Rivas Goldstein, LLP Call : 512-481-2916

Doctor gets four years in prison for health care fraud

The United States Attorney’s Office recently announced a physician has pled guilty to criminal health care fraud charges. The charges are the result of a health care fraud investigation that led to over 15 criminal charges for four medical professionals.

More on the charges: What was the result of the health care fraud investigation?

Based on information gathered from the investigation conducted by the Federal Bureau of Investigation (FBI) and the Defense Criminal Investigative Service’s (DCIS) Southeast Field Office, the United States Department of Justice (DOJ) accused the physician, along with another physician and two registered nurses, of various health care fraud crimes. The criminal charges include conspiracy to commit health care fraud, mail fraud, conspiracy to distribute and dispense a controlled substance, disturbing and dispensing a controlled substance and conspiracy to pay and receive health care kickbacks. The group was accused of defrauding a federal health care program, TRICARE, which benefits military members, veterans and family members.

The controlled substance in question was a compounded medication. One example specifically included within the indictment was a medication that used ketamine. The investigation resulted in evidence that questioned the thoroughness of the physician’s exams before prescribing the medication. The physician would allegedly conduct video-chat sessions but did not gather enough information to determine if the medication was medically necessary.

More on the case: What were the penalties?

One physician chose to accept a plea deal. The court recently sentenced the doctor to four years imprisonment, three years of supervised release and over $4.5 million in restitution.

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