LAS TUNAS DR SAN GABRIEL, CA N H ST SUITE 5 SAN BERNARDINO, CA W WARNER AVE UNIT#A SANTA ANA, CA E CARSON PLAZA DR SUITE PTA20994 PT FW A IBON, INC. VANPUTTEN, JUAN EMMANUEL AYODELE CALIFORNIA NEURO- REHABILITATION INSTITUTE, INC. RIVERSIDE GENERAL HOSPITAL RIVERSIDE GENERAL HOSPITAL MEDICAL CLINIC TRUST MEDICAL SUPPLY GOLDEN MEDICAL EQUIPMENT&SUPPLY, INC. 550 E CARSON PLAZA DR SUITE E DOMINGUEZ ST SUITE C S MAIN ST LOS ANGELES, CA S VIRGIL AVE #401 LOS ANGELES, CA ENNIS STREET HOUSTON, TX ENNIS STREET HOUSTON, TX LAKE ST LAKE PROVIDENCE, LA WOODDALE BLVD. SUITE A, ROOM 1 BATON ROUGE, LA BA A

4 CROPSEY MEDICAL CARE PLLC DR. OKON E UMANA MD DR. MEL CWIBEKER D.C. DR. SHIMON METZ D.C. RICHARD HURWITZ MARK SAMUEL LISSMART MEDICAL SUPPLIES INC TREATMENT EDUCATION AND ADDICTION MANAGEMENT INC A MEDICAL HOUSE CALLS DBA: A PLUS MEDICAL DR. NICOLAS ALFONSO PADRON M.D. HIS GRACE MEDICAL SUPPLY AND MORE HIS GRACE MEDICAL, LLC LINCOLN MEDICAL SUPPLY LLC DR. JOSEPH M MEGWA MD PTM HEALTHCARE SERVICES INC. EULESS HEALTH CARE MEDIC HEALTHCARE INC 1706 CROPSEY AVENUE, SUITE C BROOKLYN, NY WEBSTER AVE BRONX, NY CENTRAL AVE SUITE 102 WOODMERE, NY ROCKAWAY TPKE SUITE ONE CEDARHURST, NY AVENUE T BROOKLYN, NY E BOSTON POST RD MAMARONECK, NY HANLEY RD & 6702 HANLEY RD TAMPA, FL GARLAND RD DALLAS, TX CASA LINDA PLAZA #353 DALLAS, TX CHARLES CITY DR W DIVISION ST, SUITE A 1901 SOUTHEAST PKWY, SUITE I-45 NORTH H-I SPRING, TX MATLOCK CENTRE CIR ARLINGTON, TX W.AIRPORT FRWY SUITE 530 IRVING, TX W BEDFORD EULESS RD HURST, TX BONHOMME RD SUITE 304-N HOUSTON, TX AU X X X X H BM M

5 KOLBUSZ, ROBERT RINALDI, SHARON 3825 HIGHLAND AVE SUITE 5C DOWNERS GROVE, IL E LAKE STREET ELMHURST EXTENDED CARE CENTER ELMHURST, IL

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