Rivas Goldstein, LLP Call : 512-481-2916

Case claims doctor billed millions for "nonexistent procedures"

The government recently accused a doctor of fraudulently billing Medicare, Medicaid and private insurance providers for office visits totaling over $26 million. The government claims the physician billed insurance providers for "nonexistent procedures." If supported, the allegations could lead to serious financial penalties and, depending on the details of the accusations, potential imprisonment.

A deeper look into "nonexistent procedures"

"Nonexistent procedures" are essentially those the government claims a medical provider never provided. In these cases, the prosecution is attempting to establish the accused fabricated the claim purely for financial gain.

In this case, the prosecution has stated the physician billed insurance providers for millions for nonexistent procedures from 2015 through 2020. They state they have evidence the physician billed for procedures within his clinic that allegedly occurred while he was abroad. According the government, these other locations include the United Kingdom, Spain and Ghana.

Allegations lead to criminal charges

The prosecution states this and other evidence was used to charge the doctor with health care fraud and conspiracy to commit health care fraud. According to a recent report in The Hill, the government prosecutors claim the accused told officials he was using "proceeds of fraud in the United States to establish an empire in a foreign country."

Case provides lessons for those in similar situations

This case provides an important lesson to anyone who finds themselves the subject of an investigation based on similar charges: you have rights. One important right is the right to have an attorney present to protect your interests during the investigation. This legal counsel can review the situation and provide guidance, potentially including representation during interviews with investigating officers.

No Comments

Leave a comment
Comment Information
Email Us For A Response

Rivas Goldstein LLP: On Your Side, Protecting Your Future

Our experienced Texas-based health care lawyers are here to help you and your business succeed. Please call 512-481-2916 or contact our law firm online.

Schedule A Consultation With An Attorney

Bold labels are required.

Contact Information

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.


Privacy Policy

Austin Office
3345 Bee Cave Rd, Suite 104
Austin, TX 78746

Phone: 512-481-2916
Map & Directions

New York Office
By Appointment Only
405 Lexington Ave 26th Floor
New York, NY 10174

Phone: 646-859-3790
Map & Directions

New Jersey Office
By Appointment Only
1 Gateway Center, Suite 2600
Newark, NJ 07102

Phone: 646-859-3790
Map & Directions

Review Us