UNITED STATES of America, Plaintiff-Appellee, v. Vinod PATEL, Defendant-Appellant.
No. 15-1666
United States Court of Appeals, Sixth Circuit.
Filed June 01, 2017
991
Finally, the district court, prior to Flagg‘s announcement of his departure, remanded the award to “the arbitration entity which issued the original awаrd,” not to particular individuals. Although Flagg is no longer a member, the Committee remains the valid entity under the CBA, and no other statutory or CBA language provides otherwise.
V.
We AFFIRM the district court‘s order remanding the arbitration award for clarification and DENY Midwest‘s pending motion for a stay of the clarification hearing.
Shane N. Cralle, United States Attorneys Office, Detroit, MI, for Plaintiff-Appellee
Vinod Patel, Pro Se
BEFORE: COLE, Chief Judge; BOGGS and SILER, Circuit Judges.
OPINION
COLE, Chief Judge.
Vinod Patel appeals his sentence for conviction of health care fraud, in violation of
I. BACKGROUND
Vinod Patel and his brother Babubhai Patel1 owned First Michigan Home Health Care (“First Michigan“), a company that purported to provide health services fоr homebound individuals. In reality, First Michigan defrauded Medicare, Medicaid, and health insurance companies by billing for, but not dispensing, prescription drugs and by submitting home-health-care claims that were based on kickbacks or services that were medically unnecessary.
Patel added patients through referrals from physicians and paid the physicians kickbacks in return. Patel also hired marketers to find people with Medicare coverage and offered those people prescription drugs, such as Vicodin, Soma, and Xаnax, if they would meet with a physician on First Michigan‘s payroll. Patel then paid the physicians to order home-health services from First Michigan for the purport
On August 2, 2011, Babubhai was arrested as part of a round of arrests. That day, Patel shut down the operation. However, in March 2013, Patel was arrested as part of a second round of arrests. A jury convicted Patel of conspiracy to commit health care fraud, in violation of
The presentence report (“PSR“) concluded that, under the United States Sentencing Guidelines, Patel had an offense level of 31 and a criminal history category of I. The PSR recommended a range of 108-135 months’ imрrisonment. Patel‘s offense level was calculated after various adjustments, including a 20-level upward adjustment for intended loss. The PSR attributed an intended loss of $8,072,955 to Patel. That total intended loss was based on two amounts: the total amount billed by First Michigan, $7,238,276, and the amount for all оf the prescriptions written by Burdette and filled by Tri-City and Rapid Drugs, $834,679. Patel objected to the calculation of the loss, arguing that the government had failed to prove that any particular bills were fraudulent and that some of the bills were for legitimate medical services. Patel‘s Sentencing Memorandum said:
There was a lot of testimony that fraudulent billing practices had occurred, but there were neither doctors nor patients that testified that any particular bill was fraudulent, nor did any witnesses testify that a particular bill was fraudulent. Thus, there is no bаsis for the increase on the base offense level.
(Patel Sentencing Mem., R. 1372, PageID 19545.) At the sentencing hearing, the government argued that the loss was properly calculated, and Patel‘s attorney rested on the previous written objections. The district court‘s only response was to say, “I think the person who wrote the presentence report got it right.” (Sentencing Tr., R. 1508, PageID 20672.)
The district court sentenced Patel to seventy-eight months’ imprisonment for the health-care-fraud conspiracy and sixty months’ imprisonment for the kickback conspiracy, with the two sentences to run concurrently. The district court also ordered Patel to pay $7,238,276 in restitution. Patel appealed his sentence.
II. ANALYSIS
A. Multiplicity
Patel argues that his indictment was multiplicitous insofar as it charged him with two separate conspiracies rather than a single, multi-faceted conspiracy. Whether an indictment is multiplicitous is a legal question that this court reviews de novo. United States v. Swafford, 512 F.3d 833, 844 (6th Cir. 2008). We review for clear error a lower court‘s finding of fact that the government has proven by a preponderance of the evidence that multiple conspiracies existed. In re Grand Jury Proceedings, 797 F.2d 1377, 1380-81 (6th Cir. 1986).
An indictment is multiplicitous if it charges a single offense in more than one count. Swafford, 512 F.3d at 844. A multiplicitous indictment violates the Double
We apply the Blockburger test to conclude that Patel‘s indictment was not multiplicitous because each statute requires proof of a fact that the other does not. Conspiracy to commit health-care fraud requires some fraudulent act. See
Patel does not contest the result under Blockburger and instead argues that we should forgo the Blockburger test and apply the totality of the circumstances test of United States v. Sinito, 723 F.2d 1250 (6th Cir. 1983). However, this argument is foreclosed by Fowler, where we decided that the Blockburger test should be applied when determining whether convictions for violations of
Additionally, Sinito is factually distinguishable from this case. In Sinito, the prosecution charged the defendant with two conspiracies under the same statute,
B. Amount-of-Loss Calculation
Patel challenges the procedural reasonableness of his sentencе by arguing that the district court failed to make the factual findings required by Rule 32 of the
A district court commits procedural error if the district court fails to calculate or improperly calculates the Guidelines range. Gall v. United States, 552 U.S. 38, 51 (2007).
Under Rule 32 of the
We first examine whether the amount was in dispute. A defendant can put the amount in dispute by introducing “some evidence beyond a bаre denial that calls the reliability or correctness of the alleged facts into question.” United States v. Lang, 333 F.3d 678, 682 (6th Cir. 2003) (citation omitted). Here, the PSR attributed an intended loss of $8,072,955 to Patel based on (1) the total amount billed by First Michigan and (2) all of the prescriptions written by Burdette and filled by Tri-City and Rapid Drugs. In his Sеntencing Memorandum, Patel objected to whether the government met its burden to prove that all such charges were fraudulent by a preponderance of the evidence. Specifically, Patel argued that it was the government‘s burden to prove the amоunt of loss and that the loss must be precisely attributable to Patel‘s conduct. However, Lang also required Patel to offer some evidence to rebut the PSR.
Patel offers the following from his Sentencing Memorandum as putting the amount in dispute:
There was a lot of testimony that frаudulent billing practices had occurred, but there were neither doctors nor patients that testified that any particular bill was fraudulent, nor did any witnesses testify that a particular bill was fraudulent. Thus, there is no basis for the increase on the base offense level.
(Patel Sentencing Mem., R. 1372, PageID 19545.) Patel notes that no witness testified that any specific bills were fraudulent. Because the PSR uses the total amount billed as the basis for its loss calculation, Patel‘s evidence that the government failed to prove that all the bills were fraudulent is sufficient to call the correctness of the PSR‘s calculation into question. We, therefore, conclude that Patel sufficiently put the amount of loss in dispute and triggered Rule 32.
The government does not contest that the district court failed to make proper factual findings under Rule 32. The district court‘s only statement after hearing Patel‘s objection to the amount of loss was: “I think the person who wrote the presen
C. Restitution
Patel asserts that the loss calculation underlying the restitution amount was in error. We review preserved claims of error in calculating restitution for abuse of discretion. See Fowler, 819 F.3d at 304. We conclude that the district court did not abuse its discretion in calculating the amount of restitution.
“An abuse of discretion occurs when the reviewing court is left with the ‘definite and firm conviction that the trial court committed a clear error of judgment.‘” United States v. Hunt, 521 F.3d 636, 648 (6th Cir. 2008) (quoting Dubay v. Wells, 506 F.3d 422, 431 (6th Cir. 2007)). The district court does not need to make specific factual findings in imposing restitution. United States v. Jackson-Randolph, 282 F.3d 369, 386 (6th Cir. 2002). Additionally, the Mandatory Victims Restitution Act of 1996 gives the district court latitude to determine the amount of the victim‘s losses. See
The amount of restitution ordered by the district court does not indicate an error of judgment. The order requires Patel to pay $7,238,276, which is the total amount of bills submitted to Medicare/Medicaid from First Michigan between January 1, 2007, and August 2011. The commentary to the Guidelines says that “the aggregate dollar amount of fraudulent bills submitted to the Government health care program shall constitute prima facie evidence of the amount of the intended loss.”
III. CONCLUSION
The district court failed to make proper factual findings under Rule 32. Accordingly, we vacate Patel‘s sentence and remand to the district court for resentencing. We affirm the remainder of the district court‘s judgment.
