United States v. Nnanta Ngari

559 F. App'x 259
CourtCourt of Appeals for the Fifth Circuit
DecidedMarch 5, 2014
Docket12-30106
StatusUnpublished
Cited by4 cases

This text of 559 F. App'x 259 (United States v. Nnanta Ngari) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth 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. Nnanta Ngari, 559 F. App'x 259 (5th Cir. 2014).

Opinion

PER CURIAM: *

A jury found Nnanta Felix Ngari (Ngari), Sofjan Lamid (Lamid), Ernest Payne (Payne), and Henry Lamont Jones (Jones) guilty under 18 U.S.C. § 1349 of conspiring to commit health care fraud in violation of 18 U.S.C. § 1347, and guilty under 18 U.S.C. § 371 of conspiring to offer and receive kickbacks and bribes in violation of 42 U.S.C. §§ 1320a-7b(b)(l) and 1320a-7b(b)(2)(B), in connection with goods or services for which Medicare made payments. Jones voluntarily dismissed his appeal, but Ngari, Lamid, and Payne challenge their convictions on various grounds. Payne additionally challenges his sentence. We affirm.

I

Defendants’ convictions arose out of their involvement with Unique Medical Solution, Inc. (Unique), a supplier of power wheelchairs and other durable medical equipment. The Government alleged that Ngari, the owner of Unique, hired Jones, Payne, and other “recruiters” to seek out Medicare beneficiaries to attend “health fairs.” At the health fairs, physicians, including Lamid, wrote prescriptions for power wheelchairs that the Government contends, and the jury found, were medically unnecessary. Using these prescriptions, Ngari submitted claims to Medicare and then remitted to the recruiters a portion of the payments he received. The recruiters paid the physicians for prescribing the wheelchairs.

The jury heard testimony from Bonnie Walker-Simmons, a former recruiter for Unique. She described the scheme and *263 the role of each of the defendants. She identified Lamid as one of the physicians who attended health fairs. She said that after performing cursory examinations lasting five to ten minutes, Lamid would write power wheelchair prescriptions for 100% of the individuals he saw, even though many were completely ambulatory. On one occasion, Walker-Simmons recalled, Lamid prescribed wheelchairs without seeing the patients. The number of times that Walker-Simmons witnessed Lamid’s activities at health fairs is unclear, but it is undisputed that Lamid saw at least 463 patients at the fairs and did not prescribe wheelchairs for 77 of those patients. Lamid maintains that the percentage of patients for whom he prescribed power chairs was not abnormally high and that in each instance, the power chair was medically necessary.

Walker-Simmons also identified Payne as a participant in the conspiracy, testifying that he brought Lamid to the health fairs, paid him and the recruiters, and took the prescriptions to Ngari at Unique. Ngari, according to Walker-Simmons, would then pay Payne as well as Jones for the prescriptions and other paperwork. On cross-examination, the defendants established that Walker-Simmons had previously lied to the grand jury, had been convicted of multiple felonies, and was cooperating with the Government in exchange for leniency.

During Walker-Simmons’s direct examination, the district court admitted, over defendants’ objections, portions of a recorded conversation from June 2005 among Walker-Simmons, Jones, and others (the Walker-Simmons conversation). 1 Ngari, Lamid, and Payne were not parties to the conversation. In the phone call, Jones discussed plans to start providing wheelchairs from companies that he formed, with the aim of no longer including Payne, Ngari, and Ngari’s company Unique in the process of conducting health fairs at which physicians would prescribe unnecessary power chairs. Although none of the speakers identifies Ngari, Payne, or Lamid as potential participants in this scheme, they discuss the roles each defendant had played in the past in the Unique conspiracy.

Cynthia Brown, Ngari’s office assistant, also testified. She recounted that both Jones and Payne delivered prescriptions to Ngari and that Payne occasionally delivered wheelchairs to patients. To. her knowledge these were the only services the two individuals provided to Ngari. Banking records showed, however, that Unique paid Jones $107,825 and Payne more than $60,000. The records regarding payments to Payne specify that some were for deliveries but do not indicate the purpose of the others. The payments for deliveries were generally for hundreds of dollars while those for which no purpose is given were in the thousands. With regard to Lamid’s participation, Brown testified that she attended a health fair with Ngari, where Lamid examined patients who were ambulatory and able to climb up steps.

The Government also called wheelchair recipients as witnesses. Inez Stewart, who received a power wheelchair from Unique in 2004 based on Lamid’s prescription, testified that she could walk and that she had never used any walking aids until 2010 when she began to use a cane. She *264 worked as a cook for more than six years after receiving the power chair, until the day before trial, and stood while working. Stewart also stated that her home did not have the ramps necessary to use the wheelchair effectively and that the individual who delivered the chair did not show her how to use it. Weldon Bullock, who also received a power wheelchair from Unique based on Lamid’s prescription, testified that he regularly gardens, hunts, and takes hour-long walks for exercise. The Government also called the primary care physicians for a number of the recipients of power wheelchairs. These physicians testified that they did not prescribe wheelchairs for these individuals because the patients never needed them. The Government provided evidence showing that Ngari delivered about ninety of the wheelchairs.

During its case-in-chief, the Government introduced portions of testimony that Payne and Jones had given before the grand jury. In their statements, both individuals identified the other defendants as participants in the scheme and described their activities. Although the admitted portions of the testimony redacted the other defendants’ names, it was apparent from the context of the testimony that Payne and Jones were referring to Ngari and to a physician. Neither Payne nor Jones testified at trial and, accordingly, were not subjected to cross-examination.

Ngari objected to the admission of both statements on Confrontation Clause grounds. Neither Lamid nor Payne raised an objection. The district court overruled Ngari’s objection on the basis that the statements were those of coconspirators. After the testimony was introduced, the district court admonished the jury to consider the evidence only as to the declar-ants and not to speculate about to whom the various redacted names referred.

Lamid testified in his own defense and denied ever receiving kickbacks or prescribing medically unnecessary power wheelchairs. He further testified that he had denied the requests of approximately 200 individuals for power wheelchairs because they were not qualified to receive them.

After the close of the evidence, each of the defendants moved for judgment of acquittal under

Related

United States v. Tucker
Second Circuit, 2020
United States v. Jian-Yun Dong
252 F. Supp. 3d 447 (D. South Carolina, 2017)
United States v. Sofjan Lamid
663 F. App'x 319 (Fifth Circuit, 2016)
United States v. Mohammad Khan
638 F. App'x 380 (Fifth Circuit, 2016)

Cite This Page — Counsel Stack

Bluebook (online)
559 F. App'x 259, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-nnanta-ngari-ca5-2014.