United States v. Marc J. Blatstein, United States of America v. Marc J. Blatstein

482 F.3d 725, 2007 U.S. App. LEXIS 8392
CourtCourt of Appeals for the Fourth Circuit
DecidedApril 12, 2007
Docket06-4210, 06—4285
StatusPublished
Cited by19 cases

This text of 482 F.3d 725 (United States v. Marc J. Blatstein, United States of America v. Marc J. Blatstein) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Marc J. Blatstein, United States of America v. Marc J. Blatstein, 482 F.3d 725, 2007 U.S. App. LEXIS 8392 (4th Cir. 2007).

Opinion

*727 Affirmed in part, vacated in part, and remanded by published opinion. Judge KING wrote the opinion, in which Judge MICHAEL and Senior Judge HAMILTON concurred.

KING, Circuit Judge.

Marc J. Blatstein appeals the denial of his motion to suppress evidence discovered by federal agents conducting warrant searches of his office and residence in Fredericksburg, Virginia. After having his suppression motion denied, Blatstein was convicted in the Eastern District of Virginia of one count of mail fraud, in contravention of 18 U.S.C. § 1341. This conviction was predicated on Blatstein’s conditional guilty plea, pursuant to which he reserved his right to appeal the court’s adverse suppression ruling. Blatstein contends that the evidence underlying his conviction was obtained through the execution of constitutionally invalid search warrants. The Government, meanwhile, has cross-appealed Blatstein’s sentence of 12 months and one day in prison. As explained below, we affirm the denial of Blatstein’s suppression motion, but vacate his sentence and remand.

I.

Defendant Marc J. Blatstein was a licensed podiatrist who operated a solo podiatry practice in a Fredericksburg strip mall. In May 2004, federal law enforcement officials began to investigate Blat-stein’s practice, based on their suspicion that he was fraudulently billing his patients’ health insurers. On July 14, 2004, in the course of this investigation, FBI Agent Jeffrey Howard sought warrants to search Blatstein’s office and residence for records relating to his practice’s billing and finances. Agent Howard submitted an affidavit to a United States magistrate judge in support of his warrant applications (the “affidavit”). The affidavit asserted that there was probable cause to believe Blatstein had violated 18 U.S.C. §§ 1347 and 1341, which, respectively, prohibit health care fraud and mail fraud.

The affidavit explained the pertinent federal statutes as follows: Section 1347 of Title 18 makes it an offense for any person to knowingly and willfully execute, or attempt to execute, a scheme or artifice to (1) defraud any health care benefit program; or (2) obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program. A “health care benefit program,” for purposes of § 1347, is “any public or private plan or contract, affecting commerce, under which any medical benefit, item, or service is provided to any individual.” 18 U.S.C. § 24(b). Section 1341 makes it an offense to use the United States mail to execute a scheme or artifice to defraud. 18 U.S.C. § 1341.

The affidavit of Agent Howard provided detailed information indicating that Blat-stein had contravened §§ 1347 and 1341. According to the affidavit, Blatstein had billed his patients’ insurers for the use of outpatient surgical facilities provided by an entity called the Central Park Ambulatory Surgical Center (“CPASC”), which had no physical existence and was not known to or licensed by the Commonwealth of Virginia. In this regard, the affidavit reported information obtained from two former employees of Blatstein, whom the affidavit designated Cooperating Witnesses 1 (“CW-1”) and 2 (“CW-2”). CW-1 advised investigators that Blatstein billed surgical facility fees for procedures performed at his podiatry office, despite CW-l’s repeated warnings to Blatstein that he could not legitimately charge such fees for procedures not performed at a physically separate facility. CW-1 also related that, although Blatstein’s employees *728 handled billing for other procedures, Blat-stein insisted on personally completing the paperwork relating to his billing for surgical facilities. According to the affidavit, Blatstein did not disclose to CW-1 his practice of submitting bills that purported to be from CPASC. In fact, CW-1 first heard of CPASC not from Blatstein, but from someone who called a telephone line reserved for Blatstein’s exclusive use and asked for the Central Park Ambulatory Surgery Center.

CW-2, the other former Blatstein employee relied on in Agent Howard’s affidavit, informed investigators that Blatstein had rented a post office box at a Parcel Plus store near his podiatry office and had represented that the address of the Parcel Plus — 1285 Carl D. Silver Parkway — belonged to CPASC. According to the affidavit, Blatstein listed 1285 Carl D. Silver Parkway as CPASC’s address on the bills he sent to health insurers, mailed those bills from the Parcel Plus in which the box was located, and used the box to receive payments directed to CPASC. CW-2 also reported that Blatstein had submitted bills in CPASC’s name on a form called UB-92, which had been developed by the federal Health Care Financing Administration for hospitals to use in billing for facility charges. CW-2 advised that she had received several telephone complaints from patients questioning the facility fees that had been billed in connection with their visits to Blatstein; one such patient even threatened to sue Blatstein. And, according to CW-2, on one occasion Blue Cross/ Blue Shield had forced Blatstein to return a facility fee he had been paid. CW-2 reported that, after this incident, Blatstein stopped billing Blue Cross/Blue Shield for facility fees.

The affidavit also related the reports of several of Blatstein’s patients, including Lyndon Friend, for whom Blatstein had removed an ingrown toenail. Mr. Friend’s wife, Katrina Friend, informed investigators that when her husband visited Blat-stein’s office, she noticed a yellow carbon sheet behind some of the paperwork her husband was signing. When Mrs. Friend lifted the top sheet to see what was on the carbon, one of Blatstein’s employees noticed her doing so and demanded the paperwork back. Mrs. Friend refused to return the paperwork, and the employee summoned Blatstein, who attempted to physically wrestle the documents away from Mrs. Friend. Mrs. Friend ripped the paper into pieces and left the office with them. She later pieced together the torn documents, and realized that the top sheet bore the heading “Dr. Marc Blatstein, LPM, PC,” while the carbon, although identical to the top sheet in all other respects, was headed “Central Park Ambulatory Surgery Center, Inc.” J.A. 21. 1

Another patient described in the affidavit was identified only as “G.S.” Around May 2000, Blatstein had treated G.S. for an ingrown toenail. G.S.’s insurer had subsequently received two bills relating to G.S.’s visit to Blatstein. One of these bills was a professional claim for Blatstein, in the sum of $397. The other bill was from CPASC, and claimed $2,595 for itemized hospital charges, including a recovery room. G.S., however, informed the federal investigators that she had never heard of CPASC, and that all of her treatment from Blatstein had occurred in one room.

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Cite This Page — Counsel Stack

Bluebook (online)
482 F.3d 725, 2007 U.S. App. LEXIS 8392, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-marc-j-blatstein-united-states-of-america-v-marc-j-ca4-2007.