Pill Mill-Russell Et Al Indictment

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    M A Y 2

    2015

    KSC: USAO# 2015R00358

    IN THE UNITED STATES DISTRICT COURT

    FOR THE DISTRICT OF MARYLAND

    UNITED STATES OF AMERICA

    v. RIMINAL NO. 1

    11

     

    - . 7

    1 5

    DONALD RUSSELL,

    BRUCE KEVIN LEWIS,

    DANIELLE SILBERSTEIN,

    PETER SNYDER,

    ROBERT LONG,

    JAMIE DAVIS,

    RONALD TENNYSON,

    TERRELL DOWNING,

    JOHN FIELDS,

    RONALD RUST,

    RONALD KANS,

    WALTER MOFFETT, and

    MELISSA CATLETT,

    Conspiracy to Distribute and Possess

    with Intent to Distribute Oxycodone, 21

    U.S.C. § 846; Health Care Fraud, 18

    U.S.C. § 1347; Aiding and Abetting, 18

    U.S.C. §2)

    Defendants.

    .oOo.

    INDICTMENT

    COUNT ONE

    The Grand Jury for the District of Maryland charges that:

    Introduction

    1 .

    eginning in or about February 2014 through in or about May 2015, Defendants

    DONALD RUSSELL and BRUCE KEVIN LEWIS owned and operated PG Wellness Center,

    LLC ( PG Wellness ), a purported pain management clinic located within the District of

    Maryland, and A Plus Pain Clinic, LLC ( A Plus Pain ), a purported pain management clinic

    located within the District of Columbia. In reality, PG Wellness and A Plus Pain operated as pill

    mills. A pill mill is a physician's office, clinic, or health care facility that routinely engages in

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    the practice of prescribing and dispensing controlled substances outside the scope of professional

    practice and without a legitimate medical purpose.

    2.

    Defendant RUSSELL ran the day-to-day operations at A Plus Pain and defendant

    LEWIS ran the day-to-day operations at PG Wellness. They hired and supervised employees, and

    approved and directed financial transactions on behalf of the companies. They also split the

    profits from the businesses evenly. DOCTOR 1 has been the prescribing physician at PG

    Wellness since February 2014. DOCTOR 2 has been the prescribing physician at A Plus Pain

    since approximately August 2014.

    3.

    Members of the conspiracy such as defendants Danielle SILBERSTEIN, Peter

    SNYDER, Robert LONG, Terrell DOWNING, Ronald RUST, Ronald KANS, and Walter

    MOFFETT each acted as distributors who brought a number of runners to the clinics. A

    runner is an individual who is recruited by a distributor to enter pill mill clinics with fictitious

    complaints of pain in order to obtain prescriptions for Schedule II controlled substances, primarily

    oxycodone. Runners typically then filled the prescription and gave the oxycodone tablets they

    received to the distributor. Runners were typically paid in either cash or oxycodone tablets for

    their services. The distributors then generally sold the pills for a profit. Several also sold pills or

    prescriptions back to members such as RUSSELL and LEWIS.

    4.

    Jamie DAVIS and Ronald TENNYSON served as runners and worked with LONG

    to fund additional visits to pill mill clinics and distribute the pills obtained during those visits.

    5.

    John FIELDS was a runner who dealt directly with RUSSELL in order to obtain

    oxycodone pills and distribute them.

    6.

    Danielle SILBERSTEIN and Melissa CATLETT regularly purchased bulk

    quantities of oxycodone pills from RUSSELL.

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    Background

    7.

    Beginning in no later than February 2014, RUSSELL and LEWIS owned and

    operated a pain management clinic called PG Wellness, and located at 5620 Saint Barnabas Road,

    Suite 340, Oxon Hill, Maryland. PG Wellness was operated as a pill mill. In or about February

    2014, RUSSELL and LEWIS hired DOCTOR 1 to serve as the prescribing physician at PG

    Wellness. They have paid DOCTOR 1 up to $1,500 per day.

    8.

    Beginning in no later than August 2014, RUSSELL and LEWIS owned and

    operated a pain management clinic called A Plus Pain Center, and located at 6323 Georgia

    Avenue, NW, Suite 105, Washington, D.C. A Plus Pain was operated as a pill mill. In or about

    August 2014, RUSSELL and LEWIS hired DOCTOR 2 to serve as the prescribing physician at A

    Plus Pain. They have paid up to $1,300 per day for DOCTOR 2's services.

    9.

    In or about October 2014, SNYDER arranged to open his own pill mill clinic in

    Salisbury, Maryland.

    Controlled Substances — General Terminology

    10.

    The Controlled Substances Act governs the manufacture, distribution, and

    dispensing of controlled substances in the United States, including narcotics that are prescribed by

    physicians and other licensed health care providers. The Controlled Substances Act and its

    implementing regulations set forth which drugs and other substances are controlled substances.

    Controlled substances are assigned to one of five schedules, Schedule I, II, III, IV, or V, depending

    on their potential for abuse, likelihood of physical or psychological dependency, accepted medical

    use, and accepted safety for use under medical supervision.

    11.

    Title 21, United States Code, Section 841(a)(1), provides that [e]xcept as

    authorized by this subchapter, it shall be unlawful for any person to knowingly or intentionally

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    . . . manufacture, distribute, or dispense, or possess with intent to manufacture, distribute, or

    dispense, a controlled substance.

    12.

    Title 21, United States Code, Section 802(10), provides that the term dispense

    meant to deliver a controlled substance to an ultimate user . . . by, or pursuant to the lawful order

    of, a practitioner, including the prescribing and administering of a controlled substance and the

    packaging, labeling, or compounding necessary to prepare the substance for such delivery.

    13.

    Title 21, United States Code, Section 802(11), provides that the term distribute

    means to deliver (other than by administering or dispensing) a controlled substance or a listed

    chemical.

    14.

    Title 21, United States Code, Section 802(21) provides that the telin practitioner

    means a physician . . . or other person licensed, registered, or otherwise pelinitted . . . to

    distribute [or] dispense . . . a controlled substance in the course of professional practice.

    15.

    Title 21, Code of Federal Regulations, Section 1306.04, provides, among other

    things, that a prescription for a controlled substance is valid if it is prescribed for a legitimate

    medical purpose by an individual practitioner acting in the usual course of his professional

    practice. Moreover, an order purporting to be a prescription issued not in the usual course of

    professional treatment or in legitimate and authorized research is not a valid prescription within

    the meaning and intent of Title 21, United States Code, Section 829, and the person knowingly

    issuing it shall be subject to the penalties provided for violations of the law relating to controlled

    substances.

    16.

    The DEA issues registration numbers to qualifying practitioners, who are

    authorized to dispense Schedule II, III, IV, or V controlled substances. A practitioner must be in

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    compliance with all state laws regarding the practice of medicine and the prescribing of medicine

    in order to receive and maintain a DEA registration number.

    17.

    The term Schedule II means that the drug or other substance has a high potential

    for abuse, the drug or other substance has a currently accepted medical use in treatment in the

    United States or a currently accepted medical use with severe restrictions, and abuse of the drug or

    other substances may lead to severe psychological or physical dependence.

    18.

    Oxycodone is a narcotic, opioid analgesic that is similar to morphine and is

    classified as a Schedule II controlled substance. It is sold in generic form. and under brand names

    including Oxycontin, Percocet, Roxicodone, Roxicet, and Endocet. When legally prescribed for

    a legitimate medical purpose, oxycodone is used to treat moderate to severe pain. However, even

    if prescribed for a legitimate medical purpose and even if taken in the prescribed amounts,

    oxycodone can cause physical and psychological dependence.

    19.

    The discipline of pain management is an accepted and recognized medical

    sub-specialty practiced by physicians throughout the United States. Legitimate and qualified pain

    management experts have specialized knowledge, education, training, and experience and utilize a

    multi-disciplinary approach, which sometimes includes, among other things, prescribing Schedule

    II, III, IV, and V controlled substances within the scope of the prevailing standards of professional

    practice and with a legitimate medical purpose. A prescription for a controlled substance,

    however, violates the Controlled Substances Act and its implementing regulations if it is issued

    outside the scope of the prevailing standards of professional practice and without a legitimate

    medical purpose.

    20.

    Oxycodone is frequently abused because it is a highly addictive narcotic that gives

    the user a high equivalent to heroin. Users who abuse pills containing oxycodone frequently do

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    so by smoking, chewing, dissolving, injecting, or crushing the pills and then ingesting the

    substance. These methods result in a more immediate high because they allow the active

    ingredient to more quickly enter the user's system. Abuse of oxycodone can lead to overdose

    and, in some cases, death. The risk of overdose and death is increased if oxycodone is abused

    along with certain other prescribed controlled substances, such as Alprazolam. Similar to other

    illegal narcotics, oxycodone is sold by drug dealers to addicted users, typically for approximately

    $1 per milligram.

    THE CHARGE

    21.

    rom at least February 204, up to and including the date of this Indictment, in the

    District of Maryland, the defendants,

    DONALD RUSSELL,

    BRUCE KEVIN LEWIS,

    DANIELLE SILBERSTEIN,

    PETER SNYDER,

    ROBERT LONG,

    JAMIE DAVIS,

    RONALD TENNYSON,

    TERRELL DOWNING,

    JOHN FIELDS,

    RONALD RUST,

    RONALD KANS,

    WALTER MOFFETT, and

    MELISSA CATLETT,

    did knowingly and willfully combine, conspire, confederate, and agree with each other and others

    known and unknown to the Grand Jury, to knowingly, intentionally, and unlawfully distribute and

    possess with intent to distribute a mixture or substance containing oxycodone, also known as

    Oxycontin, Percocet, Roxicodone, Roxicet, and Endocet, a schedule II controlled substance, in

    violation of Title 21, United States Code, Section 841(a)(1).

    21 U.S.C. §846

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    OBJECTS OF THE CONSPIRACY

    22.

    It was the object of the conspiracy to profit from the illegal distribution of

    oxycodone.

    23.

    It was further the object of the conspiracy to have prescriptions for oxycodone

    issued to individuals without a legitimate medical need so that they could either use them to satisfy

    an addiction or to re-sell the pills for a profit.

    24.

    It was further the object of the conspiracy to charge hundreds of dollars for each

    prescription and require customers to pay cash to obtain their prescriptions. Members of the

    conspiracy also profited from this by charging individuals to fill the prescriptions at area

    pharmacies and selling the oxycodone pills obtained from the prescriptions on the street.

    25.

    It was further the object of the conspiracy to recruit new members of the conspiracy

    to serve as additional runners and as the distributors who would bring those runners to the pill mill

    clinics, in order to generate larger profits.

    MANNER AND MEANS OF THE CONSPIRACY

    26. Among the manner and means used by the defendants and other co-conspirators to

    carry out the object of the conspiracy were the following:

    a.

    It was part of the conspiracy that members established pill mill clinics in

    Maryland and Washington, D.C. to provide drug addicts, runners, and distributors with places

    where they could obtain fraudulent prescriptions for oxycodone.

    b.

    It was part of the conspiracy that members who were operating pill mill

    clinics hired doctors to write prescriptions for oxycodone at those clinics and encouraged the

    doctors to limit the extent to which they checked for legitimate medical need before prescribing

    oxycodone.

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    c.

    It was part of the conspiracy that members who were operating pill mills

    used recruiters to identify and hire doctors to prescribe oxycodone.

    d.

    It was part of the conspiracy that members who were operating pill mills

    paid recruiters a recurring fee (during the term of employment) for any doctors employed by the

    pill mill clinics.

    e.

    It was part of the conspiracy that members who were operating pill mill

    clinics required runners to have certain paperwork, generally a magnetic resonance imaging

    ( MRI ) report and a prescription history, in order to include that in the paperwork in the runner's

    file to support a false claim that there was a medical need for the prescription of oxycodone.

    f.

    It was part of the conspiracy that members worked with a radiology clinic to

    ensure that runners and distributors had a source for MRI reports that could be used to substantiate

    false claims of medical need for oxycodone.

    g.

    It was part of the conspiracy that members who were operating pill mill

    clinics created false paperwork for runners who were unable to obtain MRI reports or prescription

    histories that would provide a basis for requesting a prescription for oxycodone.

    h.

    It was part of the conspiracy that members who were operating pill mill

    clinics charged runners hundreds of dollars in cash to obtain prescriptions for oxycodone.

    i.

    It was part of the conspiracy that members kept the profits from pill mill

    operations and the sales of oxycodone in cash.

    1

    t was part of the conspiracy that members conducted transactions and paid

    debts in cash or using financial vehicles that were difficult to trace, such as Green Dot cards.

    k.

    t was part of the conspiracy that members also fronted the office visit and

    pharmacy costs to runners and distributors with the understanding that they would be re-paid later.

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    1

    t was part of the conspiracy that members encouraged runners to visit

    multiple clinics in order to obtain additional quantities of oxycodone.

    m. It was part of the conspiracy that members checked the state prescription

    drug monitoring program ( PDMP ) databases to determine whether runners would be caught

    going to multiple pill mill clinics.

    n.

    It was part of the conspiracy that members encouraged runners who had

    been caught going to multiple clinics to return to their pill mill clinics and told them what to say to

    obtain prescriptions from the clinic.

    o.

    It was part of the conspiracy that members recruited additional distributors

    and runners (such as LONG and DAVIS) from Maryland and other states (such as Ohio) in order

    to increase the number of prescriptions sold and the profits.

    p.

    It was part of the conspiracy, that pill mill clinics PG Wellness and A-Plus

    Pain Center saw approximately 400 individuals per month and sought to increase those figures

    significantly.

    q.

    It was part of the conspiracy that members took steps to circumvent PDMPs

    in Maryland and surrounding states to ensure that distributors and runners could obtain multiple

    prescriptions for oxycodone from different doctors.

    r.

    It was part of the conspiracy that members directed distributors and runners

    to fill prescriptions in Washington, D.C. — and not Maryland — because Washington, D.C. did not

    have an active PDMP system so the prescriptions would not be reported there.

    s.

    It was part of the conspiracy that members directed distributors and runners

    to fill prescriptions in states other than Maryland that had active PDMP systems (such as Delaware

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    and Virginia) because individual state PDMPs were not connected so prescriptions filled in those

    states would not show up in the Maryland PDMP system.

    t.

    It was part of the conspiracy that members explained to distributors and

    runners that runners would not be able to obtain a new prescription at the pill mill clinics if they

    filled another prescription that month that appeared in the Maryland PDMP system.

    u.

    It was a part of the conspiracy that members worked with area pharmacies

    to ensure that the large volume of runners would have locations where they could regularly get

    large quantities of oxycodone.

    v. It was part of the conspiracy that members encouraged area phamiacies to

    not enter prescriptions into the PDMP system.

    w.

    It was a part of the conspiracy that members kept track of which pharmacies

    had supplies of oxycodone and were willing to fill prescriptions for runners.

    x.

    It was part of the conspiracy that members verified prescriptions that they

    knew were illegitimate when pharmacies would call the pill mill clinics.

    y.

    It was part of the conspiracy that members tracked online databases, such as

    Maryland Judiciary Case Search, to determine whether other members had been arrested.

    z.

    It was part of the conspiracy that members, including Danielle

    SILBERSTEIN, Peter SNYDER, Robert LONG, Ronald RUST, Ronald KANS, and Walter

    MOFFETT, took multiple runners to pill mill clinics in order to obtain prescriptions for

    oxycodone.

    aa.

    t was part of the conspiracy that members told runners how to fill out

    paperwork at the pill mill clinics and what to tell the doctors at the pill mill clinics to ensure that

    they would receive prescriptions for oxycodone.

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    1

    On or about February 2014, Defendants RUSSELL and LEWIS opened PG

    Wellness so that runners and distributors had a location to obtain prescriptions for oxycodone.

    On or about February 2014, RUSSELL and LEWIS hired DOCTOR 1 at PG Wellness.

    2.

    In or about August 2014, Defendants RUSSELL and LEWIS opened a second pill

    mill clinic, A Plus Pain Center.

    3.

    On or about August 27, 2014, Defendants LONG and DAVIS went to A Plus Pain

    Center and DAVIS obtained a prescription for oxycodone.

    4.

    On or about August 29, 2014, TENNYSON provided LONG with $2,100 so that

    LONG could pay the costs to obtain additional supplies of oxycodone for LONG and

    TENNYSON to distribute.

    5.

    On or about September 23, 2014, KANS visited multiple pharmacies in an attempt

    to fill prescriptions for oxycodone and arranged to provide pills to another individual so that they

    could be sold to a customer.

    6.

    On or about September 23, 2014, RUSSELL explained to KANS that paying $600

    to fill a prescription for oxycodone was worth it if KANS could ultimately make $1,000 from the

    prescription.

    7.

    On or about September 23, 2014, during an intercepted conversation, RUSSELL

    explained to SNYDER the difficulties caused by the implementation of PDMP programs and that

    he would just limit the doctor's ability to check the system: I'm just gonna teach her that she

    can't do that... be looking every day.

    8.

    On or about September 23, 2014, RUSSELL agreed to purchase a runner's

    oxycodone prescription from MOFFETT if he was unable to get it filled.

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    9.

    On or about September 24, 2014, RUNNER 3 had an appointment with DOCTOR

    1 to obtain a prescription for oxycodone. During that appointment, DOCTOR 1 told RUNNER 3

    that DOCTOR 1 had 80 cheaters among her patients. During an intercepted conversation,

    RUSSELL said, Yeah its way more than 80, and explained that DOCTOR 1 had seen 480 people

    and that she had caught more than 1/3 of them getting prescriptions from two doctors.

    10.

    On or about September 24, 2014, RUSSELL and KANS discussed how to avoid

    detection when obtaining oxycodone prescriptions from multiple doctors. During an intercepted

    conversation, RUSSELL said, You just gotta keep 'em separate, you know one in VA, one in DC,

    and one in MD.

    11. On or about September 24, 2014, RUSSELL and LEWIS arranged to reduce the

    price of visits for certain runners who were considering going to another pill mill clinic where the

    doctor was prescribing a few more pills in each prescription.

    12.

    On or about September 24, 2014, a runner working for MOFFETT obtained a

    prescription for 20 mg oxycodone from A Plus Pain Center. During an intercepted conversation,

    RUSSELL explained to MOFFETT that [the runner] said the doctor told her that the MRI wasn't

    showing much of anything and she only gave her a script for 20 mg not 30.

    13.

    On or about September 25, 2014, RUSSELL explained to DOCTOR 2 the problem

    with another clinic providing patients with more oxycodone pills in each prescription. During an

    intercepted conversation, RUSSELL said, they give out one twenty [at another clinic]. I said

    nobody's gonna leave and get eight less, I almost said, you know that's two hundred dollars, that's

    so fucking stupid, I swear I almost said it....

    14.

    On or about September 26, 2014, LEWIS told RUSSELL that he spoke with a

    runner and told him not to worry because, the minute you bring it up to Maryland, you ain't going

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    to jail.... I said I can tell you that ... there's not enough jails in freaking the state of Maryland for

    this.

    15.

    On or about September 26, 2014, MOFFETT arranged to have a runner get an MRI

    report and obtain a prescription for oxycodone from A Plus Pain Center. During an intercepted

    conversation, MOFFETT identified the runner and RUSSELL said, he knows a little bit about

    this game so give him some good money..., and MOFFETT said, I'm givin' him more than I'm

    givin' everybody else.

    16. On or about September 27, 2014, RUSSELL arranged for MOFFETT and

    RUNNER 7 to come together to A Plus Pain Center to obtain oxycodone prescriptions.

    RUSSELL agreed to cover the costs of the office visit. During an intercepted conversation,

    MOFFETT said RUNNER 7 was a nice addition to my stable. I'm gonna have about 11 or 12

    solid pacers that are gonna handle their business. RUSSELL encouraged MOFFETT to find

    other runners who could come to the clinic.

    17.

    On or about September 28, 2014, RUSSELL agreed to buy a prescription back from

    MOFFETT, after they discussed how much could made from the prescription.

    18. On or about September 29, 2014, RUSSELL arranged to cover the costs of certain

    runners' office visits at PG Wellness, if they were cooperating with RUSSELL.

    19. On or about September 30, 2014, DOWNING tried to fill a prescription for

    oxycodone at several pharmacies, including PHARMACY 2, and RUSSELL instructed

    DOWNING that he could only fill the prescription in Washington, D.C.

    20. On or about October 1, 2014, LEWIS called RUSSELL to arrange to keep

    RUSSELL' s associates from calling the office to rat out a runner to DOCTOR 1. RUSSELL

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    said that he would and noted that they were just jealous because you know what I do with them

    all. Well now he branched out and he is getting what he should.

    21. On or about October 1, 2014, LEWIS and RUSSELL divided the $45,000 profit

    from PG Wellness for the month of September. They discussed how slow business had been the

    past few days and RUSSELL said, you know no matter at the end of the day I mean you look at

    that how many get 20 20 thousand and we're bitching about it.

    22.

    On or about October 2, 2014, RUSSELL instructed MOFFETT that he would have

    to start paying the clinic and pharmacy fees for his own runners because RUSSELL did not want to

    front him the money anymore.

    23.

    On or about October 2, 2014, during an intercepted conversation, RUSSELL

    instructed DOWNING to fill an expired prescription at PHARMACY 2 and arranged to provide

    DOWNING with $300 to pay for the cost to fill his prescription.

    24.

    On or about October 3, 2014, during an intercepted call, RUSSELL accused

    MOFFETT of taking drugs and asked about the money from prior prescriptions that MOFFETT

    owed him. During an intercepted conversation, RUSSELL said, you're out drivin, what the fuck

    if you get pulled over and they get that [prescription] bottle? No matter what it's an

    investigation....

    25.

    On or about October 4, 2014, RUSSELL and LEWIS agreed to limit certain

    relatives of LEWIS to visiting just one clinic because it had become known that certain relatives

    were going to other clinics, however, RUSSELL and LEWIS agreed that only these relatives

    needed to be restricted to one clinic.

    26.

    On or about October 4, 2014, LEWIS sought to arrange an MRI report for a runner

    from another clinic who had already obtained a prescription history.

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    27.

    On or about October 6, 2014, LEWIS picked up a prescription from PHARMACY

    2 in the name M.F. that RUSSELL had dropped off instead of one in the name B that LEWIS had

    dropped off. As a result, RUSSELL agreed to pick up the prescription for B that LEWIS had

    dropped off so that LEWIS could keep the prescription for M.F.

    28.

    On or about October 7, 2014, RUSSELL instructed SILBERSTEIN to obtain pills

    from LEWIS because she had not gotten any pills from him in a while. SILBERSTEIN explained

    that LEWIS had told her that he would not have pills until the 4

    t h .

    29.

    On or about October 14, 2014, KANS arranged to sell oxycodone pills for

    $1,500-1,800 to two people in Mechanicsville, MD who had what he described as a house full of

    fucking money and pills. RUSSELL said that getting anything over $1,700 per bottle would be

    good. KANS explained that his step brother had been getting $2,200 per bottle and RUSSELL

    explained that was because he was selling the pills individually and not wholesale.

    30.

    On or about October 15, 2014, RUSSELL instructed SNYDER and another

    distributor not to stay in A Plus Pain Center with runners so as to not raise the doctor's suspicion.

    31.

    On or about October 16, 2014, SILBERSTEIN sought to purchase oxycodone pills

    from RUSSELL and arranged to bring several runners to A Plus Pain Clinic to obtain

    prescriptions. RUSSELL told SILBERSTEIN that she would need to coach the runners on what

    they needed to tell the doctor about the fake prescription histories. SILBERSTEIN said that she

    had explained some of it to them, including that they would need to pay for the fake prescription

    histories.

    32.

    On or about October 16, 2014, LEWIS advised SILBERSTEIN that if she filled a

    prescription that day anywhere other than in Washington, D.C. she would not be able to get a

    prescription from PG Wellness the next day. During an intercepted conversation, LEWIS said, I

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    told her she can't fill this today, I told her if you fill this today...anywhere other than DC, you're

    not going to be able to go tomorrow.

    33.

    On or about October 16, 2014, LEWIS and RUSSELL arranged to have a runner

    who had been discharged from PG Wellness for seeing multiple doctors become a patient at A Plus

    Pain Center.

    34.

    On or about October 16, 2014, LEWIS and RUSSELL discussed the pharmacies

    where they had arrangements for filling oxycodone prescriptions. During an intercepted

    conversation, LEWIS said that PHARMACIST 1 wants to talk to us.... [A runner] said he wants

    all your patients.... [PHARMACIST 1] told [the runner] you get everyone together and I'll work

    out a deal. RUSSELL and LEWIS agreed to go together to meet PHARMACIST 1.

    35.

    On or about October 16, 2014, RUSSELL arranged to recruit additional runners

    from another pill mill clinic, even if he was unable to purchase the oxycodone pills from them for

    re-sale.

    36.

    On or about October 16, 2014, RUSSELL met with PHARMACIST 1 and

    PHARMACIST 1 agreed to fill 100 oxycodone prescriptions per month for RUSSELL and

    LEWIS at a cost of $620 in cash for each prescription, as long as each oxycodone prescription was

    accompanied by a prescription for ibuprofen so that the prescriptions appeared more legitimate.

    37.

    On or about October 18, 2014, RUSSELL arranged to have a distributor bring

    seven new runners to A Plus Pain Center approximately a month after the distributor had been

    discharged from PG Wellness for seeing multiple doctors. During an intercepted phone call

    LEWIS said, I think she just got thrown out...just last month...but that's ok. RUSSELL said,

    We don't care where they come.

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    38.

    On or about October 19, 2014, RUSSELL confirmed that RUST would have

    appointments at both A Plus Pain Center and PG Wellness that week. RUSSELL also advised

    RUST that he had a pharmacy where he could fill the prescriptions (i.e., RUSSELL said, I got a

    place you can take it right to and they don't check nothin. ).

    39.

    On or about October 21, 2014, RUSSELL explained to SNYDER that his pill mill

    clinics could make him $1.8 million a year in net profit if he was able to see 14 patients per day at

    each clinic.

    40.

    On or about October 23, 2014, RUST arranged to provide RUSSELL with

    oxycodone pills that evening at RUSSELL' s house because he did not want to ride around with

    that shit man if I don't have to.

    41.

    On or about October 23, 2014, RUSSELL arranged for MOFFETT to come to A

    Plus Pain Center the next day to get a prescription for oxycodone and they discussed the

    economics of selling prescriptions. RUSSELL explained that MOFFETT could still profit

    $1,000, even if he had to pay $660 to the pharmacy.

    42.

    On or about October 24, 2014, RUSSELL encouraged PHARMACIST 1 not to use

    the PDMP system. During an intercepted conversation RUSSELL said, I don't want you to

    because it don't help nobody by doing, you know what I mean'? and PHARMACIST 1 responded,

    Yeah I understand what you're saying. PHARMACIST 1 confirmed that he would also fill

    prescriptions from PG Wellness.

    43.

    On or about October 27, 2014, RUSSELL fronted the costs of doctor visits at PG

    Wellness and A Plus Pain Center to runners.

    44.

    On or about October 27, 2014, FIELDS asked RUSSELL to provide him with a

    replacement for an expired prescription for oxycodone.

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    45.

    During the week of October 30, 2014, a distributor brought approximately 15

    runners to A Plus Pain Center. On or about October 30, 2014, LEWIS and RUSSELL agreed to

    allow the distributor or her boyfriend to obtain an oxycodone prescription for free in exchange for

    all the business that she was bringing to A Plus Pain Center.

    46. On October 31, 2014, KANS and a runner went to PG Wellness and A Plus Pain

    Center and the runner obtained prescriptions. On the same day, RUSSELL told KANS that

    DOCTOR 2 allowed RUSSELL and others to check the PDMP system for her. RUSSELL also

    explained that DOCTOR 2 had come to him about some of RUSSELL's buddies going to

    multiple clinics and that RUSSELL acted like he did not know them. KANS said, I guess

    apparently

    he don't ever look at me....

    47.

    On or about October 31, 2014, a distributor brought eight runners from Ohio and

    western Maryland to A Plus Pain Center.

    48.

    On or about October 31, 2014, RUSSELL and LEWIS discussed the profits from

    that month at A Plus Pain Center of $4,400 — 4,500 and the profits from PG Wellness of

    $48,000-50,000. They talked about hiding the money and the things that authorities had done

    when examining other pill mill clinics.

    49.

    Between February and October 2014, $178,464 in cash deposits were made into PG

    Wellness Center, LLC's TD Bank account.

    50.

    Between July and October 2014, $25,200 in cash deposits were made into A-Plus

    Pain Center, LLC's TD Bank account.

    51.

    On or about November 1, 2014, LEWIS told the runners that he would stop

    fronting the costs of them obtaining oxycodone.

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    COUNT TWO

    The Grand Jury for the District of Maryland further charges that:

    1

    Paragraphs 1-20 and 22-26 of Count One are realleged and incorporated by

    reference as though fully set forth herein.

    The Scheme to Defraud

    2.

    From on or about January 2, 2014, and continuing through on or about April 6,

    2015, in the District of Maryland and elsewhere, the defendants,

    DONALD RUSSELL, and

    JONATHAN FIELDS,

    did knowingly and willfully execute and attempt to execute a scheme and artifice to defraud a

    health care benefit program in connection with the delivery of and payment for health care

    benefits, items and services.

    3. It was part of the scheme to defraud that the defendants, in order to obtain payments

    from a health care benefit program, would submit or cause to be submitted claims seeking

    reimbursement for prescriptions that were fraudulent in that the prescriptions were for oxycodone

    that was not necessary to treat any medical condition.

    Manner and Means

    4. It was further part of the scheme and artifice that the defendants fraudulently

    claimed medical conditions so that doctors would prescribe large quantities of oxycodone 30 mg

    tablets.

    5.

    It was further part of the scheme and artifice that the defendants presented and

    caused to be presented to pharmacies in the District of Maryland fraudulently obtained

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    prescriptions in the name of a person who was a member of a health care benefit program who had,

    in fact, no medical need for the controlled substance listed on the prescriptions.

    6.

    It was further part of the scheme and artifice that when the defendants submitted or

    caused to be submitted fraudulent prescriptions to pharmacies, they presented and caused to be

    presented health insurance cards.

    7.

    It was further part of the scheme and artifice that the defendants submitted or

    caused to be submitted pharmacy claims to health care benefit programs for the dispensing of

    controlled substances that were not supported by legitimate medical need.

    8.

    It was further part of the scheme and artifice that the defendants obtained the

    controlled substances in order to re-sell them for a profit.

    9.

    It was further part of the scheme and artifice that, on or about November 7, 2014,

    RUSSELL pressed FIELDS to use his insurance to fill prescriptions for oxycodone.

    10.

    It was further part of the scheme and artifice that, on or about December 1, 2014,

    RUSSELL advised FIELDS to take new prescriptions for oxycodone to the same phat lacy where

    he had successfully used his insurance in the past.

    The Charge

    11.

    On or about the 18

    th

    day of November, 2014, in the District of Maryland, the

    defendants,

    DONALD RUSSELL, and

    JONATHAN FIELDS,

    for the purpose of executing and attempting to execute the above-described scheme and artifice to

    defraud a health care benefit program as defined in Title 18, United States Code, Section 24(b), to

    wit Medicare, in connection with the payment for health care benefits, items, and services, did

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    knowingly and willfully submit and cause to be submitted by New Era Pharmacy & Variety

    Outlet, LLC, 1444 Addison Rd S, Capitol Heights, Maryland, a fraudulent claim for dispensing

    112 tablets of Oxycodone 30 mg, a controlled substance, knowing said claim to be fraudulent, in

    that the prescription was not for a legitimate medical need.

    18 U.S.C. § 1347

    18 U.S.C. § 2

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    COUNT THREE

    The Grand Jury for the District of Maryland further charges that:

    1

    Paragraphs 1-20 and 22-26 of Count One are realleged and incorporated by

    reference as though fully set forth herein.

    The Scheme to Defraud

    2.

    From on or about February 24, 2014, and continuing through on or about March 30,

    2015, in the District of Maryland and elsewhere, the defendant,

    WALTER MOFFETT,

    did knowingly and willfully execute and attempt to execute a scheme and artifice to defraud a

    health care benefit program in connection with the delivery of and payment for health care

    benefits, items and services.

    3.

    It was part of the scheme to defraud that the defendant, in order to obtain payments

    from a health care benefit program, would submit or cause to be submitted claims seeking

    reimbursement for prescriptions that were fraudulent in that the prescriptions were for oxycodone

    that was not necessary to treat any medical condition.

    Manner and Means

    4.

    It was further part of the scheme and artifice that the defendant fraudulently

    claimed medical conditions so that doctors would prescribe large quantities of oxycodone 30 mg

    tablets.

    5.

    It was further part of the scheme and artifice that the defendant presented and

    caused to be presented to pharmacies in the District of Maryland fraudulently obtained

    prescriptions in the name of a person who was a member of a health care benefit program who had,

    in fact, no medical need for the controlled substance listed on the prescriptions.

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    6.

    It was further part of the scheme and artifice that when the defendant submitted or

    caused to be submitted fraudulent prescriptions to pharmacies, they presented and caused to be

    presented health insurance cards.

    7. It was further part of the scheme and artifice that the defendant submitted or caused

    to be submitted pharmacy claims to health care benefit programs for the dispensing of controlled

    substances that were not supported by legitimate medical need.

    8. It was further part of the scheme and artifice that the defendant obtained the

    controlled substances in order to re-sell them for a profit.

    The Charge

    9.

    On or about the 3rd day of November, 2014, in the District of Maryland, the

    defendant,

    WALTER MOFFETT,

    10.

    for the purpose of executing and attempting to execute the above described scheme

    and artifice to defraud a health care benefit program as defined in Title 18, United States Code,

    Section 24(b), to wit Medicaid, in connection with the payment for health care benefits, items, and

    services, did knowingly and willfully submit and cause to be submitted by Rite Aid Pharmacy, 711

    Washington Avenue, Suite 26, Chestertown, Maryland, a fraudulent claim for dispensing 112

    tablets of Oxycodone 30 mg, a controlled substance, knowing said claim to be fraudulent, in that

    the prescription was not for a legitimate medical need.

    18 U.S.C. § 1347

    18 U.S.C. § 2

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    FORFEITURE

    1

    The allegations contained in Counts 1-3 of this Indictment are hereby realleged

    and incorporated by reference for the purpose of alleging forfeitures pursuant to Title 21, United

    States Code, Section 853, Title 18 United States Code, Section 981(a)(1)(C), and Title 28 United

    States Code, Section 2461(c).

    2.

    Pursuant to Title 21, United States Code, Section 853, upon conviction of an

    offense in violation of Title 21, United States Code, Section 841 or 846, the defendants,

    DONALD RUSSELL,

    BRUCE KEVIN LEWIS,

    DANIELLE SILBERSTEIN,

    PETER SNYDER,

    ROBERT LONG,

    JAMIE DAVIS,

    RONALD TENNYSON,

    TERRELL DOWNING,

    JOHN FIELDS,

    RONALD RUST,

    RONALD KANS,

    WALTER MOFFETT, and

    MELISSA CATLETT,

    shall forfeit to the United States of America any property constituting, or derived from, any

    proceeds obtained, directly or indirectly, as the result of such offense and any property used, or

    intended to be used, in any manner or part, to commit, or to facilitate the commission of, the

    offense and all interest and proceeds traceable thereto, including, but not limited to, a sum of

    money in the amount of at least $1,200,000.

     

    3.

    Upon conviction of a violation of 18 U.S.C. § 1347, as alleged in Counts 2 and 3

    of this Indictment, the defendants,

    1

    his figure is calculated using the street value of the oxycodone pills that would have been distributed by the

    pill mill clinics during one month of operation. Four hundred total patients in a month, each receiving at least 100

    oxycodone 30 mg pills, would total 40,000 pills in one month. A street value of $30 per pill would be the equivalent

    of $1,200,000.

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    DONALD RUSSELL,

    JONATHAN FIELDS, and

    WALTER MOFFETT,

    shall forfeit to the United States of America, pursuant to Title 18, United States Code, Section

    982(a)(7), any property, real or personal, that constitutes or is derived, directly or indirectly,

    from gross proceeds traceable to the commission of the offense(s).

    SUBSTITUTE ASSETS

    3.

    f any of the property subject to forfeiture, as a result of any act or omission of the

    defendant:

    a.

    cannot be located upon the exercise of due diligence;

    b.

    has been transferred or sold to, or deposited with, a third party;

    c.

    has been placed beyond the jurisdiction of the court;

    d. has been substantially diminished in value; or

    e. has been commingled with other property which cannot be divided

    without difficulty,

    the United States of America shall be entitled to forfeiture of substitute property pursuant to 21

    U.S.C. § 853(p), as incorporated by Title 18, United States Code, Section 982(b)(1) and Title 28,

    United States Code, Section 2461(c), including but not limited to the following:

    a. ll right, title and interest in the following assets, accounts and holdings:

    i.

    the 2007 Cadillac Escalade bearing Maryland registration number

    62177CF, and vehicle identification number ( YIN ) 1GYFK66817R350337;

    ii.

    the 2011 Ford F-150 bearing Maryland registration number 8BR1537 and

    YIN 1FTFW1EF3BFA34770;

    iii.

    the 2012 Kia bearing Maryland registration number 2AZ1678 and VIN

    5XXGM4A75CG015747;

    iv.

    the 2014 Cadillac Escalade bearing Maryland registration number

    6BH9575 and VIN 1GY54CEF1ER203679;

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    v.

    the 20 13 Dodge Charger bearing Virginia registration number W PH5 874

    and VIN 2 C3CDYBT3DH680702 ;

    vi.

    the 20 07 Nissan bearing Virginia registration number W PN990 9 and VIN

    N4AL2 E 7N422248;

    vii.

    the 20 14 K ia SUV bearing Maryland registration number 7BE0 00 7 and

    VIN 5XYKWDA78EG455299;

    viii.

    the 20 12 Hyundai bearing M aryland registration number 6A L3783 and

    VIN 5 NPEB4AC8CH359782;

    ix.

    Account Number 43042 71341 at TD Bank in the name A-Plus Pain

    Center;

    x.

    Account Number 4304272711 at TD Bank in the name Donald Russell;

    and

    xi.

    Account Number 4290745278 at TD Bank in the name PG Wellness

    Center LLC.

    18 U.S.C. § 982(a)

    21 U.S.C. § 853(a)

    28 U.S.C. § 2461(c)

    Fed. R. Crim. P. 32.2(a)

    United States Attorney

    A TRUE BILL:

    Date: 6.