New Orleans Man, Joseph Campo Sentenced to Twenty-Eight Months of Imprisonment for Health Care Fraud Scheme
(STL.News) The U.S. Attorney for the Eastern District of Louisiana, Duane A. Evans announced that JOSEPH CAMPO (“CAMPO”) was sentenced on April 14, 2022 to 28 months of imprisonment, and a mandatory special assessment fee of $100 after pleading guilty in federal court relating to his role in a health care fraud conspiracy.
CAMPO, age 79, a resident of New Orleans, Louisiana, pled guilty on February 25, 2021 before U.S. District Judge Suzy Morgan to Count One of a bill of information charging him with conspiracy to commit health care fraud and money laundering, in violation of Title 18, United States Code, Section 371.
According to the bill of information, in or around March 2014, continuing through in or around October 2016, CAMPO and his co-defendants conspired to knowingly and willfully execute a scheme and artifice to defraud TRICARE, a federal health care benefit program affecting commerce, and other health care benefit programs.
Prime Pharmacy contracted with various entities, including Pharmacy Benefit Managers (“PBMs”), obligating Prime Pharmacy to collect copayments from beneficiaries in order to be reimbursed by various health care benefit programs, including TRICARE. CAMPO worked with co-defendants to market the compounded medications produced by Prime Pharmacy. CAMPO and his co-conspirators worked with marketers outside of the state to find beneficiaries that were willing to receive medically unnecessary compounds and doctors willing to prescribe compounds without medical necessity.
Beginning in or around March 2014, and continuing through in or around April 2016, Prime Pharmacy dispensed prescriptions for High-Yield Compounded Medications to beneficiaries of TRICARE and other health care benefit programs that were not medically necessary, induced by kickback payments, or where copayments were either waived or credited by Prime Pharmacy, and accordingly, submitted or caused to be submitted false and fraudulent claims for reimbursement to TRICARE, other health care benefit programs, and PBMs.
CAMPO was also ordered to repay TRICARE $3 million in restitution.
“Individuals involved in this scheme illegally billed TRICARE out of close to $15 million and I am pleased that the U.S. Attorney’s Office is requiring justice,” said Special Agent in Charge Cynthia Bruce, Office of Inspector General, Defense Criminal Investigative Service, Southeast Field Office. “There are no victimless crimes and DCIS agents will continue to pursue unscrupulous greedy individuals who steal from our military health care system and all taxpayers.”
“Those entrusted with providing health care services to veterans and their family members will be held accountable should they violate that trust,” said Special Agent in Charge Jeffrey Breen of the Department of Veterans Affairs Office of Inspector General’s South Central Field Office. “The VA OIG is grateful to the United States Attorney’s Office and our law enforcement partners for their efforts to achieve justice in this case.”
U.S. Attorney Evans praised the work of the Office of Inspector General, Defense Criminal Investigative Service, the Department of Homeland Security, the Department of Veterans Affairs – Office of Inspector General, and the United States Postal Service – Office of Inspector General.
The prosecution of the case is being handled by Assistant United States Attorney Kathryn McHugh.