Southwestern Family Practitioner Indicted in 161-Count Charges with Administering Drugs in Exchange for Sex and Health Care Fraud

Southwestern Family Practitioner Indicted in 161-Count Charges with Administering Drugs in Exchange for Sex and Health Care Fraud

A doctor who runs private family practices in Perryopolis, Mount Pleasant, and Pennsylvania, has been charged by a federal grand jury in Pittsburgh on allegations of illegitimately administering prescription controlled substances and health care fraud, announced Scott W. Brady, United States Attorney.

The 161count supplant charges, reinstated on 10th March and opened today, mentioned Emilio Ramon Navarro, of Coal Center, Pennsylvania, age 58, as the sole defendant.

“The United States Attorney’s office supports in NO MORE week, 8-14 March 2020, a week dedicated to putting an end to domestic aggression and sexual violence by elucidating consciousness and urging everyone to take part in finding a solution,” said the United States Attorney Brady. “We say NO MORE to dishonorable physicians like Emilio Navarro who take advantage of the opioid addictions of women for their own perverse sexual satisfaction. Our office will carry on to fight against such sexual abuse and exploitation, this week and every week.”

According to Counts 1 – 28 of the supplant charges, from April 2018 to April 2019, Navarro, a licensed doctor illegally administered Oxymorphone, Oxycodone, and Schedule II substances, to Victim 1 in exchange for sexual favors, either by electronic communications or physically outside the acceptable course of professional conduct and not for a legal, medical reason. Counts 29 through 141 charges that from April 2015 to September 2019, Navarro illegally dispensed Oxymorphone, Oxycodone, Schedule II substances, to Victim 2 in return for sexual favors outside the acceptable conduct of practice and not for a legal, medical reason. Counts 142 to 159 charge that from April 2015 to September 2019, Navarro illegally distributed a Schedule IV controlled substance, Alprazolam, to Victim 2 outside the normal course of practice and not for a legal, medical reason. Navarro is also indicted in Counts 160 and 161 with health care fraud for causing fake claims to be presented to Medicaid for payments to cater for the costs of the illegally prescribed controlled substances.

The law allows for 20 years in prison as a maximum sentence per, a fine of $1,000,000, or both, for the prescription controlled substances crimes. Navarro faces an extra 10 years and a fine of $250,000 as a maximum sentence for each of the health care fraud charges. Under the Federal Sentencing Guidelines, the actual sentence enforced would be based upon the seriousness of the crimes and prior criminal records of the accused.

Prosecuting the case of behalf of the government are Assistant U.S Counselors Robert S. Cessar and Mark V. Gurzo.

The inquiry leading to the charges, in this case, was carried out by Western Pennsylvania (OFADU) Opioid Fraud and Abuse Detection Unit. The Western Pennsylvania OFADU, guided by federal prosecutors in the U.S. Attorney’s Office, joins the expertise and resources of federal and state law enforcement agencies to address the role carried out by unethical medical practitioners in the opioid epidemic.

The organizations which constitute the Western Pennsylvania OFADU consists of: Federal Bureau of Investigation, U.S. Health, and Human Services – Office of Inspector General, Attorney General’s Pennsylvania Office- Medicaid Fraud Control Unit, Drug Enforcement Administration, IRS-Criminal Investigations, Pennsylvania Office of Attorney General – Bureau of Narcotic Investigations, Department of Veterans Affairs-Office of Inspector General, United States Postal Inspection Service, the Criminal Division, Civil Division, and Asset Forfeiture Unit of U.S. Attorney’s Office, Food and Drug Administration-Office of Criminal Investigations, the Pennsylvania Bureau of Licensing, and U.S. Office of Personnel Management – Office of Inspector General.

A supplant charge is an accusation. The accused is presumed innocent unless and until proven guilty beyond a reasonable doubt.

Healthcare fraud by healthcare professionals is not something new to the federal government. There are numerous instances where medical providers and professionals are accused of committing fraudulent activities that are not indicated in the ethical standards for medical providers. If you know of any health care practitioner involved in schemes to defraud the health programs by the government, please do not hesitate to contact us at 888-402-4054 for any assistance or legal representation required.

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