Vladimir Prado Sr. worked well with others, as evidenced by his teamwork with three people in a $10 million healthcare fraud.
Alas, Prado, 52, will be going solo in serving his eight-year federal prison sentence. And, there's just over $4 million in restitution that will cost him the cash from three bank accounts, 11 real estate properties and a women's $22,500 diamond Rolex watch.
The Miami-Dade man pleaded guilty to one count of conspiracy to commit healthcare fraud and wire fraud from an October indictment and one count of the same from a November indictment. Unlike most South Florida healthcare fraud cases, Prado didn't just rip off the government via Medicare and Medicaid. He also skinned Blue Cross Blue Shield.
But Prado did stay close to the basic healthcare fraud script. Take the part of the fraud involving Anthony Professional System, a Prado-owned medical clinic on Coral Way that served patients with private medical insurance.
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Court documents say Prado, Maritza Collada and Carlos O. Hinojosa Macias (who fronted as Anthony's nominal owner) submitted through Anthony Professional over $5 million in claims to Blue Cross "which falsely and fraudulently represented that various healthcare benefits were medically necessary, prescribed by a doctor, and had been provided to insurance beneficiaries of BCBS..."
Blue Cross paid $2,624, 659 to Anthony Professional on the fake claims.
Prado did the same with co-owner Luis Gonzalez Calimano at Liz Rehab, 2750 SW 87th Ave. They submitted over $2.6 million in false claims to Blue Cross and got $1,376,840.
To help with the Liz Rehab part of the fraud, Prado, Calimano and at least three co-conspirators threw in some patient brokering, according to documents.
Prado's admission of facts says they "paid bribes and kickbacks to patient recruiters in exchange for the referral of private insurance beneficiaries to Liz Rehab....(they) instructed the patients to visit another clinic that was not Liz Rehab and directed those patients to sign at that other clinic multiple patient forms that were later used to bill BCBS for treatment they never received."
From the suite next door to Liz Rehab, the Prado-owned Tropical Home Healthcare ripped off Medicare, according to the case. Prado and some cohorts did some patient brokering from December 2012 through April 2014, then used those patients to defraud Medicare of $3,869,878.
Here's what the scheme will cost Prado, in addition to the prison time off his life.
Cash: all the cash in Anthony Professional's Regions Bank account up to the $2,624,830 Prado stole, the cash in the Regions Bank account for Liz Rehab Center up to the $1,376,840 he stole, and the cash in his personal TD Bank account up to $1,113,538.
The Watch: A women's Rolex 26mm Oyster Perpetual Datejust, 18-karat gold with diamonds, retail value $22,500.
Real Estate: These 11 properties owned by Prado or Prado-controlled entities.
▪ 6820 W. Flagler St., a two-bedroom, two bathroom, 831-square-foot condominium, last legitimately sold for $100,000 in 2015 and with $2,068.80 in property taxes owed.
▪ 11233 SW Seventh St., two living units, 1,722 square feet, last sold for $290,000 in 2015, $5857.74 owed in property taxes.
▪ 5720 SW Fifth Ter., two living units, 2,764 square feet, last sold for $370,000 in 2016, $8106.72 owed in property taxes.
▪ 2441 SW 83rd Ct., three-bedroom, two-bathroom, 1,397 square feet., last sold for $150,000 in 2014, 5,200.28 owed in property taxes.
▪ 217 Northwest Blvd., two living units, 2,492 square feet, last sold for $305,000 in 2016, $5972.69 owed in property taxes.
▪ 7650 NW Third St., two living units, 1,652 square feet, last sold for $325,000 in 2015, taxes paid.
▪ 3081 SW 132nd Ave., four-bedroom, four-bathroom, 5,513 square feet., built in 2004 on a 27,000 foot lot, last sold for $1.05 million in 2005, taxes paid.
▪ 4130 SW 107th Pl. three-bedroom, one-bathroom, 918 square feet. on a 7,500-foot lot, last sold for $131,000 in 2010, taxes paid.
▪ 11250 SW Seventh St., two living units, 1,688 square feet, last sold for $285,000 in 2005, taxes paid.
▪ 1186 SW 78th Pl., two units, 2,274 sq.uare feet, last sold for $500,000 in 2006, taxes paid.
▪ 6860 SW 15th St., two living units, 1,610 square feet, last sold for $270,000 in 2004, taxes paid.
▪ 235 NW 56th Ct., two living units, 2,432 square feet, last sold for $400,000 in 2016, taxes paid.