96 Cal. Daily Op. Serv. 295, 96 Daily Journal D.A.R. 451 United States of America v. Agnes Marbella, United States of America v. Geronimo Amigable

73 F.3d 1508, 96 Daily Journal DAR 451, 96 Cal. Daily Op. Serv. 295, 1996 U.S. App. LEXIS 405, 1996 WL 11297
CourtCourt of Appeals for the Ninth Circuit
DecidedJanuary 12, 1996
Docket94-10592, 94-10594
StatusPublished
Cited by59 cases

This text of 73 F.3d 1508 (96 Cal. Daily Op. Serv. 295, 96 Daily Journal D.A.R. 451 United States of America v. Agnes Marbella, United States of America v. Geronimo Amigable) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
96 Cal. Daily Op. Serv. 295, 96 Daily Journal D.A.R. 451 United States of America v. Agnes Marbella, United States of America v. Geronimo Amigable, 73 F.3d 1508, 96 Daily Journal DAR 451, 96 Cal. Daily Op. Serv. 295, 1996 U.S. App. LEXIS 405, 1996 WL 11297 (9th Cir. 1996).

Opinion

Opinion by Judge THOMPSON.

DAVID R. THOMPSON, Circuit Judge:

Agnes Marbella appeals her conviction on two counts of mail fraud, in violation of 18 U.S.C. § 1341. Gerónimo Amigable appeals his conviction on four counts of mail fraud, in violation of 18 U.S.C. § 1341, and two counts of money laundering, in violation of 18 U.S.C. § 1956.

Both Marbella and Amigable contend the district court erred by refusing to give an entrapment instruction and by imposing time limitations on the cross-examination of two government agents. Marbella also argues the district court erred by excluding certain testimony.

Amigable argues the government failed to produce sufficient evidence to support his conviction on the money laundering counts.

We have jurisdiction under 28 U.S.C. § 1291, and we affirm.

FACTS

The convictions arise out of an investigation of fraudulent personal injury claims submitted to California insurers. The FBI, in conjunction with other federal and local authorities, conducted an extensive investigation, focusing on inflated medical bills presented to insurers by medical climes and law firms. The investigation also targeted the use of “cappers,” individuals who receive a percentage of a settlement for referring a patient to a medical clinic and/or law firm.

Typically, an undercover agent would pose as an accident victim. An agent posing as a capper would introduce the agent/victim to a medical clinic. The agent/victim would complain of pain but, after a few visits, would inform the clinic he or she could not return for treatments. Several clinics then falsified medical records to represent that the agent/victim had received more treatments than actually provided.

A medical clinic participating in the scam would refer the agent/victim to a law office to make a settlement demand on the insurer. With knowledge of the fraudulent medical records, the law firm would submit the records to the insurer, along with a demand letter. In some instances, a percentage of the settlement would be paid to the ageni/capper who brought the ageni/victim to the law firm.

The investigation of the Amigable law firm began when Dr. Rolando Bueno and his wife Lamar Bueno, employed by St. Anthony’s Medical Clinic, represented to undercover agents that the Amigable law firm paid referrals. Eventually, three undercover agents claiming personal injuries were referred to the Amigable law office. The charges against Marbella and Amigable resulted from fraudulent claims made on behalf of agents/victims Richard Fong and Steve Young.

Investigator Rob Yee, posing as capper Rob Wong, contacted the Amigable firm in March 1991 to refer Agent Richard Hong, *1511 posing as client Fong. Although Fong received only five medical treatments, his medical bills indicated he received treatments during at least fifteen visits. Amigable presented a settlement demand to Aetna Casualty and Surety (Aetna), including a copy of the inflated medical bills.

Aetna originally offered $3,000 in settlement. Adriana Tarver, the Aetna adjuster, and Marbella, Amigable’s office administrator, negotiated the settlement of the Fong claim. After Aetna rejected several counteroffers, Marbella informed Tarver that Fong would accept the $3,000 offer. The FBI requested Tarver to delay payment until agents could inform Marbella and Amigable that the medical reports were inflated.

Investigator Yee, posing as capper Wong, then called Marbella to discuss the Fong case. In the course of this conversation, Investigator Yee told Marbella that Fong had received medical treatments on only five occasions, after Marbella stated the medical reports reflected thirty visits. Marbella responded, “Okay.”

Approximately one week later, Investigator Yee spoke on the phone with Amigable. After stating the medical reports reflected thirty visits, Investigator Yee told Amigable that Fong only received treatment on five visits. Amigable responded, “Uh-huh.”

Pursuant to the FBI’s request, Aetna’s adjuster Tarver contacted Marbella to verify the accuracy of the medical reports. When Marbella confirmed the reports, Aetna mailed the settlement cheek to Amigable’s law office, and in return was mailed a release. These two mailings formed the basis for counts one and two of the indictment, charging mail fraud against Marbella and Amigable. The jury convicted Amigable on these two counts, but could not reach a unanimous verdict with respect to Marbella.

The second case focused on a claim made on behalf of agent/victim Young. Agent Tim Louie, posing as prior client Fong and now a capper, introduced Investigator John Auvi-nen, posing as client Young, to Amigable. Young, who had been treated by Dr. Appolo-nia Dimapilis, received medical bills representing that he had visited the clinic twenty times. Young, however, had only visited the clinic five times.

In his initial telephone call to Amigable about Young, Agent Louie told Amigable that Young had visited the clinic only four or five times, but the bills reflected twenty visits. Amigable responded, “Uh-huh.” Later that same day, Agent Louie met personally with Marbella and Amigable, and again stated that Young had visited the clinic only five times, but the medical reports reflected twenty visits. Agent Louie stated the clinic “helped [Young] out” because Young was looking for a job.

Agent Louie and Amigable then discussed payments for referrals. Amigable said he would give Agent Louie one-third of his fee from the settlement proceeds, but warned Agent Louie that Amigable was not supposed to speak about such payments.

Amigable then sent a settlement demand letter to Fireman’s Fund Insurance Company. The amount of this settlement demand included medical bills for Young’s inflated visits to the clinic. This mailing was the basis for count three of the indictment, charging mail fraud. The jury convicted Marbella and Amigable on this count.

Fireman’s Fund agreed to settle the claim and mailed a check for $4,350 to Amigable. This mailing was the basis for count four of the indictment, charging mail fraud. The jury convicted both Marbella and Amigable on this count.

Later, Investigator Yee, posing as capper Wong, and Agent Lo.uie met with Marbella and Paul Ragasa at Amigable’s law office. Ragasa gave Investigator Yee and Agent Louie checks for the referrals. 1 The checks were drawn on an account of the Ragasa Financial Corporation. Ragasa explained that the transactions were initiated by Mar-bella and that Amigable was not involved in the payments because Amigable “doesn’t want to involve himself.” Ragasa then explained the payment of referral fees “is not legal in California.” The payment of these *1512 two referral fees was the basis for the two money laundering counts, charged only against Amigable.

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73 F.3d 1508, 96 Daily Journal DAR 451, 96 Cal. Daily Op. Serv. 295, 1996 U.S. App. LEXIS 405, 1996 WL 11297, Counsel Stack Legal Research, https://law.counselstack.com/opinion/96-cal-daily-op-serv-295-96-daily-journal-dar-451-united-states-of-ca9-1996.