GEICO sues Florida clinic, claims $4.6 million PIP fraud scheme

GEICO and its affiliated companies have filed a complaint in the United States District Court for the Middle District of Florida, Tampa Division, against A J Therapy Center Inc., its owner Ramon Jimenez, and physician Jose Luis Cruz, M.D. The plaintiffs allege that the defendants wrongfully obtained more than $4,600,000.00 from GEICO by submitting thousands of fraudulent and unlawful no-fault (PIP) insurance charges through AJ Therapy. These charges, according to the complaint, related to medically unnecessary, illusory, unlawful, and non-reimbursable health care services and goods—including initial and follow-up examinations, physical therapy, home medical equipment, and related services—purportedly provided to Florida automobile accident victims eligible for coverage under GEICO PIP insurance policies.