Dr. Roque Joel Ramirez, 48, of Robstown, has been charged in a 14-count indictment for a scheme to defraud Medicare and Medicaid through fraudulent billings, amounting in $1.4 million.
According to Texas General Greg Abbott, U.S. Attorney Kenneth Magidon, the FBI and Health and the Human Services of Inspector General, Dr. Ramirez, owner of Health Resolutions, Inc., has been charged with nine counts of health care fraud, three counts of mail fraud and two counts of aggravated identity theft.
Dr. Ramirez was arrested by agents and officers of the Coastal Bend Healthcare Task Force on Oct. 11.
The indictment alleges that from May 2008 through Dec. 2011, Dr. Ramirez submitted approximately 4,970 false and fraudulent bills to Medicare and Medicaid over $1.4 million, billing for medical services he claimed to have personally provided to patients who died prior to the dates of his claimed services, and for medical services he claimed to have personally provided to patients in Texas while he was overseas or out of town. The indictment also alleges Dr. Ramirez billed for medical services that would have required him to have personally worked more than 24 hours in a single work day.
The FBI, the U.S. Department of Health and Human Services-Office of Inspector General, and the Texas Attorney Generalís Medicaid Fraud Control Unit, partners of the Coastal Bend Healthcare Fraud Task Force, conducted the investigation that lead to the charges against Dr. Ramirez and to his arrest.
A phone call to Dr. Ramirezí office for comment was not immediately returned on Monday.