MIAMI-DADE OFFICE OF THE STATE ATTORNEY, 11th JUDICIAL CIRCUIT
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The Miami-Dade State Attorney's Office is dedicated to providing accurate information to the public and media. If you are a member of the working media and would like an interview with the State Attorney, or you need information on a case, would like to talk to a specific assistant state attorney or are looking for an expert in a certain area of prosecution, please contact our public information officers Ed Griffith, Terry Chavez or Lissette Valdes-Valle.

ED GRIFFITH Public Information Officer PHONE: 305-547-0535

LISSETTE VALDES-VALLE Hispanic Media Relations Public Information Officer PHONE: 305-547-0535

TERRY CHAVEZ Hispanic Media Relations Public Information Officer PHONE: 305-547-0535

Below you'll find recent news releases issued by this office.

Friday, November 6, 2015

Clinic Owner & Patient Broker Arrested in Insurance Fraud Scam


As a result of a joint investigation by the Miami-Dade State Attorney’s Office and the Miami-Dade Schools Police Department, 55 year old Violeta Otero, the owner and operator of the Sunshine Wellness Clinic and 52 year old Ida Mercado Rico, a patient broker, were charged in an insurance fraud scheme which targeted the Miami-Dade School System by defrauding its self-insurance plan. 

Utilizing forms previously completed at the Sunshine Wellness Clinic, insurance accounts of a number of Miami-Dade School District patients were filed for medical treatments and injections which never occurred.  Many of these patients were initially recruited to come to the clinic by Ida Mercado Rico and were often paid in cash by Ida Mercado Rico.

Violeta Otero has been charged with:

1 count            Organized Scheme to Defraud                  1st Degree Felony
166 counts      Grand Theft                                                 3rd  Degree Felony
166 counts       False and Fraudulent Insurance Claims   3rd  Degree Felony
 
Ida Mercado Rico has been charged with:
1 count            Organized Scheme to Defraud                  1st Degree Felony
77 counts        Grand Theft                                                 3rd  Degree Felony
77 counts         False and Fraudulent Insurance Claims   3rd  Degree Felony
4 counts           Patient Brokering                                        3rd  Degree Felony

“Insurance fraud is an attack on every individual on every person who pays an insurance premium”, commented Miami-Dade State Attorney Katherine Fernandez Rundle “ Insurance fraud scams that steal from our public school system take dollars intended to make our schools function, dollars that can educate our children, and put those dollars into the pockets of thieves.  I applaud this partnership which allows my prosecutors and the Miami-Dade Schools Police to effectively shut down such swindlers.”

“Protecting the interest of Miami-Dade County Public Schools, our students, and employees is paramount,” said Superintendent of Schools Alberto M. Carvalho. “Today’s arrest of individuals who sought to defraud our school district is a direct result of first-class investigative work by Miami-Dade Schools Police and the Miami-Dade State Attorney’s office. The genesis of this indispensable partnership began in 2014 with the creation of the Fraud Prevention Task Force to help curb abuse of employee health care benefits.”