Guatemalan Citizen and Convicted Felon Guilty of Illegal Reentry

Source: United States Department of Justice Criminal Division

NEW ORLEANS, LOUISIANA – United States Attorney David I. Courcelle announced today that FEDERICO MENDEZ-FRANCISCO a/k/a “JORGE SANTOS ARROYO,” a/k/a “JORGE A. GORDILLO,” a/k/a “FEDERICO MENDEZ,” a/k/a “FREDERICO MENDEZ,” a/k/a “FEDERICO MENDEZ FRANCISCO,” (“MENDEZ-FRANCISCO”), age 40, a native of Guatemala, pled guilty to re-entry of a previously removed alien, in violation of Title 8, United States Code, Sections 1326(a) and 1326(b)(1). 

Conspirator in Carjacking Spree Sentenced to 84 Months

Source: United States Department of Justice Criminal Division

Elmer Bonilla, 23, of the District of Columbia, was sentenced today in U.S. District Court to 84 months in federal prison in connection with his role in a 2024 violent carjacking conspiracy which operated in the District and Maryland and continued even after several members were arrested, announced U.S. Attorney Jeanine Ferris Pirro.

Traditions Health Agrees to Pay $34M to Resolve False Claims Act Liability Relating to Home Health Services Following Self Disclosure

Source: United States Department of Justice Criminal Division

Traditions Health LLC (Traditions) has agreed to pay $34 million to resolve its civil liability under the False Claims Act for billing medically unnecessary home health claims to Medicare and providing financial benefits to physicians in exchange for referrals. Traditions self-disclosed the conduct at issue to the government.

The settlement resolves allegations that, from 2021 to 2024, Traditions submitted claims to Medicare from its McAlester, Oklahoma, location for home health services that were not medically necessary. It also resolves claims that, between 2019 and 2024, Traditions paid remuneration to physician-medical directors in Oklahoma and Texas who referred Medicare beneficiaries to Traditions for home health services and that this remuneration potentially violated the Anti-Kickback Statute and the Physician Self-Referral Law.

The Anti-Kickback Statute prohibits the provision of remuneration to induce referrals of government health care program business. The Physician Self-Referral Law, commonly known as the Stark Law, prohibits physicians from making referrals for the furnishing of certain designated health services, including home health, payable by Medicare to an entity where the physician has a “financial relationship,” unless the arrangement meets the requirements of a statutory or regulatory exception. Federal law prohibits payment by federal health care programs of medical claims that result from arrangements that violate the Anti-Kickback Statute or the Stark Law.

In connection with its self-disclosure, Traditions took a number of significant steps entitling it to credit for cooperating with the government. Following its independent investigation, Traditions provided detailed and thorough written disclosures to the government and cooperated with the government throughout the investigation. Traditions also promptly took remedial actions including removing individuals identified as responsible for the misconduct, improving its compliance program, and providing additional training to its employees.

“Home health care is critical to Medicare patients who are unable to leave their homes for treatment,” said Deputy Assistant Attorney General Brenna E. Jenny of the Justice Department’s Civil Division. “As today’s settlement reflects, when health care providers fail to uphold the rules of the Medicare program, they can mitigate the consequences by making timely self-disclosures, cooperating with the government’s investigation, and promptly taking appropriate remedial measures.”

“Billing and receiving payments from Medicare for unnecessary and inappropriate medical care is a practice which cannot and will not be tolerated,” said U.S. Attorney Christopher J. Wilson for the Eastern District of Oklahoma. “The disclosure and settlement agreed to by Traditions Health LLC in this case demonstrates that early mitigation goes a long way towards addressing fraud and mitigating the loss of taxpayer dollars.”

“Preying on vulnerable patients for financial gain is unacceptable,” said Acting Deputy Inspector General for Investigations Scott J. Lampert at the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG). “Providers who engage in kickbacks and false claims will be held accountable. This resolution reinforces OIG’s commitment to protecting patients, preserving program integrity, and safeguarding taxpayer dollars.”

The resolution obtained in this matter was the result of a coordinated effort between the Justice Department’s Civil Division, Commercial Litigation Branch, Fraud Section, the U.S. Attorney’s Office for the Eastern District of Oklahoma, and HHS-OIG.

The investigation and resolution of this matter illustrates the government’s emphasis on combating health care fraud. One of the most powerful tools in this effort is the False Claims Act. Tips and complaints from all sources about potential fraud, waste, abuse and mismanagement can be reported to HHS at 800-HHS-TIPS (800-447-8477).

Fraud Section Trial Attorney Jonathan Hoerner and Assistant U.S. Attorney Joshua Mitts for the Eastern District of Oklahoma handled this matter.

The claims resolved by the settlement are allegations only and there has been no determination of liability.

Armed Fentanyl Dealer Sentenced to 14 Years in Federal Prison

Source: United States Department of Justice Criminal Division

Jacksonville, Florida – Thomas Edgar Hall (36, Jacksonville) has been sentenced by U.S. District Judge Harvey E. Schlesinger to 14 years in federal prison for multiple counts of distribution of fentanyl and possession of a firearm in furtherance of a drug trafficking crime. Hall pleaded guilty on July 8, 2025. U.S. Attorney Gregory W. Kehoe made the announcement.

Florida Nursing Assistant Convicted in $11.4M Health Care Fraud Scheme Targeting Medicare Beneficiaries

Source: United States Department of Justice Criminal Division

A federal jury in Fort Lauderdale, Florida, convicted a nursing assistant today for his role in an $11.4 million health care fraud and wire fraud conspiracy in which hundreds of Medicare beneficiaries were sent thousands of orthotic braces they did not need.

“Defendant Chris Cruz blatantly lied to Medicare in order to steal over $11 million from hard-working taxpayers,” said Assistant Attorney General A. Tysen Duva of the Justice Department’s Criminal Division. “Today’s guilty verdict demonstrates that the Criminal Division remains committed to holding criminals accountable who steal from their fellow citizens to fuel their own greed.”

“Nursing Assistant Chris Cruz devised a scheme to enrich himself by defrauding Medicare to the tune of millions of dollars,” said Assistant Special Agent in Charge Chris Caldwell of the FBI Miami Field Office. “The FBI and our partners will not relent in the pursuit of Medicare fraudsters – including greedy nurses.”

“This brazen scheme stole $11.4 million from Medicare and betrayed taxpayer trust,” said Acting Deputy Inspector General for Investigations Scott J. Lampert of HHS-OIG. “HHS-OIG is steadfastly committed to ensuring that medical decisions are driven by patient need rather than financial gain.  We will relentlessly pursue those who put greed over patient care and hold them accountable.”

According to court documents and evidence presented at trial, Christian “Chris” Cruz, 45, of Pompano Beach, Florida, owned and operated a durable medical equipment (DME) supplier based in Florida through which he submitted millions of dollars in false claims to Medicare for medically unnecessary orthotic braces.

Cruz and his co-conspirator paid illegal kickbacks and bribes to obtain signed doctors’ orders. They used these orders to ship orthotic braces to Medicare beneficiaries nationwide and then claim payment from Medicare, including to beneficiaries who neither requested nor required the braces. Cruz lied to Medicare, claiming that he was the sole owner and operator of the company when in fact he shared ownership in the company with his co-conspirator, a convicted felon. Medicare would not have allowed the company to enroll with Medicare if it had known about Cruz’s co-conspirator. The co-conspirator has been charged but remains at large.

Cruz received several hundred thousand dollars to his personal bank account from the fraudulent scheme that he frequently withdrew in cash on consecutive days at different bank branches in South Florida, often in amounts just under the bank reporting threshold of $10,000.

Cruz was convicted of one count of conspiracy to commit health care fraud and wire fraud, four counts of health care fraud, one count of conspiracy to defraud the United States and to make false statements relating to health care matters and three counts of structuring. He is scheduled to be sentenced on April 13 and faces a maximum penalty of 125 years in prison. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

The FBI and HHS-OIG investigated the case.

Trial Attorney Owen Dunn of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Sterling Paulson of the Southern District of Florida prosecuted the case.

The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of nine strike forces operating in 27 federal districts, has charged more than 5,800 defendants who collectively have billed federal health care programs and private insurers more than $30 billion. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with HHS-OIG, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www.justice.gov/criminal-fraud/health-care-fraud-unit.