United States Court of Appeals
                            FOR THE EIGHTH CIRCUIT
                                   ___________

                                   No. 08-3742
                                   ___________

United States of America,               *
                                        *
      Appellee,                         *
                                        * Appeal from the United States
      v.                                * District Court for the
                                        * Eastern District of Arkansas.
Tyrone D. Williams,                     *
                                        * [UNPUBLISHED]
      Appellant.                        *
                                   ___________

                             Submitted: November 16, 2009
                                Filed: December 9, 2009
                                 ___________

Before MURPHY, SMITH, and BENTON, Circuit Judges.
                           ___________

PER CURIAM.

       Tyrone David Williams challenges his 24-month prison sentence for aiding and
abetting health care fraud, in violation of 18 U.S.C. §§ 1347, 2. Having jurisdiction
under 28 U.S.C. § 1291 and 18 U.S.C. § 3742, this court affirms.

                                         I.

       While on supervised release for a felony conviction, Williams devised a scheme
to defraud Medicaid of $49,117.25. He pled guilty pursuant to a plea agreement.
       At sentencing, the district court1 explained that the advisory guidelines range
was 15 to 21 months. Both parties requested a sentence within the range. The court,
however, sentenced Williams to 24 months, basing the upward variance on his prior
conviction for fraud and the need for deterrence. He appeals, arguing the court abused
its discretion by imposing an above-guidelines sentence.

                                          II.

       Reviewing a sentence, this court first determines whether the district court
committed significant procedural error. United States v. Feemster, 

, 461
(8th Cir. 2009) (en banc), citing Gall v. United States, 

, 51 (2007).
Procedural error includes failing to consider the 18 U.S.C. § 3553(a) sentencing
factors. United States v. Vaughn, 

, 804 (8th Cir. 2008). This court
reviews allegations of procedural error initially raised on appeal for plain error. See
United States v. Phelps, 

, 865 (8th Cir. 2008). Under plain error review,
a defendant must first show an error. 

that the district court erred by not adequately considering the
lighter sentences other defendants received for similar crimes, and his physical and
mental health. See 

(explaining that a district court should
consider the § 3553(a) factors to determine whether they support the sentence).

       The district court here adequately considered the § 3553(a) factors. At
sentencing, the court explained that it based the upward variance on Williams’s
significant criminal history and in order to deter Williams and others. See 18 U.S.C.
§ 3553(a)(1), (2)(A)-(C). The court also heard Williams’s argument about his health
problems, recommending incarceration at a facility that could address them. See


      1
        The Honorable James M. Moody, United States District Judge for the Eastern
District of Arkansas.

                                          -2-
United States v. Miles, 

, 909 (8th Cir. 2007) (noting that a district court
adequately addressed defendant’s health history by listening to arguments about it and
recommending treatment in an appropriate facility). The court properly considered
the § 3553(a) factors and did not commit error in imposing a sentence above the
guidelines range.

       This court next reviews the sentence for substantive reasonableness under an
abuse of discretion standard. United States v. Toothman, 

, 970 (8th Cir.
2008). Under abuse of discretion review, this court considers the totality of the
circumstances and gives deference to the district court’s determination that the §
3553(a) factors justify the extent of a variance from the guidelines range. United
States v. Hill, 

, 690 (8th Cir. 2009). Based on the totality of the
circumstances – including the extent of the variance, Williams’s prior fraud
conviction, and the court’s stated goal of deterrence – this court finds no abuse of
discretion and that the sentence is substantively reasonable.

                                          III.

       In a pro se supplemental brief, Williams argues that his statements at sentencing
(about never intending to defraud anybody) should have led the district court to vacate
his guilty plea. A district court may permit withdrawal of a guilty plea before
imposing sentence if the defendant shows a fair and just reason. See United States v.
Prior, 

, 657 (8th Cir. 1997). A defendant may not, however, challenge
a guilty plea for the first time on direct appeal. See United States v. Villareal-
Amarillas, 

, 932 (8th Cir. 2006). In this case, Williams did not move to
withdraw his guilty plea. The record does not show that the district court abused its
discretion in not sua sponte setting aside Williams’s guilty plea. See United States v.
Hodges, 

, 661 (7th Cir. 2001) (holding that naked claims of innocence




                                          -3-
are insufficient to mandate withdrawal of a guilty plea). Williams’s pro se argument
is without merit.2

                                        IV.

      The judgment of the district court is affirmed.
                     ______________________________




      2
        This court has reviewed the additional arguments raised in Williams’s
supplemental brief, and concludes that further discussion would have no precedential
value. See 8th Cir. R. 47B.
                                         -4-