N.J. pharmacy owner gets 2 years in prison for $2.5M Medicare fraud scheme

The owner of a Passaic County pharmacy was sentenced to two years in prison after pleading guilty in the fall to healthcare fraud that netted him over $2.5 million, federal prosecutors said.
Authorities said Nestor E. Jaime, 37, of Pine Brook, collected the money after filing for reimbursements on an expensive medication he never purchased or dispensed and spent the money on luxury vehicles and personal expenses.
Between December 2019 and December 2021, Jaime submitted hundreds of false claims to Medicare for an expensive medication called Dificid worth over $4,000 per prescription, officials said.
Jaime submitted the claims through his pharmacy in Paterson on behalf of dozens of Medicare beneficiaries that were never prescribed Dificid, officials said.
To make the claims appear legitimate, Jaime used unique provider numbers on the bogus claims, officials said.
Medicare paid Jaime at least $2.5 million in fraudulent reimbursements for Dificid, money that Jaime spent on luxury cars and personal expenses, officials said.
Jaime must also serve two years of supervised release and pay over $2.5 million in restitution, officials said.
“Nestor [Jaime] has accepted responsibility for his actions and has closed this chapter in his life,” his attorney Anthony J. Iacullo said. “With the support of his family and friends, Nestor will move on from this and get through the sentence imposed.”
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