Counselor indicted in $2M health care fraud scheme

MCALLEN, Texas ( ValleyCentral ) — A Mission man has been taken into custody on charges of health care fraud and aggravated identity theft in connection with a scheme to defraud the Texas Medicaid Program, announced U.S. Attorney Alamdar S. Hamdani.

Juan Martin Flores, a 46 year old, is scheduled to appear before U.S. Magistrate Judge J. Scott Hacker on Friday morning.

The indictment alleges Flores submitted or caused the submission of over 15,000 fraudulent claims to Medicaid for services that were never provided. Between 2018 and 2022, the claims resulted in about $2 million in Medicaid payments, according to the charges.

The indictment further alleges Flores used the personal information of Medicaid beneficiaries without their consent to facilitate the fraudulent billing scheme.

According to the charges, Flores submitted claims under his national provider identifier number, representing that he provided counseling services at his office in Brownsville.

However, he allegedly never actually rendered those services. The indictment details multiple instances in which he unlawfully used Medicaid beneficiaries’ identities in the fraudulent claims.

Flores is charged with 10 counts of health care fraud. Each count carries a possible 10-year maximum sentence and a fine of up to $250,000.

He is also facing three counts of aggravated identity theft. If convicted, he faces a mandatory two years in federal prison which must be served consecutively to any other sentence imposed.

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