GEICO takes aim at a Florida physician and five clinics in a $2.89 million alleged PIP fraud scheme.
Government Employees Insurance Co., GEICO Indemnity Co., GEICO General Insurance Company, and GEICO Casualty Co. have filed a 26-count complaint in the United States District Court for the Middle District of Florida, Tampa Division, targeting physician Albert Matos, M.D., five rehabilitation clinics, and their respective owners and operators – 14 defendants in all.
At the heart of the complaint is the allegation that Matos acted as a sham medical director across all five clinics: Primera Health Center Inc., Health Clinic Rehabilitation Center, Inc., Tampa Healthcare Therapy Center LLC, Allure Med & Wellness Services LLC, and Blue Sea Rehabilitation Center Inc. According to GEICO, Matos allegedly entered into secret agreements with each clinic’s owner, accepting compensation to falsely pose as the clinics’ legitimate medical director while never actually fulfilling the statutory duties required under Florida’s Health Care Clinic Act. GEICO alleges that real decision-making authority over patient care and billing was handed off to the non-physician clinic owners instead…