United States v. Jimmy A. Soto , 399 F. App'x 498 ( 2010 )


Menu:
  •                                                           [DO NOT PUBLISH]
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE ELEVENTH CIRCUIT
    ________________________                  FILED
    U.S. COURT OF APPEALS
    No. 09-11306                ELEVENTH CIRCUIT
    OCTOBER 7, 2010
    Non-Argument Calendar
    JOHN LEY
    ________________________
    CLERK
    D. C. Docket No. 08-20420-CR-CMA
    UNITED STATES OF AMERICA,
    Plaintiff-Appellee,
    versus
    JIMMY A. SOTO,
    Defendant-Appellant.
    ________________________
    Appeal from the United States District Court
    for the Southern District of Florida
    _________________________
    (October 7, 2010)
    Before TJOFLAT, BARKETT and HULL, Circuit Judges.
    PER CURIAM:
    Jimmy A. Soto appeals his convictions and total sentence of 140 months’
    imprisonment imposed after a jury found him guilty of one count of conspiracy to
    commit health care fraud and seven counts of health care fraud, in violation of 
    18 U.S.C. §§ 1347
     and 1349 (Counts 1-8), and one count of conspiracy to commit
    money laundering and four counts of money laundering, in violation of 
    18 U.S.C. § 1915
    (a)(1)(B)(i) and (h) (Counts 9-12 and 14). In general, the Government
    initiated charges against Soto, Eliades Diaz, Leonardo Lozada, and Jose Claro for
    their involvement in operating Med-Pro Miami (“Med-Pro”), a company
    established to provide health care products and services but defrauded Medicare by
    accepting payments without providing such products and services. Soto
    challenges his convictions on three grounds, and his sentences as unreasonable.
    I.
    A.
    First, Soto argues that the district court erred by denying his motions for
    judgment of acquittal. He contends that the Government failed to present
    sufficient evidence to support his convictions because it did not introduce evidence
    that he came to an agreement with at least one other individual to commit an illegal
    act. In this respect, he asserts that his mere presence and participation in various
    meetings and telephone conversations was insufficient, even if he knew of the
    criminal conduct. Instead, he claims that the evidence only established an
    2
    agreement between Diaz and the individual who allegedly submitted the fraudulent
    claims to Medicare.
    We review the denial of a motion for a judgment of acquittal de novo.
    United States v. Evans, 
    473 F.3d 1115
    , 1118 (11th Cir. 2006). “When the motion
    raises a challenge to the sufficiency of the evidence, we review the sufficiency of
    the evidence de novo, drawing all reasonable inferences in the government’s
    favor.” 
    Id.
     (quotation omitted). “To affirm the denial, we need determine only that
    a reasonable factfinder could conclude that the evidence established the
    defendant’s guilt beyond a reasonable doubt.” 
    Id.
     (quotation and ellipsis omitted).
    Finally, in the context of a motion for acquittal, all “credibility choices are made in
    favor of the jury verdict,” and the government’s “evidence need not exclude every
    reasonable hypothesis of innocence.” United States v. Ramsdale, 
    61 F.3d 825
    ,
    828-29 (11th Cir. 1995).
    In general, “[a] conspiracy is an agreement between two or more persons to
    accomplish an unlawful plan.” United States v. Chandler, 
    388 F.3d 796
    , 805 (11th
    Cir. 2004). “What distinguishes the offense of conspiracy from a substantive
    offense, is that agreement is the essential evil at which the crime of conspiracy is
    directed.” 
    Id. at 806
     (quotation omitted). “Thus the government must prove the
    existence of an agreement to achieve an unlawful objective and the defendant’s
    3
    knowing participation in that agreement.” 
    Id.
    “Because the essential nature of conspiracy is secrecy, a conspiracy
    conviction may be proved by circumstantial evidence.” 
    Id.
     Nevertheless, “[s]ince
    no one can be said to have agreed to a conspiracy that they do not know exists,
    proof of knowledge of the overall scheme is critical to a finding of conspiratorial
    intent.” “The government, therefore, must prove beyond a reasonable doubt that
    the conspiracy existed, that the defendant knew about it and that he voluntarily
    agreed to join it.” 
    Id.
     But, “[a] defendant may be found guilty of conspiracy if the
    evidence demonstrates that he knew the ‘essential objective’ of the conspiracy,
    even if he did not know all its details or played only a minor role in the overall
    scheme.” United States v. Guerra, 
    293 F.3d 1279
    , 1285 (11th Cir. 2002). Finally,
    where a defendant is a member of a conspiracy, the defendant is criminally liable
    for his co-conspirator’s reasonably foreseeable crimes committed during the course
    of and in furtherance of the conspiracy. Pinkerton v. United States, 
    328 U.S. 640
    ,
    645-48, 
    66 S.Ct. 1180
    , 1183-84, 
    90 L.Ed. 1489
     (1946); United States v. Broadwell,
    
    870 F.2d 594
    , 602 n.18 (11th Cir. 1989).
    A.     Counts 1-8
    Section 1347 of Title 18 of the U.S. Code provides:
    (a) Whoever knowingly and willfully executes, or attempts to execute,
    a scheme or artifice- -
    4
    (1) to defraud any health care benefit program; or
    (2) to obtain, by means of false or fraudulent pretenses,
    representations, or promises, any of the money or property
    owned by, or under the custody or control of, any health care
    benefit program,
    in connection with the delivery of or payment for health care benefits,
    items, or services, shall be fined under this title or imprisoned . . . .
    
    18 U.S.C. § 1347
    . Furthermore, 
    18 U.S.C. § 1349
     punishes any person who
    attempts or conspires to commit a violation of § 1347, and it subjects any
    violations “to the same penalties as those prescribed for the offense, the
    commission of which was the object of the attempt or conspiracy.”
    Drawing all inferences in the Government’s favor and making all credibility
    determinations in favor of the jury’s verdict, a reasonable factfinder could conclude
    that Soto both conspired to commit health care fraud and committed health care
    fraud as a result of his participation in the conspiracy. The testimony of Lozado,
    Diaz, and Claro, who appeared as prosecution witness, was particularly damaging.
    Claro was the nominal owner and president of Med-Pro; the real owners of the
    company were Diaz, and Soto (and an unindicted co-conspirator). Med-Pro never
    provided any patients with medical equipment and no physician ever ordered any;
    yet, between the Fall of 2005 and the Spring of 2006, it submitted $5.4 million of
    false claims to Medicare. In response, Medicare paid Med-Pro approximately
    5
    $1.35 million. The evidence that Soto was aware of the fraudulent claims and a
    co-conspirator with the others was overwhelming. We therefore hold that the
    district court did not err in denying Soto’s motions for judgment of acquittal on
    Counts 1-8.
    B.      Counts 9-12, 14
    In order to convict a defendant for money laundering in violation of
    § 1956(a)(1)(B)(i), the government must show that:
    (1) the defendant conducted or attempted to conduct a financial
    transaction; (2) the transaction involved the proceeds of a statutorily
    specified unlawful activity; (3) the defendant knew the proceeds were
    from some form of illegal activity; and (4) the defendant knew a
    purpose of the transaction was to conceal or disguise the nature,
    location, source, ownership, or control of the proceeds.
    United States v. Miles, 
    290 F.3d 1341
    , 1354-55 (11th Cir. 2002). Under 
    18 U.S.C. § 1956
    (h), “[a]ny person who conspires to commit any offense defined in [section
    1956] . . . shall be subject to the same penalties as those prescribed for the offense
    the commission of which was the object of the conspiracy.” Where a conspiracy is
    charged, the government also “has the burden of showing that . . . [the defendant]
    conspired to launder or engage in a monetary transaction involving the ‘proceeds
    of specified unlawful activity . . . .’” United States v. Khanani, 
    502 F.3d 1281
    ,
    1295 (11th Cir. 2007).
    Drawing all inferences in the Government’s favor and making all credibility
    6
    determinations in favor of the jury’s verdict, a reasonable factfinder could conclude
    that Soto both conspired to commit money laundering and committed money
    laundering as charged in the indictment. At trial, the Government presented
    evidence that, after Soto and Diaz agreed that they needed to conceal their
    involvement in Med-Pro and the fraud, they recruited several individuals to cash
    Med-Pro checks. The checks allowed the conspirators to obtain the money paid by
    Medicare to Med-Pro and they were written by Soto and Diaz to appear as though
    they were for legitimate business purposes. We find no basis for holding that the
    district court erred in denying Soto’s motions for judgment of acquittal on Counts
    9-12 and 14.
    B.
    Soto challenges several evidentiary rulings as contrary to the Federal Rules
    of Evidence. He contends, among other things, that the district court admitted
    hearsay evidence and rejected his requests for curative instructions. In particular,
    the court permitted the prosecutor to elicit irrelevant, prejudicial testimony. The
    courts erroneous rulings, he says, considered both individually and cumulatively,
    denied him a fair trial.
    “We review a district court’s evidentiary rulings for abuse of discretion.”
    United States v. Baker, 
    432 F.3d 1189
    , 1202 (11th Cir. 2005). In addition, “[w]e
    7
    review preserved evidentiary objections for harmless error.” 
    Id.
     Non-
    constitutional errors are considered harmless:
    if, viewing the proceedings in their entirety, a court determines that
    the error did not affect the verdict, or had but very slight effect. If one
    can say with fair assurance that the judgment was not substantially
    swayed by the error, judgment is due to be affirmed even though there
    was error.
    United States v. Jones, 
    601 F.3d 1247
    , 1264 (11th Cir. 2010) (quotation omitted).
    Where a defendant alleges cumulative error, “[t]he harmlessness of cumulative
    error is determined by conducting the same inquiry as for individual error—courts
    look to see whether the defendant’s substantial rights were affected.” Baker, 
    432 F.3d at 1223
     (quotation omitted).
    In general, Rule 602 provides that, subject to the rules governing opinion
    testimony and expert witnesses, “[a] witness may not testify to a matter unless
    evidence is introduced sufficient to support a finding that the witness has personal
    knowledge of the matter.” Moreover, Rule 701 provides that, for opinion
    witnesses not testifying as experts,
    the witness’ testimony in the form of opinions or inferences is limited
    to those opinions or inferences which are (a) rationally based on the
    perception of the witness, (b) helpful to a clear understanding of the
    witness’ testimony or the determination of a fact in issue, and (c) not
    based on scientific, technical, or other specialized knowledge within
    the scope of Rule 702.
    Finally, under Rule 704(a), testimony in the form of an opinion or inference, that is
    8
    otherwise admissible, is not objectionable merely “because it embraces an ultimate
    issue to be decided by the trier of fact.”
    In terms of hearsay, Rule 802 states that “[h]earsay is not admissible except
    as provided by these rules or by other rules prescribed by the Supreme Court
    pursuant to statutory authority or by Act of Congress.” Hearsay is defined as “a
    statement, other than one made by the declarant while testifying at the trial or
    hearing, offered in evidence to prove the truth of the matter asserted.” Fed. R.
    Evid. 801(c). A statement is not hearsay if the statement is offered against a party,
    and the statement is the party’s own statement or the statement is made by the
    party’s co-conspirator during the course and in furtherance of the conspiracy. Fed.
    R. Evid. 801(d)(2)(A) and (E).
    “[T]he cumulative effect of several errors that are harmless by themselves
    could so prejudice the defendant’s right to a fair trial that a new trial might be
    necessary.” United States v. Preciado-Cordobas, 
    981 F.2d 1206
    , 1215 n.8 (11th
    Cir.1993). “In addressing a claim of cumulative error, we must examine the trial
    as a whole to determine whether the appellant was afforded a fundamentally fair
    trial.” United States v. Calderon, 
    127 F.3d 1314
    , 1333 (11th Cir. 1997).
    Nevertheless, when a defendant cannot demonstrate any individual errors, “no
    cumulative errors can exist.” United States v. Waldon, 
    363 F.3d 1103
    , 1110 (11th
    9
    Cir. 2004).
    We have examined each of the evidentiary rulings Soto challenges in his
    brief and conclude that none of the rulings constituted an abuse of discretion. We
    therefore find no cause for setting aside his convictions and granting him a new
    trial.
    C.
    Soto argues that the prosecutor improperly shifted the burden of proof to
    him during its closing argument to the jury; hence, the court should have declared a
    mistrial.
    We review a district court’s decision not to grant a mistrial for abuse of
    discretion. United States v. Newsome, 
    475 F.3d 1221
    , 1227 (11th Cir. 2007). A
    defendant must show substantial prejudice in order to be granted a mistrial. United
    States v. Chastain, 
    198 F.3d 1338
    , 1352 (11th Cir. 1999). Substantial prejudice
    “occurs when there is a reasonable probability that, but for the remarks, the
    outcome of the trial would have been different.” Newsome, 
    475 F.3d at 1227
    .
    In general, it is prosecutorial misconduct for a prosecutor to make comments
    that prejudicially shift the burden of proof to the defendant. United States v.
    Simon, 
    964 F.2d 1082
    , 1086 (11th Cir. 1992). “Such prosecutorial misconduct, if
    so pronounced and persistent that it permeates the entire atmosphere of the trial,
    10
    requires reversal.” 
    Id.
     (quotation omitted). Consequently, “prosecutors must
    refrain from making burden-shifting arguments which suggest that the defendant
    has an obligation to produce any evidence or to prove innocence.” 
    Id.
     Finally,
    even if a prosecutor makes statements that could have resulted in shifting the
    burden of proof to the defendant, the errors can be cured by a court’s instructions
    regarding the burden of proof since the jury is presumed to follow jury
    instructions. 
    Id. at 1087
    .
    Soto cites two of the prosecutor’s statements in support of his argument that
    the prosecutor shifted the burden of proof to him. He refers first to the
    prosecutor’s characterization of his defense as an effort to “distract” the jury from
    properly considering the Government’s evidence. We fail to understand how this
    statement somehow shifted the burden of proof. Next, he refers to the prosecutor’s
    response to his attack on the credibility of Diaz, Claro, and Lozada. All the
    prosecutor did was to say that Soto’s attorney failed to show where any of these
    witnesses told the jury a “lie.” Again, we fail to find any impropriety in the
    comment. Nevertheless, even if we were to assume that the prosecutor did attempt
    to shift the burden, the court instructed the jury that the Government had the
    burden to prove Soto guilty beyond a reasonable doubt, that Soto was presumed
    innocent, and that Soto was not required to prove his innocence or produce any
    11
    evidence at all. In sum, we find no merit in Soto’s burden-shifting argument.
    II.
    Soto argues that his total sentence is procedurally and substantively
    unreasonable. First, he contends that his sentence is procedurally unreasonable
    because the court erred in calculating his applicable Guidelines sentencing range in
    several respects. Second, he asserts that his sentence is substantively unreasonable
    because he was entitled to a total sentence below the sentencing range.
    Although the Sentencing Guidelines are now advisory after the Supreme
    Court’s decision in United States v. Booker, 
    543 U.S. 220
    , 
    125 S.Ct. 738
    , 
    160 L.Ed.2d 621
     (2005), the district courts are still required to calculate the advisory
    guidelines range correctly. United States v. Pugh, 
    515 F.3d 1179
    , 1190 (11th Cir.
    2008). At sentencing, the government has the burden to both prove the
    applicability of guidelines that enhance a defendant’s sentence and to establish
    disputed facts by a preponderance of the evidence. United States v. Polar, 
    369 F.3d 1248
    , 1255 (11th Cir. 2004). “The district court’s factual findings for
    purposes of sentencing may be based on, among other things, evidence heard
    during trial, undisputed statements in the PSI, or evidence presented during the
    sentencing hearing.” 
    Id.
    We review the reasonableness of a sentence under an abuse of discretion
    12
    standard. Gall v. United States, 
    552 U.S. 38
    , 46, 
    128 S.Ct. 586
    , 594, 
    169 L.Ed.2d 445
     (2007). A defendant challenging his sentence bears the burden of establishing
    that it is unreasonable. United States v. Talley, 
    431 F.3d 784
    , 788 (11th Cir. 2005).
    On appeal, the analysis of the reasonableness of a sentence is a two-step process.
    Pugh, 
    515 F.3d at 1190
    . First, we examine whether the district court committed
    any significant procedural error. Second, after it has been determined that a
    sentence is procedurally sound, we review the sentence’s substantive
    reasonableness. 
    Id.
    When reviewing for procedural reasonableness, we ensure that the district
    court committed no significant procedural error, such as: (1) improperly
    calculating the defendant’s sentencing range; (2) treating the Guidelines as
    mandatory; (3) failing to consider the 
    18 U.S.C. § 3553
    (a) factors; (4) selecting the
    sentence based on clearly erroneous facts; or (5) failing to adequately explain the
    chosen sentence. Gall, 
    552 U.S. at 51
    , 
    128 S.Ct. at 597
    .
    On the other hand, a sentence is substantively unreasonable “if it does not
    achieve the purposes of sentencing stated in § 3553(a).” Pugh, 
    515 F.3d at 1191
    (quotation omitted). The § 3553(a) factors are:
    (1) the nature and circumstances of the offense and the history and
    characteristics of the defendant; (2) the need to reflect the seriousness
    of the offense, to promote respect for the law, and to provide just
    punishment for the offense; (3) the need for deterrence; (4) the need to
    13
    protect the public; (5) the need to provide the defendant with needed
    educational or vocational training or medical care; (6) the kinds of
    sentences available; (7) the Sentencing Guidelines range; (8) pertinent
    policy statements of the Sentencing Commission; (9) the need to
    avoid unwanted sentencing disparities; and (10) the need to provide
    restitution to victims.
    Talley, 
    431 F.3d at
    786 (citing 
    18 U.S.C. § 3553
    (a)). The weight the district court
    accords to “any given § 3553(a) factor is a matter committed to the sound
    discretion of the district court . . . .” United States v. Amedeo, 
    487 F.3d 823
    , 832
    (11th Cir. 2007) (quotation omitted). Moreover, there is an expectation of
    reasonableness when a district court imposes a sentence within the applicable
    guidelines range. Talley, 
    431 F.3d at 788
    .
    A.     Whether Soto’s total sentence is procedurally unreasonable
    1.     Loss amount under U.S.S.G. § 2B1.1(b)(1)
    Soto argues that the court incorrectly calculated his loss amount under
    § 2B1.1(b)(1). In this respect, he contends that the court made insufficient findings
    as to loss; he says that the proper loss amount was the actual loss of approximately
    $1.3 million Medicare suffered because nothing in the record indicates that he
    intended losses of around $4.5 million.
    “A district court’s determination regarding the amount of loss for sentencing
    purposes is reviewed for clear error.” United States v. Medina, 
    485 F.3d 1291
    ,
    1303 (11th Cir. 2007) (quotation omitted). Overall, the court needs only to “make
    14
    a reasonable estimate of the loss amount.” U.S.S.G. § 2B1.1, comment. (n.3(C)).
    Moreover, the court’s loss determination is entitled to deference because “[t]he
    sentencing judge is in a unique position to assess the evidence and estimate the loss
    based upon the evidence.” Id. Nevertheless, a court cannot speculate concerning
    the existence of a fact that permits a more severe sentence under the Guidelines.
    United States v. Patterson, 
    595 F.3d 1324
    , 1327 (11th Cir. 2010).
    “When the district court determines the loss calculation under the
    Guidelines, ‘the loss is the greater of actual loss or intended loss.’” United States
    v. Hoffman-Vaile, 
    568 F.3d 1335
    , 1343 (11th Cir. 2009) (quoting U.S.S.G.
    § 2B1.1, comment. (n.3(A))). “‘Actual loss’ means the reasonably foreseeable
    pecuniary harm that resulted from the offense.” U.S.S.G. § 2B1.1, comment.
    (n.3(A)(i)). On the other hand, “intended loss” is the monetary harm “that was
    intended to result from the offense.” Id., comment. (n.3(A)(ii)).
    Furthermore, U.S.S.G. § 1B1.3(a)(1) provides that for “jointly undertaken
    criminal activity,” a defendant’s base offense level shall be determined based on
    “all reasonably foreseeable acts and omissions of others in furtherance of the
    jointly undertaken criminal activity,” that occurred during the preparation for,
    commission of, or in the course of attempting to avoid detection or responsibility
    for the offense of conviction. U.S.S.G. § 1B1.3(a)(1). Thus, where losses result
    15
    from a conspiracy, “the district court may hold all participants in a conspiracy
    responsible for the losses resulting from the reasonably foreseeable acts of co-
    conspirators in furtherance of the conspiracy.” United States v. Dabbs, 
    134 F.3d 1071
    , 1082 (11th Cir. 1998).
    Soto has not demonstrated that the district court clearly erred by finding that
    the loss amount for his fraud was $4.3 million. Soto has failed to establish that it
    was not reasonably foreseeable that Med-Pro would submit $4.3 million in
    collectible claims to Medicare, which is greater than the amount of the actual loss.
    Thus, as a member of the conspiracy, he was responsible for Med-Pro’s reasonably
    foreseeable actions taken in furtherance of the conspiracy and the larger intended
    loss amount of $4.3 million.
    2.     Sophisticated means enhancement under U.S.S.G.
    § 2B1.1(b)(9)(C)
    Soto argues that the court improperly applied a two-level enhancement for
    use of sophisticated means, pursuant to § 2B1.1(b)(9)(C). Specifically, he
    contends that there was nothing especially complex or intricate about the
    conspirators’ fraud and that it is “difficult to imagine” a less complex scheme to
    commit health care fraud. In addition, he claims that nothing in regard to the
    money-laundering scheme was sophisticated because the conspirators merely used
    individuals to cash checks and they did not even take precautions to avoid bank
    16
    security cameras.
    We review a district court’s finding that a defendant utilized sophisticated
    means for clear error. United States v. Ghertler, 
    605 F.3d 1256
    , 1267 (11th Cir.
    2010). The Guidelines provide for an enhancement of two levels if the offense in
    question “involved sophisticated means.” U.S.S.G. § 2B1.1(b)(9)(C). Application
    note 8(B) to that Guideline states that:
    “sophisticated means” means especially complex or especially
    intricate offense conduct pertaining to the execution or concealment of
    an offense. For example, in a telemarketing scheme, locating the
    main office of the scheme in one jurisdiction but locating soliciting
    operations in another jurisdiction ordinarily indicates sophisticated
    means. Conduct such as hiding assets or transactions, or both,
    through the use of fictitious entities, corporate shells, or offshore
    financial accounts also ordinarily indicates sophisticated means.
    U.S.S.G. § 2B1.1, comment. (n.8(B)). “There is no requirement that each of a
    defendant’s individual actions be sophisticated in order to impose the
    enhancement. Rather, it is sufficient if the totality of the scheme was
    sophisticated.” Ghertler, 
    605 F.3d at 1267
    .
    Soto has not demonstrated that the district court clearly erred by finding that
    his offenses involved the use of sophisticated means. At trial, the Government
    presented evidence that, after Soto invested in Med-Pro, he worked to appoint
    Claro as Med-Pro’s nominee owner in order to conceal his involvement in the
    fraud. In addition, Soto recruited several individuals to cash Med-Pro checks so
    17
    that they could further conceal his involvement. Based on this evidence, the
    district court did not clearly err in finding that the conspiracy employed
    sophisticated means.
    3.     Soto’s role in the offenses under U.S.S.G. §§ 3B1.1 and 3B1.2
    Soto contends that the court clearly erred by applying a three-level increase
    under § 3B1.1(b) for being a manager or a supervisor, because the evidence merely
    indicated that he utilized a few acquaintances to cash checks and nothing suggested
    that he gave orders or recruited any individuals into the overall conspiracy. Soto
    asserts that the evidence indicated that others were the managers or organizers, and
    thus, the court should have granted him a two-level minor-role reduction instead.
    A district court’s determination of a defendant’s role in an offense is a
    finding of fact that we review for clear error. United States v. De Varon, 
    175 F.3d 930
    , 937 (11th Cir. 1999) (en banc). Under U.S.S.G. § 3B1.1(b), a defendant
    receives a three-level increase in his offense level “[i]f the defendant was a
    manager or supervisor (but not an organizer or leader) and the criminal activity
    involved five or more participants or was otherwise extensive . . . .” A
    “‘participant’ is a person who is criminally responsible for the commission of the
    offense, but need not have been convicted.” U.S.S.G. § 3B1.1, comment. (n.1).
    Factors that a court should consider in determining whether an aggravating-role
    18
    increase applies include:
    the exercise of decision making authority, the nature of participation
    in the commission of the offense, the recruitment of accomplices, the
    claimed right to a larger share of the fruits of the crime, the degree of
    participation in planning or organizing the offense, the nature and
    scope of the illegal activity, and the degree of control and authority
    exercised over others.
    Id., comment. (n.4).
    Conversely, a mitigating-role reduction under U.S.S.G. § 3B1.2 is available “for a
    defendant who plays a part in committing the offense that makes him substantially
    less culpable than the average participant.” U.S.S.G. § 3B1.2, comment. (n.3(A)).
    Under § 3B1.2(b), a two-level reduction for playing a minor role is appropriate if
    the defendant is “less culpable than most other participants, but whose role could
    not be described as minimal.” Id. § 3B1.2, comment. (n.5).
    Soto fails to demonstrate that the court’s finding as to his role in the offense
    was clear error. At trial, the Government presented evidence that, after Soto
    invested in Med-Pro, he and Diaz appointed Claro as a nominee owner, directed
    Claro’s actions, recruited several individuals to cash Med-Pro checks, and directed
    those individuals in cashing checks. Thus, not only was the three-level increase for
    being a manager or supervisor appropriate, Soto has failed to demonstrate that the
    court clearly erred by denying him a two-level minor-role reduction.
    4.    Obstruction of justice under U.S.S.G. § 3C1.1
    19
    Soto argues that he should not have received a two-level increase for
    obstruction of justice under § 3C1.1. Soto asserts that his statement during an
    interview with the FBI misidentifying Claro in a picture as someone else, did not
    amount to obstruction of justice because the evidence indicated that Soto actually
    believed his identification was true.
    When a district court imposes an obstruction-of-justice enhancement, we
    review the district court’s findings of fact for clear error and the application of
    those facts to the Sentencing Guidelines de novo. United States v. Massey, 
    443 F.3d 814
    , 818 (11th Cir. 2006). The Sentencing Guidelines provide that:
    If (A) the defendant willfully obstructed or impeded, or attempted to
    obstruct or impede, the administration of justice with respect to the
    investigation, prosecution, or sentencing of the instant offense of
    conviction, and (B) the obstructive conduct related to (i) the
    defendant’s offense of conviction and any relevant conduct; or (ii) a
    closely related offense, increase the offense level by 2 levels.
    U.S.S.G. § 3C1.1.       One example of conduct covered by § 3C1.1 includes
    “providing a materially false statement to a law enforcement officer that
    significantly obstructed or impeded the official investigation or prosecution of the
    instant offense.”   Id. § 3C1.1, comment. (n.4(g)). An example of conduct not
    ordinarily covered by § 3C1.1 includes “making false statements, not under oath,
    to law enforcement officers, unless Application Note 4(g) . . . applies.”             Id.
    § 3C1.1, comment. (n.5(b)).
    20
    Soto fails to show that the district court erred by finding that a two-level
    obstruction-of-justice enhancement applied. The Government presented evidence
    that he intentionally misidentified a picture of Claro as depicting someone else.
    After Soto’s misidentification, the FBI investigated and interviewed the person
    Soto identified to determine whether he had any involvement in the fraud. Because
    Soto’s misidentification impeded the investigation of the fraud, the two-level
    enhancement was proper.
    5.    Evidentiary errors
    Soto argues that the court erred by allowing, over his objections, irrelevant
    evidence, hearsay, and testimony that violated the Sixth Amendment’s
    Confrontation Clause. Furthermore, in a footnote, he submits that his sentence
    violates the Fifth Amendment because the facts supporting his enhancements were
    not charged in his indictment, and he cites law suggesting that his sentence
    enhancements violate the Sixth Amendment because they were not found by a jury.
    In general, at sentencing, a court:
    may consider any information, (including hearsay), regardless of its
    admissibility at trial, in determining whether factors exist that would
    enhance a defendant’s sentence, provided that the evidence has
    sufficient indicia of reliability, the court makes explicit findings of
    fact as to credibility, and the defendant has an opportunity to rebut the
    evidence.
    Baker, 
    432 F.3d at 1253
    . Furthermore, we have stated that the Supreme Court’s
    21
    decision in Crawford1 did not address a sentencing court’s use of hearsay and our
    decision “that a sentencing court may base sentencing determinations on reliable
    hearsay is still good law.” 
    Id.
     at 1254 n.68; see also United States v. Cantellano,
    
    430 F.3d 1142
    , 1146 (11th Cir. 2005) (“The right to confrontation is not a
    sentencing right.”). Finally, there is no violation of the Fifth and Sixth
    Amendments where a district court “find[s] facts at sentencing so long as the
    judicial factfinding does not increase the defendant’s sentence beyond the statutory
    maximum triggered by the facts conceded or found by a jury beyond a reasonable
    doubt.” Ghertler, 
    605 F.3d at 1268
     (quotation omitted).
    Soto has failed to demonstrate that the court committed any evidentiary
    errors at sentencing. First, because a court can rely on any information at
    sentencing, provided that the evidence has sufficient indicia of reliability, the court
    makes sufficient findings as to credibility, and the defendant has the opportunity to
    rebut the evidence, Soto’s mere assertion that court erred by allowing irrelevant
    evidence and hearsay does not establish error. Furthermore, because the right to
    confrontation does not apply at sentencing, and Soto was not sentenced beyond the
    statutory maximum, he has not establish a violation of the Fifth and Sixth
    Amendments. Accordingly, we affirm as to this issue.
    1
    Crawford v. Washington, 
    541 U.S. 36
    , 
    124 S.Ct. 1354
    , 
    158 L.Ed.2d 177
    (2004).
    22
    B.     Whether Soto’s total sentence is substantively unreasonable
    Soto argues that his total sentence is substantively unreasonable because a
    downward variance from his applicable sentencing range was appropriate. First,
    he claims that his “extraordinary family responsibilities” merit a total sentence
    below the sentencing range. Second, he emphasizes that defendants in other
    Medicare fraud cases have received lesser sentences, and he notes that Diaz
    received a 60-month sentence, Lozada received a 46-month sentence, and Claro
    received a 31-month sentence. Consequently, Soto asserts that a total sentence
    below the sentencing range was necessary to avoid an unwarranted sentencing
    disparity. Finally, he contends that his loss amount overstates the seriousness of
    his culpability.
    Soto has not shown that the district court abused its discretion by imposing a
    total sentence of 140 months’ imprisonment. Because he is not similarly situated
    to the other conspirators or defendants in other health care fraud cases, he cannot
    establish any unwarranted sentencing disparity. Furthermore, the court determined
    that the need to punish him and deter others from criminal activity outweighed
    other § 3553(a) factors. Thus, his mere disagreement with this analysis does not
    show that the court abused its discretion. Finally, Soto’s sentence falls within the
    Guidelines sentencing range, a sentence that we normally expect to be reasonable.
    23
    In sum, he fails to establish that his total sentence is substantively unreasonable.
    Conclusion
    For the reasons we have stated, Soto’s convictions and sentences are
    AFFIRMED.
    24