Com. v. Usanga, P.

CourtSuperior Court of Pennsylvania
DecidedAugust 16, 2017
DocketCom. v. Usanga, P. No. 2349 EDA 2015
StatusUnpublished

This text of Com. v. Usanga, P. (Com. v. Usanga, P.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Com. v. Usanga, P., (Pa. Ct. App. 2017).

Opinion

J-S36027-17

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37

COMMONWEALTH OF PENNSYLVANIA, IN THE SUPERIOR COURT OF PENNSYLVANIA Appellee

v.

PATRICK USANGA,

Appellant No. 2349 EDA 2015

Appeal from the Judgment of Sentence of May 20, 2015 In the Court of Common Pleas of Philadelphia County Criminal Division at No(s): CP-51-CR-00009710-2013

BEFORE: PANELLA, J. OLSON, J., and FORD ELLIOTT, P.J.E.

MEMORANDUM BY OLSON, J.: FILED AUGUST 16, 2017

Appellant, Patrick Usanga, appeals from the judgment of sentence

entered on May 20, 2015, as made final by the denial of his post-sentence

motion on July 8, 2015. We affirm.

The trial court accurately summarized the factual background of this

case as follows:

[Appellant], a Nigerian-born United States citizen[,] obtained a medical degree from the University of Guadalajara in Mexico in 1982. He took the board examination to be a licensed medical doctor in Pennsylvania several times in the 1980s and [19]90s, but did not pass. On May 19, 2009, he filed the necessary paperwork to incorporate a health care facility, Northeast Behavioral Medicine, Inc., with himself as the sole officer of the corporation. . . . He applied for and received a license to operate a psychiatric clinic soon after incorporation. At all times during the period of time Northeast Behavioral Medicine was in business and seeing patients, the Appellant was the only provider at the facility. J-S36027-17

During that period he saw patients for various mental health and substance abuse issues. Several of his former patients testified that he told them that he was either a psychologist or a psychiatrist. As a result of the services provided by the Appellant, he billed various insurance companies, including Aetna and Blue Cross[,] for his services. For most of the invoices, Appellant billed a code, 90808, based on the Current Procedure Terminology manual (“CPT”) which is used by all medical insurance companies. The code that Appellant used relates to a psychological office visit for 75 to 80 minutes. Appellant also used several other codes that relate to other psychological and psychotherapy treatments. Appellant never had a valid license to perform the services for which he was billing Aetna and Blue Cross. From December 19, 201[0] through May 15, 2011, Appellant billed Aetna $24,950[.00] and received $5,036.38 as an out[-]of[-]network provider. Blue Cross paid a total of $15,763.84 to Appellant. That money was deposited in a TD Bank account owned by the Appellant.

On November 29, 2011, the Pennsylvania Department of Public Welfare (“DPW”) conducted an annual field investigation of Northeast Behavioral Medicine. Following that visit, DPW sent Appellant a letter on December 14, 2011 stating that his facility did not meet the criteria to operate a psychiatric clinic. Notably[,] it lacked a minimum of 16 hours of psychiatric time by a licensed psychiatrist and did not employ four full time mental health professionals. Appellant was given until January 6, 2012 to submit a [p]lan of [c]orrection. He submitted a timely [p]lan of [c]orrection, however DPW found that the plan was unacceptable and told him he had ten days to correct his plan in accordance with 55 Pa. Code § 5200.22. Appellant failed to satisfy this requirement as well. On March 13, 2012, a DPW employee made an unannounced field visit to Appellant’s office where it was closed and the doors were locked. DPW then sent Appellant a letter . . . stating that due to Appellant’s failure to conform to the requirements listed, his license to operate a psychiatric clinic was revoked.

Concurrently to the period of time that Appellant was operating Northeast Behavioral Medicine, he was also collecting unemployment compensation and Social Security disability benefits. Appellant collected unemployment benefits starting on March 14, 2009 and continuing until January 29, 2011. Specifically he collected $54,684[.00] from the period

-2- J-S36027-17

immediately after he incorporated Northeast Behavioral Medicine on May 19, 2009 until the termination of his benefits. The Appellant was not entitled to unemployment benefits once he incorporated his business and became self-employed. The Pennsylvania Department of Labor determined that the Appellant was paid $52,000[.00] in unemployment compensation that he was not entitled to receive.

Additionally, Appellant filed for disability benefits from the Social Security Administration in April 2012. Appellant claimed he was disabled and unable to work from April 2011 through October 2012. He received 32 checks [totaling] $16,108[.00]. The Social Security Administration determined that he was not entitled to the full amount that was paid to him during that time because he was working during that period of time, he was not truthful on his application regarding whether he was married, and he did not disclose that he was also receiving unemployment compensation during that period.

Trial Court Opinion, 8/22/16, at 2-5 (internal citations and certain internal

quotation marks omitted; certain paragraph breaks added).

The procedural history of this case is as follows. On August 15, 2013,

the Commonwealth charged Appellant via criminal information with 27

counts of insurance fraud,1 11 counts of tampering with public records,2 four

counts of theft by deception,3 two counts of attempted theft,4 two counts of

harassment,5 and making a false statement regarding an unemployment

1 18 Pa.C.S.A. § 4117(a)(2), (a)(6). 2 18 Pa.C.S.A. § 4911(a)(1). 3 18 Pa.C.S.A. § 3922(a)(1). 4 18 Pa.C.S.A. §§ 901, 3922. 5 18 Pa.C.S.A. § 2709(a)(2), (a)(3).

-3- J-S36027-17

compensation claim.6 Appellant subsequently moved to sever the

harassment counts and the trial court denied the severance motion on March

13, 2015.

On March 16, 2015, trial commenced with Appellant present. On

March 23, 2015, Appellant failed to appear for the fifth day of trial and trial

continued in his absence. On March 26, 2015, Appellant was convicted of 23

counts of insurance fraud, eight counts of tampering with public records,

four counts of theft by deception, and making a false statement regarding an

unemployment compensation claim.7

On May 20, 2015, Appellant was sentenced to an aggregate term of 6

to 12 years’ imprisonment followed by five years’ probation.8 On May 28,

2015, Appellant filed a post-sentence motion which was denied on July 8,

2015. This timely appeal followed.9

6 43 P.S. § 871. 7 The trial court found Appellant guilty of making a false statement regarding an unemployment compensation claim while the jury found Appellant guilty on the remaining counts. 8 The trial court ordered Appellant’s sentences of 30 to 60 months’ imprisonment on one insurance fraud count, 42 to 84 months’ imprisonment on one theft by deception count, and five years’ probation on one tampering with public records count to run consecutively. Each sentence for the remaining 33 convictions was ordered to run concurrently with one of those three sentences previously described. 9 On May 19, 2016, the trial court ordered Appellant to file a concise statement of errors complained of on appeal (“concise statement”). See Pa.R.A.P. 1925(b). On June 24, 2016, Appellant filed his concise statement. (Footnote Continued Next Page)

-4- J-S36027-17

Appellant raises four issues for our review:

1. Did the [trial] court err in denying Appellant’s motion to sever the charge[s] of [h]arassment . . . ?

2. Did the [trial] court err by denying Appellant’s motion for a mistrial where the Commonwealth twice referenced Appellant’s post-arrest silence?

3.

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