A Florida man and woman were sentenced for their roles in a wide-ranging conspiracy to defraud Medicare by billing over $93 million for home health therapy services that were never rendered. Karel Felipe, 42, of Miami Shores, was sentenced to eight years and four months in prison. Tamara Quicutis, 54, of Hialeah, was sentenced to five years and 10 months in prison. The court also ordered forfeiture of fraud proceeds. Both defendants were convicted in October 2023 after a jury found them guilty of conspiring to commit healthcare fraud and wire fraud and conspiring to commit money laundering.
According to court documents and evidence presented at trial, Felipe and Quicutis conspired with others to submit false bills to Medicare for three home health companies located in Michigan. Their co-conspirators recruited individuals from Cuba to sign Medicare enrollment documents and appear as the owners of the home health agencies to conceal the identities of Felipe, Quicutis, and others involved in the scheme. Felipe, Quicutis, and their co-conspirators used these home health companies to submit claims for services that were not rendered using lists of stolen patient identities. Felipe, Quicutis, and their co-conspirators used dozens of shell companies and hundreds of bank accounts to launder the Medicare fraud proceeds and convert the proceeds into cash at Miami-area ATMs and check cashing stores.