UNITED STATES of America, Plaintiff-Appellee v. Peter Victor AYIKA, Defendant-Appellant
No. 15-50122 Consolidated w/ 14-51093
United States Court of Appeals, Fifth Circuit.
Filed September 14, 2016
837 F.3d 460
Before JOLLY, CLEMENT, and OWEN, Circuit Judges.
Further, we have previously rejected the argument that the district court erred by imposing “a term of intermittent confinement as a ‘self-effectuating condition” of a defendant‘s supervised release. Arciniega-Rodriguez, 581 Fed.Appx. at 420; accord United States v. Figueroa-Munoz, 592 Fed.Appx. 336, 336 (5th Cir. 2015) (per curiam). In these cases, we held that “[t]he possibility that the [BOP] will misinterpret” a district court‘s sentence “as requiring [the defendant] to serve a term of intermittent confinement immediately upon beginning his term of supervised release is entirely speculative and remote.” Arciniega-Rodriguez, 581 Fed.Appx. at 420-21; accord Figueroa-Munoz, 592 Fed. Appx. at 337.2 This reasoning applies with equal force in this case, as Magana‘s argument relies on the unfounded premise that the district court, or the BOP, will act unlawfully in the future.
III. CONCLUSION
Accordingly, because Magana‘s appeal is not yet ripe for review, we DISMISS for lack of jurisdiction.
Peter Victor Ayika, Pro Se.
Before JOLLY, CLEMENT, and OWEN, Circuit Judges.
E. GRADY JOLLY, Circuit Judge:
Peter Ayika (“Ayika“), pro se, appeals his conviction and sentence based on healthcare fraud. He raises issues relating to the
We reject Ayika‘s challenges to his conviction, sentence of incarceration, and order of restitution. In this appeal, however, the primary issue we address concerns forfeitable assets that may be seized to satisfy the money judgment entered against Ayika. We conclude that the district court erred to the extent that it held that forfeitable assets arising from commingled funds could be seized under the procedures of
Accordingly, we VACATE the Preliminary Order of Forfeiture listing Ayika‘s forfeitable assets. We further VACATE the Judgment in a Criminal Case (the “Judgment“), in part, with respect to forfeiture (pages 9 and 10, which refer to those same assets), and REMAND for further proceedings with respect thereto. We AFFIRM the Judgment in all other respects.
I.
Ayika was a licensed pharmacist who owned and operated Continental Pharmacy (“Continental“) in El Paso, Texas. In April 2011, Ayika was indicted for unlawfully possessing and distributing hydrocodone (the “drug case“). In August 2011, Ayika was charged in a second indictment with healthcare fraud, mail fraud, and wire fraud related to submission of fraudulent claims for healthcare benefits in connection with Continental (the “fraud case“).
The drug case went to trial first. After a jury found Ayika guilty in the drug case, he entered a plea of guilty to Count One of the healthcare fraud indictment, which charged him with defrauding healthcare-benefits providers in an amount exceeding $1,000,000. In the drug case, Ayika was sentenced to concurrent terms of 60 months and 170 months in prison. In the fraud case, Ayika was sentenced to 63 months in prison, to run concurrently with his sentences in the drug case. The district court also ordered Ayika to pay restitution in the amount of $2,498,586.86, entered a money judgment against him in the same amount, and ordered the forfeiture of certain property to partially satisfy that money judgment.
Ayika appealed the judgments in each case. Id. Although Ayika‘s conviction in the drug case was affirmed, his guilty plea in the fraud case was vacated and the case was remanded.
On remand, Ayika pleaded not guilty and went to trial. After a jury trial, Ayika
Ayika has appealed his healthcare fraud conviction and sentence; and we address his arguments in turn below.
II.
First, we address Ayika‘s challenges to his conviction.
A.
Ayika argues that his indictment should have been dismissed based on violations of the
Because Ayika did not raise either of these STA violations before the district court before his trial, he has waived entitlement to relief under the statute.1 Because, however, Ayika also raises ineffective assistance of counsel (“IAC“) claims in connection with these alleged STA violations, we must consider the underlying STA violations to determine the merits of the IAC claims.2
Turning to the IAC claims, to succeed Ayika “must show that counsel‘s performance was deficient ... [and] that the deficient performance prejudiced the defense.” Strickland v. Washington, 466 U.S. 668, 687, 104 S.Ct. 2052, 80 L.Ed.2d 674 (1984).
The Government argues that Ayika cannot meet this burden because he cannot point to a violation of
First, under
Second, under
Thus, Ayika has not shown any error by the district court under the STA, much less that he was prejudiced by his attorney‘s deficient performance in identifying or responding to such errors; and these claims fail as such.
B.
Next, Ayika argues that the district court committed reversible error by allowing the introduction of his prior conviction in the drug case, contrary to
To preserve either of his arguments, Ayika‘s objections to the introduction of this evidence, under Rule 403 or 404(b), must have been specific enough to alert the district court “to the nature of the alleged error and to provide an opportunity for correction.” See United States v. Ellis, 720 F.3d 220, 224-25 (5th Cir. 2013) (internal quotation marks and citation omitted). Ayika, however, did not object to the introduction of evidence of his drug conviction at any point in his healthcare fraud trial based on
Ayika‘s argument fails at the first step. The district court‘s ruling allowing the introduction of this evidence does not constitute error at all, as the introduction of such evidence is permissible under
C.
Next, Ayika argues that the district court erroneously denied his Rule 29 motion for acquittal based on the insufficiency of the evidence presented at his healthcare fraud trial. Ayika contends that because other “staff pharmacists and technicians” worked at his pharmacy, the evidence presented at his trial “lacked adjudicative facts to sufficiently link [him] to the false claim[s].”
Because Ayika preserved this objection before the district court, we review the sufficiency of the evidence de novo. Even so, our review of the sufficien
Considering the extensive evidence introduced at trial that demonstrated Ayika‘s involvement in the healthcare fraud—e.g., a confession signed by Ayika in conjunction with his prior guilty plea that conceded he had committed healthcare fraud; testimony that an examination of insurance company billing records and pharmacy prescription records showed that six companies paid $2,482,901.93 in healthcare benefits to Continental for 22,424 illegitimate, non-dispensed prescriptions; and evidence showing that Continental had one bank account (the “Chase account“), the primary purpose of which was receiving insurance reimbursements for prescriptions (and Ayika was the only party to directly control its profits)—we hold that a rational jury could have reached the verdict of guilt. Consequently, Ayika has not shown that the district court erred by denying his Rule 29 motion.
D.
In sum, for the reasons set forth above, we affirm the Judgment of conviction in all respects.
III.
We next turn to Ayika‘s challenges to the actual loss amount calculated by the district court, as well as the money judgment and restitution entered against him reflecting that loss amount. Specifically, the district court entered an Order of Money Judgment for $2,482,901.93. Ayika was then sentenced, and the Judgment ordered him to pay restitution in that amount.
Ayika argues that the district court committed reversible error in calculating the total actual loss amount attributable to the healthcare fraud and entering a money judgment and restitution against him in the same amount. In support of these challenges, however, Ayika provides only one argument: the district court erred by relying on the Government‘s calculation of the actual loss amount in the PSR because the Government failed to prove that the alleged loss, $2,482,901.93, was directly attributable to the healthcare fraud; instead he asserts the actual loss caused by the healthcare fraud was only $44,309.52. Accordingly, Ayika also contends that the money judgment and restitution amount are error. Ayika‘s arguments are unsupported.
Specifically, the Government had to show, by a preponderance of the evidence, only that the actual loss amount was a “reasonably foreseeable pecuniary harm that resulted from the [the healthcare fraud].”
Here, the district court was entitled to rely on the findings presented in Ayika‘s PSR to calculate this amount, unless Ayika demonstrated that those findings were ma
In this regard, Ayika‘s PSR provided that “from 2004 until March 2009 ... at least 22,424 [fraudulent] claims for prescriptions allegedly written by [] physicians and/or prescriptions of individuals who were not patients,” were submitted to insurance companies for payment. Of the total amount requested to be paid by the various insurance companies, $3,288,135.69 (the intended loss), $2,482,901.93 (the actual loss) was paid to Ayika.
Thus, the district court did not clearly err by relying on the Government‘s unrebutted calculation in Ayika‘s PSR when calculating the total loss amount.8 Furthermore, it follows that the district court also did not err by entering a money judgment against Ayika and ordering him to pay restitution in this same amount.9
IV.
Next, Ayika challenges the forfeiture order with respect to its identification of certain forfeitable assets. Essentially, Ayika‘s argument is that even if the actual loss amount calculated by the district court ($2,482,901.93) is correct, the Government did not submit sufficient evidence that specific assets, set forth in the forfeiture order, can be traced to the healthcare fraud. The Government disagrees.
A.
We keep in mind that criminal forfeiture is “an aspect of punishment imposed following conviction of a substantive criminal offense,” Libretti v. United States, 516 U.S. 29, 39, 116 S.Ct. 356, 133 L.Ed.2d 271 (1995), and thus an “aspect of sentencing,” id. at 49. Accordingly, we review the district court‘s findings of fact pertaining to a forfeiture order “under the clearly erroneous standard,” and “the question of whether those facts constitute legally proper forfeiture de novo.”10 United States v. Juluke, 426 F.3d 323, 326 (5th Cir. 2005).
Because the Government seeks forfeiture of specific property, we “must determine whether the government has established the requisite nexus between th[at] property and the [charged] offense” under the applicable statute. See
B.
Under
The Government‘s theory of this case, however, is straightforward, and persuasive as it ultimately simplifies our analysis. Specifically, the Government seeks two types of assets for forfeiture: 1) the funds that remain in the primary operational account for Continental—the Chase account;11 and 2) personal assets acquired with funds from the Chase account over the life of Ayika‘s healthcare fraud.12 And, the Government contends that it is entitled to the forfeiture of both types of assets based on the same theory: Because they were derived from funds in an account, which received nearly all of Continental‘s income, these assets were derived from gross proceeds traceable to the healthcare fraud, and thus forfeitable under
The Government offers the following evidence to prove the forfeitability of all these assets by breaking down the proceeds contributed to the Chase account over the period of Ayika‘s fraud: 1) of the $7.4 million that was deposited into the Chase account from “October 2004 through March 2009 ... approximately $5.3 million of these deposits were payments from the defrauded insurance compan[ies]” for approximately 65,000 prescription claims submitted through Continental;13 2) of the 34,449 prescription claims actually reviewed by the Government, 22,424 were fraudulent (65%); 3) of the $3,039,144.84 paid to Continental by the defrauded insurance companies for these 34,449 claims, $2,482,901.93 was paid for fraudulent claims; 4) in 2008-2009, the period immediately preceding Ayika‘s indictment, the
Ayika, on the other hand, argues that many of the funds deposited in the Chase account over the life of the account were derived from legitimate sources—“legitimate claims ... [and] billings” in his legitimate pharmaceutical business, his and his wife‘s “wage income,” and “funds from car sales and computer accessories exported overseas.” Thus, Ayika contends, neither the funds that remain in the Chase account, nor the assets procured with funds contained therein over the life of the account, are subject to forfeiture under the plain language of
Concerning his and his wife‘s wage income and the proceeds from car and computer sales, however, Ayika has provided no competent evidence that contradicts the expert witness testimony provided by Forensic Accountant Deborah Perez at Ayika‘s trial and forfeiture hearing. For example, at Ayika‘s forfeiture hearing, Perez testified that all the money deposited into the Chase account over the life of the account came only from Continental business. In response, when cross examining her at that hearing, Ayika provided only argumentative responses to Perez concerning this testimony,14 as well as other evidence that the district court found similarly unpersuasive.15 We cannot say, therefore, that the district court clearly erred in dismissing these arguments of Ayika, which leaves only his argument that both legitimate and illegitimate proceeds from Continental business were deposited into the Chase account. See Juluke, 426 F.3d at 326.
Thus, at bottom, Ayika argues that the commingling of these proceeds over the life of the Chase account negates forfeiture of the remaining Chase account funds, as well as other assets, under
1.
First, Ayika argues that the Government has not proved that all of the funds in the Chase account were derived, directly or indirectly, from the proceeds of the healthcare fraud, nor that they are traceable to the fraud, because the Chase account also contained legitimate income from Continental.
The Government contends that, based on the evidence addressed above, all of the remaining funds were “more likely than not proceeds of Ayika‘s healthcare fraud.”
As we have indicated, under
Retracing our earlier steps, Ayika was convicted under Count One of the indictment, which alleged that Ayika executed a scheme to defraud healthcare benefit programs. Here, Ayika was convicted for submitting fraudulent claims to Medicaid, the Federal Employee Health Benefits Program (whose claims are processed by CVS/Caremark), Aetna, Humana, Medco, and Restat (the “six insurers“), claims for prescriptions never filled by his pharmacy, Continental. Thus, the Government must show that it is more likely than not that these remaining funds are proceeds of Ayika‘s fraud, and that they can be traced specifically to the fraud Ayika committed against these victim insurers.
We turn to the Government‘s showing discussed above. Of the approximately $7,400,000 that was deposited in the Chase account over the life of the healthcare fraud scheme,16 however, the Government has shown that only $2,482,901.93 of the deposits into the Chase account represent gross proceeds of the healthcare fraud against the six insurers;17 that is to say,
Moreover, the Government concedes that it has not provided any evidence that the remaining funds in the Chase account (approximately $2,100,000 [$7,400,000 minus $5,300,000]), have a connection to these six insurers or Ayika‘s healthcare-fraud scheme. In fact, when cross-examining Forensic Accountant Perez at his forfeiture hearing, Ayika reiterated that: 1) the Government had not investigated, much less proven, the illegitimacy of these funds; and 2) these funds had no connection to the six insurers named in Ayika‘s indictment, facts which Perez confirmed (“Q. The flow chart you showed ... it says, does it—$2.163 million that was not accounted for? A. It was accounted for, sir. It was other insurance reimbursements ... Q. And I think that the [$2.163] million comes from other insurance companies you guys have not investigated. Is that what you‘re saying? A. Yes.“). And, the Government concedes this point on appeal (“The remaining $2.2 million of deposits consisted of payments from [] insurance companies [other than those named in Ayika‘s indictment], copays, payments by credit card or cash, and other pharmacy sales.“).
Consequently, the Government has provided evidence only that $2,482,901.93 of the funds deposited into the Chase account is traceable to the healthcare fraud of which Ayika was convicted. The Government has shown that approxi
2.
When evaluating the traceability of the funds in the Chase account, including the remaining funds in the account, we start, of course, with the premise that money is a fungible asset. See Fungible, BLACK‘S LAW DICTIONARY (9th ed. 2009) (“[I]nterchangeable with other property of the same kind.“). Thus, when legitimate money and illegitimate money are placed in the same account, and various withdrawals and other deposits occur over time, there is no method to determine the exact source of any specific dollar or dollars. Here, however, we have ascribed some percentage of the total deposits to the account to Ayika‘s fraud; or, stated differently, the Government has shown that some percentage of the funds deposited in the Chase account were gross proceeds of the crime of conviction.
But, still, we must go a step further and address whether any part of the $200,000 remaining in the Chase account can be “traced,” for the purposes of
3.
For example, Ayika points to United States v. Voigt, 89 F.3d 1050 (3d Cir. 1996), arguing that commingling can be so pervasive and protracted that tracing may become “virtually impossible.” The Government does not cite or address Voigt in its briefing before us.
In Voigt, the Third Circuit addressed whether the Government could properly seek forfeiture, under
It is true, of course, that Voigt arises in a slightly different context from the one here. Specifically, Voigt involved the traceability of assets (the jewelry) procured with general and unspecific commingled funds, whereas here we have to address the traceability of the commingled funds in the Chase account.
The Third Circuit, three years after Voigt was decided, however, addressed the traceability of commingled funds under
On appeal, however, the Third Circuit disagreed. The Third Circuit, reversing the district court, held that because the account was frozen immediately after Stewart deposited the illegal funds, and no substantial intervening withdrawals or deposits occurred thereafter, the “government clearly traced laundered funds ... to Stewart‘s Account.” Id. Thus, the court held that the entire $2,600,000 was directly forfeitable to the Government under
But again, Stewart presents a slightly different picture from the one we are presented. The fraudulent funds in Stewart were deposited into an account that contained relatively insignificant legitimate funds, and the entire account was frozen before intervening deposits or withdrawals could occur. Here, however, Forensic Accountant Perez analyzed over 12,000 banking transactions over the life of the Chase account; and, as the Government concedes, many of these transactions involved legitimately-obtained funds.
In short, we are presented with facts that are distinguishable from both Voigt and Stewart, but together they provide guidance in resolving the case before us. Like Voigt, we read the plain language and requirements of tracing under
Here, however, the Government‘s own witness analyzed over 12,000 transactions over the life of the account. And, as addressed above, Perez‘s testimony provided evidence only that 33.55% of the funds deposited into the Chase account, at various times over the life of the account, represented gross proceeds of the crime of conviction. Thus, in summary, we hold that the Government has failed to prove that it is, more likely than not, that the funds remaining in that account are traceable to Ayika‘s healthcare fraud against the six insurers. Accordingly, the district court erred in determining that the funds remaining in the Chase account were forfeitable under
4.
But, our analysis does not end here. Instead, we turn to another statutory provision asserted in the pleadings and orders below, but not briefed in this appeal:
In relevant part,
In the context of the facts presented in Voigt, as we have noted, the asset sought for forfeiture (the jewelry) was not traceable to the charged crime because it was purchased with commingled funds that, due to acts of the defendant, could not be divided without difficulty. See Voigt, 89 F.3d at 1087-88. Because the Government could not trace the asset to the crime of conviction, the Third Circuit held that the Government “must satisfy its forfeiture judgment through the substitute asset provision.” Id. at 1088 (emphasis added). In response to the Government‘s arguments otherwise, the Third Circuit reasoned that Congress enacted
We further agree with the Third Circuit that the Government cannot, consistent with the statutes, treat
Moreover, Stewart further illustrates this application of the two statutes. Stewart, 185 F.3d 112. In reversing the district court‘s application of
Thus, here, the volume of transactions that passed through the Chase account, the varying percentages of fraudulent billings paid by insurers and deposited, and other fluctuating factors characterizing the account, preclude the application of
C.
We sum up our discussion relating to the forfeitability of the Chase account and assets derived in part therefrom. We have held that the funds deposited into the Chase account over the life of the account, those that remain, and the assets purchased with funds therefrom, are not traceable to the crime of conviction and are hence not forfeitable under
V.
Having addressed our holdings with respect to the forfeiture order, we briefly sum up our holdings in the whole of this opinion: We AFFIRM Ayika‘s conviction and sentence of incarceration in all respects; because the district court did not err in calculating the amount of actual loss caused by the healthcare fraud, we AFFIRM the Order of Money Judgment and sentence of restitution in that same amount; and we VACATE the Preliminary Order of Forfeiture, as well as pages 9 and 10 of the Judgment forfeiting Ayika‘s assets, and REMAND for reconsideration not inconsistent with this opinion.28
AFFIRMED in part; VACATED, in part, and REMANDED.
No. 15-30987
United States Court of Appeals, Fifth Circuit.
Filed September 14, 2016
