Fraud Ring Organizers and
Three Chiropractors Get Prison Sentences

Stephen Barrett, M.D.

Mike Williams Tosca Martinez, Nhon Nguyen, and three female chiropractors have received prison sentences related to improper billing of insurance companies. Court documents indicate that at various times between 2002 and 2006, the defendants operated seven clinics in Southern Florida: More Pain Center, United Chiropractic Center of Florida, Broward Care Medical Center, Broward Care Chiropractic Center, North Miami Beach Health Center, Spine Relief Center, and Miramar Spine Relief Center. Martinez actually owned the clinics, but to qualify to run them without a special license, he pretended on registration applications that each was owned by a chiropractor [1].

To execute the scheme, Martinez, Nguyen, and other unindicted coconspirators solicited real victims of automobile accidents plus individuals who participated in "staged" accidents to visit the chiropractic clinics for treatment. Fifteen insurance companies were billed for nonexistent and inflated personal injuries and made at least $3,428,851 in payments [2-4].

The participants were not equally involved:

The court also ordered forfeiture of the $3.4 million.

The three chiropractors were also disciplined by Florida's chiropractic licensing board:

References

  1. Organizer of health care fraud and insurance ring sentenced to prison. USDOJ news release, July 24, 2009.
  2. Superceding indictment. U.S.A. vs. Mike Williams Tosca Martinez, Nhon Nguyen, and Jacqueline Gonzalez. U.S. District Court for the Southern District of Florida, Case No. 0:08-CR-60168, Oct 7, 2008.
  3. Criminal information. District Court for the Southern District of Florida, Case No. 0:09-CR-60114, April 23, 2009.
  4. Criminal information. U.S.A. vs. ... District Court for the Southern District of Florida, Case No. 0:09-CR-60113, April 23, 2009.
  5. Final order. State of Florida Board of Chiropractic Medicine, Case No. 2008-15636, filed May 19, 2010.
  6. Final order. State of Florida Board of Chiropractic Medicine, Case No. 2006-18801, filed Feb 15, 2010.
  7. Final order. State of Florida Board of Chiropractic Medicine, Case No. 2009-10254, filed May 19, 2010.

This article was revised on February 17, 2016.

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