Two of Erie’s most prominent physical therapy owners are headed to federal prison after a judge said their leadership drove a yearslong billing scam that milked government programs and left lower-paid staff holding the bag. U.S. District Judge Susan Paradise Baxter sentenced Aaron Hertel and Michael Brown, co-founders of Erie-based Hertel & Brown Physical & Aquatic Therapy, to six years each and ordered hefty fines and forfeitures, a ruling that has reignited local debate over who is watching clinics that bill Medicare, Medicaid and private insurers.
According to the U.S. Attorney’s Office for the Western District of Pennsylvania, Baxter imposed identical six-year prison terms for Hertel and Brown, followed by three years of supervised release and $250,000 fines for each man. Prosecutors say both pleaded guilty to conspiracy to commit wire fraud and health-care fraud, with the exact restitution figure set to be determined at a court hearing in April.
Local coverage traced the conspiracy to nearly 14 years of billing abuses that prosecutors say inflated claims by as much as $22 million and left some lower-paid employees to shoulder restitution orders, according to the Erie Times‑News. As part of their plea deals, the paper reported that the owners agreed to forfeit a Sarasota condominium and a former satellite office on Avonia Road.
How prosecutors say the scheme worked
Prosecutors allege Hertel & Brown repeatedly billed insurers for one-on-one therapy sessions when patients were actually treated in groups, billed for more treatment minutes than clinic hours could reasonably support and used unlicensed technicians where licensed therapists were supposed to be providing care, according to the U.S. Attorney’s Office. Court filings say schedules and records were altered to disguise group treatment and that the pattern generated large false claims submitted to Medicare, Medicaid and private insurers. Federal investigators described the conduct as systematic and long-running…