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Clinic Owner Arrested for PIP Fraud Scheme

8/22/2003

CONTACT: Justin Glover
(850) 413-2842

HIALEAH– A local clinic owner and another individual were arrested today and both charged with one count each of racketeering, organized scheme to defraud, insurance fraud and grand theft following a joint investigation conducted by the Department of Financial Services' Fraud Division, the Miami-Dade Police Department, Hialeah Police Department, and the Miami-Dade County State Attorney's Office, Organized Crime Unit.

Investigators on the scene say Juan Carlos Gonzalez, 25, owner of Best Choice Medical Center, and Daisy Llamo, 43, both of 6955 West 10th Ct., in Hialeah, allegedly engaged in an ongoing scheme to bill auto insurance companies for thousands of dollars in phony healthcare services for accident victims. In many cases, investigators believe the auto accidents never even occurred but were staged. Gonzalez and Llamo allegedly falsely billed patients' PIP (Personal Injury Protection) coverage. If convicted on all charges, the defendants could both face in excess of 30 years in prison.

"The cost of fraudulent claims eventually gets passed on to consumers through increased premiums and increased costs for services," said Chief Financial Officer Tom Gallagher. "It's estimated that PIP fraud adds as much as $240 to the average family's auto insurance premium each year."

The arrests follow earlier charges against two Best Choice patients, Sarah Lopez and Carlos Gonzalez, who allegedly participated in a staged accident in February and received bogus treatment at Gonzalez's clinic. A former Hialeah Gardens policeman, David Rodriguez, was also recently charged in connection with Best Choice. Rodriguez allegedly created a phony accident report of a staged auto accident.

El Departamento de Servicios Financieros, División de Fraudes de Seguros, investiga fraudes de todo tipo de seguros, incluyendo de salud, vida, automóvil, propiedad y compensación legal por accidentes de trabajo. Para informar sobre un posible caso de fraude de seguros, llame a la línea de ayuda al consumidor del departamento al 1-800-378-0445. Se ofrece una recompensa de hasta $25,000 a cambio de información que conduzca a una condena en casos de fraude de seguros.