Florida Doctor Accused of Defrauding 9 Insurers in $500K Accident Clinic Scheme

November 6, 2019

A Florida doctor was arrested last month for allegedly defrauding nine auto insurance companies out of more than $500,000 in unlicensed medical billing, according to a statement from the Florida Department of Financial Services.

Dr. Celestino Santi was arrested in October after an investigation by DFS fraud detectives revealed that Santi allegedly concealed the ownership of Accident Care Center of Boggy Creek, a motor vehicle accident medical treatment center, to avoid the licensing requirements of the Health Care Clinic Act.

Investigations revealed that for approximately five years, Santi was allegedly acting as a “straw owner” to disguise the identity of the true owner, an unlicensed individual. Unlicensed medical treatments were then billed to various insurance companies under patients’ personal injury protection (PIP) coverage.

Santi was booked into Lake County Jail on charges of scheme to defraud of more than $50,000, false and fraudulent insurance claims of more than $100,000, grand theft of more than $100,000, and operating an unlicensed health care clinic.

If convicted on all charges, he faces up to 30 years in prison. Additional arrests are expected. Individuals charged with a crime are presumed innocent until proven guilty.

“Insurance fraud is estimated to cost Americans more than $40 billion a year and reports show this translates to an estimated premiums increase to the average U.S. family of between $400 and $700 a year,” said CFO Jimmy Patronis, who oversees DFS. “Scams like this one put people in harm’s way and drives up the cost of insurance.”
Source: Florida Department of Financial Services

Topics Carriers Florida

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