Mission man pleads guilty to healthcare fraud; used father’s signature

McALLEN — A Mission man indicted in connection with a healthcare fraud scheme pleaded guilty Wednesday, avoiding a jury trial that was expected to begin next week, court records show.

U.S. District Judge Micaela Alvarez accepted a guilty plea from William Edward Borjon to one of five counts in a healthcare fraud indictment filed in January, according to court records.

Borjon pleaded guilty to count 5 of the indictment, fraud with identification documents, which alleged that the 36-year-old man knowingly transferred, possessed and/or used without authorization, the identification of another person — his father, Dr. Eduardo Fausto Borjon, according to the seven-page indictment.

Government prosecutors alleged that the younger Borjon was the manager of his father’s medical clinic located in the 2100 block of East Griffin Parkway in Mission.

During his time as the manager there, prosecutors alleged he had committed conspiracy to commit healthcare fraud, provided false statements related to healthcare matters, and the aforementioned identity theft, the indictment stated.

The indictment stated the younger Borjon committed the aforementioned crimes beginning in January 2017 and continued committing the alleged crimes through January 2018.

Borjon “knowingly and willfully did combine, conspire, confederate and agree with others known and unknown to the Grand Jury,” to execute a scheme to defraud a healthcare benefit program to obtain money and property owned by the healthcare benefit programs in return, the complaint stated.

The government claims Borjon was attempting to enrich himself by submitting claims to Medicare and Medicaid that falsely and fraudulently identified the rendering provider by taking advantage of his father, who at the time was suffering “various medical conditions,” including dementia.

“Dr. (Borjon) was not mentally fit to practice medicine and had stopped seeing patients at the medical clinic,” the court record shows.

In order to continue operating the clinic, and despite his father’s illness and the fact that he had stopped seeing patients, the younger Borjon allegedly hired another doctor, Dr. Angel Luis Claudio, to assume the role and treat patients despite Claudio’s own federal criminal indictment in an unrelated case from the Northern District of Texas.

At the time Borjon hired him, Claudio was under court orders prohibiting him from being involved in the “treatment of, or billing for, Medicare and Medicaid beneficiaries.”

During the aforementioned period, January 2017 through January 2018, Claudio did exactly that, in violation of the court order, the indictment alleged.

The younger Borjon “falsely and fraudulently, used and caused others to use, the identity of Dr. (Borjon) to submit claims to Medicare and Medicaid,” when in fact Dr. Claudio was the physician rendering the care at the clinic, the document stated.

The government is also seeking a monetary judgment in an unknown amount in the case, the record shows.

Borjon, who will remain free on a $30,000 bond, is expected back before Alvarez on Aug. 15 for his sentencing hearing, court notes show.