Middletown Doctor Sentenced For Health-Care Fraud: Feds

MIDDLETOWN, CT — A Middletown doctor has been sentenced to more than three years in federal prison in connection to a scheme in which he fraudulently obtained nearly $900,000 of prescription medication, according to authorities. Crispin Abarientos, M.D., 44, of Middletown, was sentenced Wednesday to 37 months in prison, followed by two years of supervised release, for defrauding Connecticut’s Medicaid program, U.S. States Attorney for Connecticut John H. Durham announced.

Abarientos owned and operated Middlesex Rheumatology in Middletown. One of the medications that Abarientos prescribed to his Middlesex Rheumatology patients is Remicade, a prescription medication used to treat rheumatoid arthritis, according to court documents and statements made in court.

“When treating Medicaid patients with Remicade, Abarientos was required to submit a claim to Connecticut Medicaid for Remicade on behalf of each member patient,” officials wrote in a news release. “Medicaid then sent payment to Caremark Massachusetts Specialty Pharmacy in Massachusetts, which delivered the quantity of Remicade contained in the claim directly to Middlesex Rheumatology for the Medicaid patient without any out-of-pocket cost to Abarientos.

“Between September 2013 and January 2018, Abarientos and his medical practice submitted to Medicaid false claims for the delivery to Middlesex Rheumatology of Remicade that Abarientos represented was to be provided to his Medicaid patients, when he knew that those Medicaid patients were not being treated with Remicade. Through this scheme, Abarientos obtained approximately $894,789 of Remicade to which he was not entitled. Abarientos then proceeded to infuse the fraudulently obtained Remicade into Medicare patients or patients with commercial insurers, and submitted claims to those insurers for reimbursement, which he was able to keep as profit for himself.”

Officials said Abarientos subsequently attempted to “hide the scheme from investigators by submitting false medical records to make it appear as if the patients he utilized to obtain the Remicade from Medicaid were being treated with the medication when they were not.”

Abarientos pleaded guilty in June to one count of health care fraud. Abarientos, who is released on a $100,000 bond, is required to report to prison on Jan. 8, 2020.

Abarientos has paid $894,789 in restitution and is also engaged in negotiations with the federal and state governments to resolve additional civil fraud allegations, according to officials.