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FBI Case File Review

399: Larry Guerin - HIPAA Protected Patient Data Theft, Standoff Lessons

FBI Case File Review

Jerri Williams

True Crime, Government

4.72.3K Ratings

🗓️ 27 May 2026

⏱️ 66 minutes

🧾️ Download transcript

Summary

Retired agent Larry Guerin reviews a health care fraud investigation involving an emergency medical technician (EMT) who stole Health Insurance Portability and Accountability Act (HIPAA) protected patient information, such as Social Security numbers, dates of birth, addresses, and phone numbers, and then tried to sell it back to managers of private ambulance companies. The case would have been only the second prosecution against an individual under the new statute. However, the case ended tragically before the subject was officially charged. Larry Guerin served in the FBI for 28 years. 

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Transcript

Click on a timestamp to play from that location

0:00.0

One of my task force members worked for the Texas Department of Health and Human Services.

0:04.9

He said his agency had received information from the manager for Mercy Ambulance Company,

0:11.6

and she said that she had just fired one of her new hires,

0:15.9

and she strongly suspected that he was stealing social security numbers, dates of birth,

0:22.3

addresses, and phone numbers from the charts and run sheets of her ambulance company,

0:29.2

which would have been a violation of the HIPAA law.

0:35.3

Welcome to episode 399 of FBI case file review with Jerry Williams. I'm a retired agent on a mission

0:47.5

to show you who the FBI is and what the FBI does through my books, my blog, and my podcast case reviews with former colleagues.

0:56.3

Today, we get to speak to retired agent Larry Garan, who served in the FBI for 28 years.

1:04.7

In this episode, he reviews a health care fraud investigation involving an emergency medical technician, EMT, who stole

1:14.3

HIPAA protected patient information, such as social security numbers, dates of birth, addresses, and

1:22.0

phone numbers, and then tried to sell the data back to managers of private ambulance companies. The case would have been

1:30.1

only the second prosecution of an individual under the new statute. However, the case ended

1:37.6

tragically before the subject was officially charged. The premature conclusion of the investigation motivated Larry to later earn

1:47.5

a master's degree in forensic psychology. At the end of the case review, Larry also talks about how

1:54.9

for two weeks his Dallas division SWAT team was deployed to the Montana Freeman Standoff, a siege by an armed

2:03.7

anti-government militia that lasted 81 days. He shares his thoughts on how the lessons learned

2:11.0

by the FBI from the Ruby Ridge and Waco standoffs resulted in the successful resolution of the Freeman standoff.

2:20.8

Larry Garron was initially assigned to the Dallas Division, where he worked criminal investigations,

2:26.3

was a member of SWAT, and served as a firearms and defensive tactics instructor.

2:32.8

Later, during his career, he transferred to FBI headquarters, where he supervised criminal programs. Larry also served as a core facility member for the FBI National Academy. He spent several years as a leadership instructor in the law enforcement development unit, teaching leadership

2:52.6

courses, as well as interviewing and interrogation courses. Larry has taught several times as an

...

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