United States v. Paul Stephen GandyUnited States v. Paul Stephen Gandy
Dеfendant Paul Stephen Gandy appeals his sentence for falsifying health insurance claim forms,
Between July 1989 and March 1990, Defendant was licensed as a podiatrist, living in Lander, Wyoming. During this time, Defendant had no formal office and thus would visit various nursing homes and senior centers and offer his services to their residents. On these visits, Defendant performed for the patients a variety of foot care services, usually routine in nature, suсh as toenail clipping. Subsequently, Defendant would submit claim forms to the Medicare program so that he could receive compensation for his services. However, Defendant knew Medicare would not reimburse him for routine foot care services. Thus he would falsely state on the forms that he had performed various reimbursable surgical procedures. The total amount “allowed” by Medicare for Dеfendant’s fraudulent billings was $27,312.67, of which he received $18,315.87.
Defendant admitted his fraudulent conduct during an investigation into his activities by the Federal Bureau of Investigation and the Department of Health and Human Services. In March 1993, Defendant was charged
by-superseding
indictment with seven counts of submitting false claim forms,
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Prior to sentencing, the United States Probation Office prepared a presentence report. The report indicated,
inter alia,
that Defendant qualified for a two-level sentence enhancement under U.S.S.G. § 3B1.3 because Defendant “used a special skill, in a manner that significantly facilitated the commission ... of the offense.” Defendant objected to this finding and put the government to its burden of proving the enhancement.
See United States v. Kirk,
On appeal, Defendant’s sole contention is that the district court erred in applying U.S.S.G. § 3B1.3 to enhance his sentence by two-levels. Contrary to the district court’s finding, Defendant contends he did not use his podiatric skill to facilitate the commission of his
offense
— ie., the filing of false claim forms to Medicare. We review the district court’s factual findings that Defendant possessed a special skill and that he used that special skill to facilitate the commission of his offense, for clear error.
United States v. Lambert,
Under the provisions of U.S.S.G. § 3B1.3, a defendant’s sentence is incrеased two levels if he “use[s] a special skill, in a manner that significantly fadlitate[s] the commission or concealment of the offense.”
Id.
“Special skill” is defined in Application note 2 in the Commentary to § 3B1.3 аs “a skill not possessed by members of the general public. and usually requiring substantial education, training or licensing.” U.S.S.G. § 3B1.3, Application n. 2. Although “facilitate” is not defined in the Guideline or Application note, at least оne court has defined facilitate as “to make easier.”
See United States v. Young,
Under the first part of § 3B1.3, the government must show that the defendant possessed a special skill. We learn from U.S.S.G. § 3B1.3, Application note 2 that a defendant’s special skill may be derived from “substantial education, training or licensing.”
See
U.S.S.G. § 3B1.3, Application n. 2. Application note 2 in the Commentary following § 3B1.3 рrovides specifically that “pilots, lawyers, doctors, accountants, chemists, and demolition experts” possess a special skill.
Id.
We also recognize that a defendant need not have cоmpleted formalized educational or licensing requirements in order to possess a special skill. Rather, a defendant’s special skill can also be derived from experience or from self-tеaching.
See United States v. O’Dette,
However, the mere fact that a defendant possesses a special skill is not enough to warrant his sentence being enhanсed under Guideline 3B1.3.
Cf. United States v. Gould,
If the government does not show that the defendant employed his skill to facilitate the commission of his offense, then the court may not properly enhance thе defendant’s sentence under § 3B1.3.
See, e.g., United States v. Garfinkel,
Applying § 3B1.3 to the instаnt case, we first note that the fact that Defendant possessed a special skill — podiatry—is undisputed. Secondly, the district court concluded Defendant had used his podiatric skill to facilitate the cоmmission of his offense — i.e., submission of false claim forms to Medicare. The district court stated as its finding:
With regard to the special skill, I apprehend the defendant’s argument that his skills weren’t really specially used, that this was just a garden .variety fraud, and that’s a unique argument, but I really think that the applicable guideline on these special skills really intended enhancement for just such eases as this. I think this comes within the guideline exactly. He used his pоdiatric skill to defraud the United States. If he hadn’t had it no fraud could have been committed by him.
Tr.Vol. IV, pg. 12 (emphasis added). Because Defendant possessed a special skill and because the court found hе used that special skill to facilitate the commission of his offense, the court enhanced Defendant’s sentence by two-levels pursuant to § 3B1.3.
Despite our consideration of the court’s finding and our cаreful review of the record, we simply cannot determine whether Defendant did in fact use his podiatric skill to facilitate the commission of his offense. AI- *916 though the district court made a finding, the court’s finding is merely a conclusion and does not specifically explain how Defendant used his podiatric skill — i.e., such as if Defendant had used his diagnostic skills as a podiatrist in some way to falsify the claim forms and the operativе reports. 2 Moreover, nothing in the record provides us with a specific explanation of how Defendant used his podia-trie skill. 3 As a .result, we are unable to review the court’s factual determination. Consequently, we must remand with directions to the district court to make further findings on how Defendant used his podiatric skill to significantly facilitate the commission of his offense.
REMANDED for further factual findings consistent with this opinion.
Notes
. The reрort determined Defendant’s base offense level was 6. See U.S.S.G. § 2F1.1. With a four-level increase for an intended loss of $27,-312.67, see U.S.S.G. § 2F1.1(b)(1)(E), a two-level increase for more than minimal planning, see U.S.S.G. § 2F1.1(b)(2)(A), an additional two-level increase for use of a special skill, see U.S.S.G. § 3B1.3, and a trwo-level decrease for acceptance of responsibility, see U.S.S.G. § 3E1.1, Defendant's final offense level was determined to be 12. With an offense level of 12 and criminal histоry category III, Defendant’s sentencing range was computed to be fifteen to twenty-one months.
. We note that the court’s finding is problematic for another reason. The court’s statement that ”[i]f [Defendant] hadn't had [his skill] no fraud could have been committed by him,” seems to suggest that because Defendant is a podiatrist, a fortiori he used his special skill in the commission of his offense. As we have already explained, however, it must bе shown not only that Defendant possessed a special skill, but also that he employed that special skill to facilitate the commission of his offense.
. Counsel for the government contended at orаl argument that the claim forms and "operative reports” falsified by Defendant explained how Defendant used his podiatric skill. Moreover, counsel asserted these documents were "incorporаted” into the record through the superseding indictment. However, neither the claim forms nor the operative reports themselves were made a part of the record and thus we have no way of knowing what they might have shown.