United States v. Yolanda Sosa

782 F.3d 630
CourtCourt of Appeals for the Eleventh Circuit
DecidedApril 3, 2015
Docket13-14141, 13-14142
StatusPublished
Cited by21 cases

This text of 782 F.3d 630 (United States v. Yolanda Sosa) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh 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. Yolanda Sosa, 782 F.3d 630 (11th Cir. 2015).

Opinion

PER CURIAM:

Pursuant to written plea agreements, Yolanda Sosa and Adrian Velazquez (col *633 lectively, “Defendants”) pled guilty to conspiracy to commit healthcare fraud. Defendants appeal two forfeiture orders entered by the district court after it imposed joint-and-several restitution against Defendants in the amount of $753,430. These consolidated appeals involve the restitution amount and the forfeiture of two cars. After careful review of the record and the parties’ briefs, and with the benefit of oral argument, we affirm.

I. BACKGROUND

A. 2011 Medicare Fraud

The factual proffers accompanying Defendants’ plea agreements set forth the offense conduct as follows. Between June 15, 2011, and October 7, 2011, Defendants met with a “cooperating doctor” and paid the doctor for prescriptions that Defendants could use to fraudulently bill Medicare. Specifically, Defendants provided the cooperating doctor with Medicare beneficiary information and paid the doctor thousands of dollars to write prescriptions for expensive , medications that were not actually given to any patients. The doctor never saw or evaluated the patients, and instead wrote the prescriptions for whatev-" er medications Defendants requested. Defendants gave the fraudulent prescriptions to various pharmacies, which submitted false claims to Medicare based on the prescriptions.

As a result, Medicare paid the pharmacies approximately $753,430 based on the false claims. The pharmacies paid Defendants over $60,000 for obtaining the fraudulent prescriptions. Thus, Defendants’ conduct resulted in a total fraud loss amount of $753,430.

B. Plea Agreements

On April 9, 2013, Defendants were charged in an 18-count indictment with various offenses arising out of the Medicare fraud scheme. On June 26, 2013, Defendants executed substantially identical plea agreements, in which they agreed to plead guilty to one count of conspiracy to commit healthcare fraud, in violation of 18 U.S.C. § 1349. In return, the government agreed to dismiss the remaining counts.

Under the express terms of their plea agreements, Defendants “agree[d] to entry of a personal money judgment in favor of the United States in the amount of $753,430, which represents the gross proceeds of the offense of conviction, pursuant to [18 U.S.C. § 982].” To this end, Defendants “voluntarily agree[d] to forfeit all of [their] right, title, and interest in [two real properties located at 8550 N.W. 30th Avenue and 2500 N.W. 99th Street in Miami, Florida,] to the United States as substitute assets to satisfy the personal money judgment.”

In the plea agreements, Defendants agreed knowingly and voluntarily to waive the following: any claim or defense under the Eighth Amendment — including any claim of excessive fine or penalty — with respect to the forfeiture; any right to a jury trial on the forfeiture; any statute of limitations with respect to the forfeiture; any notice of forfeiture proceedings; and “any right to appeal any order of forfeiture entered by the Court pursuant to the plea agreement.” The plea agreements also stated that Defendants were “aware that [their] sentenced] had not yet been determined by the Court.”

C.Plea Hearing

During the joint plea hearing, Defendants confirmed that they had reviewed their plea agreements with counsel and understood each and every term of the agreements. The district court reviewed the plea agreements’ restitution and forfei *634 ture provisions in detail. With regard to the forfeiture provisions, the government stated that defense counsel had suggested paying the money judgment with a “substantial cash payment or some other payment plan” instead of forfeiting the two houses, and that the government, while not promising to agree to that proposal, would at least consider it going forward.

The district court confirmed Defendants’ understanding that they were liable for repaying $753,430 to the government, and that they could not object to “any source to forfeiture” or otherwise challenge any forfeiture ordered against them. In response to the district court’s inquiry, Defendants stated that no one forced or coerced them to plead guilty or to agree to the forfeiture or the money judgment.

Defendants affirmed that they signed the factual proffer and agreed with each and every fact contained in the proffer. Finding that Defendants were aware of the nature of the charges and the consequences of the pleas, the district court accepted Defendants’ guilty pleas as knowing and voluntary and adjudicated them guilty of conspiracy to commit healthcare fraud.

D. Presentence Investigation Reports

The presentence investigation reports (“PSIs”) outlined Defendants’ assets, including: two houses, six cars (a 2000 Chevrolet Silverado, a 2001 Kia Sportage, a 2002 Chevrolet Corvette, a 2007 Cadillac Escalade, a 2012 Dodge Challenger, and a 2013 BMW 740i), and seven bank accounts. Defendants held approximately $30Q0 in domestic bank accounts,' and Sosa reported an additional $22,000 in an individual bank account at Banco Popular in the Dominican Republic.

In June 2005 (before the 2011 fraud), Sosa obtained a $180,000 mortgage loan on property located at 8550 NW 30th Avenue in Miami, Florida, which was worth approximately $124,033. In April 2012 (shortly after the 2011 fraud), Sosa paid off the loan in full. In July 2011 (during the fraud period), Defendants paid $40,000 to purchase property located at 2500 NW 99th Street in Miami, Florida, which was worth approximately $69,472.

In 2012, Defendants reported an adjusted gross income of $395,616 — listed as “gambling proceeds” — on their joint federal tax return, and claimed a tax refund of $32,169. The PSIs ultimately determined that Sosa’s net worth was $204,213, and Velazquez’s net worth was $42,256.

Neither defendant objected to the PSIs.

E. Sentencing

On August 23, 2013, the district court held the sentencing hearing. In explaining the circumstances of the offense, the government stated that Defendants “met with the cooperating doctor on a number of occasions” until the government “shut it down” and “pulled the [doctor’s] proactive cooperation.” The government confirmed that the total loss amount of $753,430 was attributable to Defendants’ transactions with the cooperating doctor, and that the four pharmacies involved received $13 or $14 million dollars from Medicare. When the district court asked why the government would pay millions of dollars in claims that it knew to be fraudulent, the government responded that the Department of Health and Human Services was authorized to pay the claims as part of an undercover operation.

As to the money judgment, the government stated that it had recommended a sentence at the low end of the guidelines range, in part because Defendants had agreed to the money judgment of $753,430 and had indicated they intended to plead guilty early on in the process.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

United States v. Adam Smith
Eleventh Circuit, 2025
United States v. Romeo Langhorne
Eleventh Circuit, 2024
United States v. Sederick Maxwell
Eleventh Circuit, 2024
United States v. Armando Valdes
Eleventh Circuit, 2023
United States v. Savannah Duncan
Eleventh Circuit, 2023
United States v. Robert Brandon Malone
51 F.4th 1311 (Eleventh Circuit, 2022)
United States v. Maynard Sanders
Eleventh Circuit, 2018
United States v. Twaski Jackson
Eleventh Circuit, 2018
United States v. Michael Edwin Harding
696 F. App'x 955 (Eleventh Circuit, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
782 F.3d 630, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-yolanda-sosa-ca11-2015.