Callaway v. State

542 S.E.2d 596, 247 Ga. App. 310, 2000 Fulton County D. Rep. 133, 2000 Ga. App. LEXIS 1386
CourtCourt of Appeals of Georgia
DecidedNovember 21, 2000
DocketA00A0947
StatusPublished
Cited by15 cases

This text of 542 S.E.2d 596 (Callaway v. State) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Callaway v. State, 542 S.E.2d 596, 247 Ga. App. 310, 2000 Fulton County D. Rep. 133, 2000 Ga. App. LEXIS 1386 (Ga. Ct. App. 2000).

Opinion

Ruffin, Judge.

Harry Callaway, a chiropractor, was convicted in Spalding County Superior Court of three counts of insurance fraud for participating in a scheme whereby others would stage an automobile collision and Callaway would prepare false bills for chiropractic treatment allegedly provided. On appeal, Callaway contests the sufficiency of the evidence and raises certain other issues. For reasons discussed below, we affirm.

Michael Lawrence testified at trial that he was a “runner” for Dr. Callaway. As Lawrence described it, a runner would recruit people to stage traffic accidents, and then bring them to the chiropractor, who would pay the runner a referral fee. Lawrence testified that Dr. Callaway initially paid him “$250 per head,” but that he later “got a raise to $300.” Lawrence claimed that he was sometimes paid in advance. In addition to direct payments from Lawrence, the individuals who were treated by Dr. Callaway would receive money through settlement of their tort claims, which were expected to be greater the more often they had allegedly received chiropractic treatment.

Lawrence testified that he had talked with Callaway about the fact that accidents were being staged. According to Lawrence, when he first met Callaway and discussed the staging of wrecks, Callaway “told me he didn’t like it.” However, after Lawrence and another individual “sat down and talked with [Callaway] about it,” Callaway “got more familiar with me and he felt more comfortable with me because I would bring a lot of people in to him. So every time I come in, I didn’t necessarily have to say that this wreck was staged. He knew what I was doing.”

On October 22, 1992, Lawrence arranged with several others to stage a collision between a Cadillac and a van in Spalding County. Pursuant to the arrangement, Bobby Fish drove his Cadillac through a stop sign and struck John Leaks’ van from behind. Three other men — Michael Stewart, Joe Tyson, and Roderick Gordon — were in the van with Leaks at the time of the accident. A woman was in the Cadillac with Fish.

The police arrived on the scene and filled out an accident report. Thereafter, Lawrence and the others drove to the office of Dr. O’Brien, a chiropractor. Leaks and several others (including, apparently, individuals who were not actually in the van at the time of the collision) went in to be treated by Dr. O’Brien. Because he “couldn’t take everybody to the same chiropractor,” Lawrence then sent Stewart, Tyson, Gordon, and Fish to Dr. Callaway’s office in Clayton County, with Fish driving the Cadillac. Lawrence testified that he *311 “called Mr. Callaway and told him [Fish] was on his way.” Lawrence testified that, at the time of the collision,

a lot of investigation was going on. ... I sent these four guys down to Dr. Harry Callaway. At that time, the investigation was kind of heavy, and Dr. Harry Callaway advised me to, if I could, send the people and . . . stay away as much as I could. So I sent the people down and ... he took the people on from there, he treated the people.

After arriving at Callaway’s office, Stewart, Tyson, and Gordon went inside for examination and treatment by Callaway. Fish claimed that he waited in the car. Gordon testified that he told Callaway that he was “supposed to be . . . bringing people back and forth,” and asked if he was “supposed to get some money.” According to Gordon, Callaway said that “Michael has the money — Michael Lawrence, I’ve already paid Michael.”

Stewart, Tyson, and Gordon each visited Dr. Callaway for examination or treatment on subsequent occasions. Lawrence testified that he talked with Callaway in late December, and that Callaway “told me that I needed to get these guys back in so they could sign release forms so that they can get their checks and that he could get his money out of the case.” Lawrence said that, because these three had been to Callaway only a few times, Callaway told him they would need to sign “some kind of form ... to say they came in anyway.”

In late December, Stewart, Tyson, and Gordon each signed bills prepared by Callaway’s office purporting to show the dates they had been treated, the types of treatment, and the cost. These bills indicated that Stewart and Gordon had visited Callaway’s office for treatment 24 times each, and that Tyson had visited Callaway 21 times. Each of the bills was signed by Callaway and the patient, acknowledging that “the above dates and fees are correct” and authorizing payment directly to Callaway. These bills were subsequently sent to Federated Mutual Insurance Company, Leaks’ insurer. Gordon’s bill was also sent to his insurer, Progressive Insurance Company.

At trial, Stewart, Tyson, and Gordon all testified that they had not actually seen Callaway as often as reflected in the bills. Tyson testified that he had seen Callaway at most on three or four occasions, while Stewart said he saw Callaway ten or eleven times. Gordon did not know exactly how many times he went to see Callaway, but knew that it was less than 24. Stewart said that he discussed the discrepancy with Callaway before signing the bill, and that Callaway “told me the more visits that I had, the more money I’d get at the end of the claim.”

Callaway admitted having a relationship with Lawrence, but *312 denied that Lawrence was a “runner.” He testified that Lawrence

came into our office in about 1989 and he said that he had a lot of people that he knew — they contacted him when they got in wrecks, and that would I be interested in him bringing them to me or whatever. I said, well, I can’t pay you for bringing people to me, but... if you will actually transport these people and get them to and from me, that I can pay you Eight Dollars per visit. It would be against the law for me to pay you, you know, for a person per se.

Callaway said that he never paid Lawrence any money other than $8 per visit for transporting people to his office. He denied that he billed for any services that were not rendered.

Callaway testified that, during 1992, he would usually see between 40 and 70 patients a day. When a patient came in to see him, a record of the visit would be made on the patient’s “o-sheet,” a piece of paper marked like a blank calendar. Callaway would not personally fill out the o-sheet, or even look at the patient’s file, but would leave that to the person at the front desk. However, Bonnie Wilson, a former employee of Dr. Callaway, testified that she had personally seen Callaway on occasion fill out o-sheets for patients who had not actually been to see him.

1. A person commits the offense of insurance fraud when he
knowingly or willfully . . . [m]akes or aids in the making of any false or fraudulent statement or representation of any material fact or thing . . . [i]n any written statement or certificate ... for the purpose of procuring or attempting to procure the payment of any false or fraudulent claim or other benefit by an insurer. 1

Count 1 of the indictment alleged that Callaway made a false and fraudulent statement for the purpose of procuring payment of an insurance claim from Progressive, relating to treatment allegedly given to Gordon.

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Bluebook (online)
542 S.E.2d 596, 247 Ga. App. 310, 2000 Fulton County D. Rep. 133, 2000 Ga. App. LEXIS 1386, Counsel Stack Legal Research, https://law.counselstack.com/opinion/callaway-v-state-gactapp-2000.