“Sticking taxpayers with a bill for unnecessary healthcare services will never be tolerated”
(HHS Office of Inspector General)
Perhaps even worse than the millions of taxpayer dollars lost to these alleged cheats—medical doctors and other medical professionals—is the fact that they diagnosed people with major illnesses that the patients didn’t have!
Here is the Justice Department’s press statement on the bust last week.
All I could think of as I read the long statement from the DOJ was, just imagine what a run on the treasury there will be if the Dems getMedicare for all!
Here we see that one of the alleged crooked doctors (Dr. Negash Shetty) has a long record of defrauding us. Of course I couldn’t find a picture or any information on his immigration status, but his name is a common Indian name.
LOL! I did find that in 1996 he hired“celebrity lawyer and law professor Alan M. Dershowitz” to get him out of one of his run-ins with the law.
Here is the Daily Pilot giving us a chronology of Dr. Negash Shetty’s storied career as an on-again, off-again medical doctor in trouble with the law!
H.B. doctor indicted in $135-million Medicare fraud scheme
A Huntington Beach doctor with a history of legal and disciplinary problems is one of seven healthcare professionals accused of participating in a Medicare fraud scheme that netted about $135 million through fraudulent insurance claims, according to federal prosecutors.
Nagesh Shetty, 74, was indicted Wednesday in connection with the scheme, which involved “medically unnecessary” cardiac treatments and testing through an Inglewood healthcare provider, Global Cardio Care, according to the U.S. attorney’s office.
[….]
Shetty was first licensed by the California Medical Board in 1979 and has operated practices in Costa Mesa, West Covina and the West Hills neighborhood of Los Angeles, according to documents and online records.
In 1994, Shetty was indicted in federal court on 28 counts of mail fraud on allegations of defrauding a Minnesota-based insurance company through “nonexistent, medically unnecessary or excessive medical treatment.” That case was later transferred to a California district court and charges were eventually dropped, court records show.
In 1996, Shetty was sentenced to 21 months in federal prison and fined $40,000 for filing false income tax returns and failing to report more than $400,000 in income over a three-year period in the 1980s, court documents show. At the time of the crimes, Shetty was owner and attending physician of Harbor Newport Medical Clinic in Costa Mesa.
While in prison, Shetty was indicted in 1998 on federal charges alleging that he defrauded military and private health insurance programs.
The California Medical Board revoked Shetty’s license in 2000, according to board records. His license to practice medicine also was revoked in New York in 1999 and Washington state in 2001, records show.
In 2005, Shetty petitioned the California board to reinstate his medical certificate. At the time, Shetty was bagging groceries and stocking shelves at a store and said his inability to practice his profession had caused emotional and financial strain for his wife and four children.
He was granted a probationary license, according to a decision by an administrative law judge, with the conditions that he complete an ethics course and a clinical training program, undergo monitoring and be barred from practicing solo, supervising physician assistants and handling any billing matters.
In 2009, Shetty completed his probation and the board reinstated his license.
They reinstated his medical license and he went right back to scamming us!
Michigan’s opioid pushers: Is your doctor on this list?
Michigan locks up more doctors and pharmacists for peddling pain pills than any other state except New York, the Department of Justice says.
A Free Press investigation focused on this trend and found that metro Detroit doctors in particular are among the leading culprits fueling the opioid crisis, with more than 100 area physicians facing criminal charges over the last decade for running painkiller schemes.
Dr. Asm Akter Ahmed, 58, of Hamtramck. Prison sentence: Time served
Dr. Muhammad Ahmed, 65, of Ypsilanti. Prison sentence: 4 years
Dr. Abbey Akinwumi, 55, of Superior Township. Prison sentence: 7 years and 3 months.
Dr. Yasser Awaad, a Bloomfield Hills neurologist, is accused in civil suit of diagnosing hundreds of children with epilepsy who didn’t have. He fled the country in 2017.
Dr. Hussein “Sam” Awada, 46, of Royal Oak. Prison sentence: 7 years
Dr. Gavin Awerbuch of West Bloomfield. Prison sentence: 32 months
Dr. Mohamed Batayneh, 68, of Livonia. Prison sentence: 8 years and 1 month
The case of Lebanese born Doctor Farid Fata was front page news in Michigan for years. He got 45 years, but his victims wanted even more!
Dr. Farid Fata, 50, of Oakland Township. Prison sentence: 45 years
Have a look at the whole listthat wraps with this one:
Dr. Mohammed Zahoor, 51, of Novi. Charged in pending health care fraud case involving opioids.
I guess these are some of the ‘new American’ entrepreneurs the Open Borders propagandists are always telling us about.
Because the cases are instructive and because, yes, I do write from time to time about American frauds and crooks not just the ‘New American’ variety, here is an extensive piece at the LA Times about how perhaps the largest Medicare fraud case in US history intersected with the College Admissions scam involving the rich and well-connected. Philip Esformes before the fall. As a flight risk he has been behind bars since July 2016 awaiting sentencing in September.
Now if only a paper with the stature of the LA Times would put an investigative journalist to work on the Kenyan Killer case where as one reader pointed out it would be difficult for the alleged prolific killer Billy Chemirmir to pawn that much jewelry without help, a network of criminals (dependent on old ladies being murdered) might be exposed.
I’ve reported previouslyon the case of Philip Esformes who ran a nursing home empire built on defrauding you and me, American taxpayers, but haven’t written about the Singer scam designed for elites to get their little darlings into top tier colleges.
FBI found clues to college admissions scandal years earlier in massive Medicare fraud case
Federal authorities were combing through the finances and phone records of a Miami businessman suspected of Medicare fraud when they came across a curious name: Rick Singer. Rick Singer https://www.foxnews.com/us/who-is-william-rick-singer-college-admissions-cheating-scandals-alleged-ringleader
Philip Esformes, who was accused of farming out patients from his nursing homes to steal millions in bogus insurance claims, had sent hundreds of thousands of dollars to a foundation Singer controlled. And in text messages discovered on Esformes’ phone, the men discussed how one of Esformes’ sons had performed on his college entrance exams. Only years later would authorities learn what Esformes had paid Singer to do: Slip his daughter into USC as a fake soccer player and fix his youngest son’s college entrance exam, according to statements a prosecutor made in court and sources familiar with the case.
Singer has said he struck similar deals with dozens more parents, an admission that has roiled higher education and implicated elites from Hollywood, Silicon Valley and the Newport coast. But in 2016, when agents seized the iPhone Esformes used to text Singer and obtained their messages, Singer was a peripheral, if curious, player in an enormous healthcare fraud investigation. The Esformes case marks the first time Singer is known to have crossed the radar of law enforcement.
[….]
It is unclear how much federal authorities uncovered of Esformes’ dealings with Singer while investigating his case. But at his trial in March, a fraud expert used by the government to make sense of his finances testified that Esformes had made $400,000 in payments over several years to Singer’s foundation. At least some of the money was traced to Medicaid and Medicare funds, the expert testified.
Too funny! Esformes paid Singer $400,000 and his daughter did get into USC as a fake soccer player, but get this…
The daughter, who could not be reached for comment, was enrolled at USC for a year before transferring to a fashion school in New York City, according to a source with knowledge of the case and her LinkedIn profile.
Oh joy! more Russians*** and more Egyptians to help speed up the goal of changing America by changing the people! Trump called the Diversity Visa Lottery “the worst of the worst!”
I guess most of you know by now that we have a legal immigration program called the Diversity Visa Lottery (aka Green Card Lottery)because America isn’t sufficiently diversified and each year 50,000 US citizen wannabes from around the world (except from countries that have sent 50,000 of their people recently) get a ticket to Anytown, USA. The President has voiced his opposition to the giveaway, but so far Congress continues to support the program. Herethe Miami Herald tells us who the lucky winners are this year:
Egyptian and Russian citizens won the most U.S. green cards in this year’s random visa lottery
More than 23 million people from around the world — the applicants and their family members or “derivatives” — tried this year to legally immigrate to the United States and achieve the American Dream through the visa lottery program, the U.S. State Department statistics show. See what Daniel Horowitz at Conservative Review said about the lottery in 2017. https://www.conservativereview.com/news/end-the-diversity-visa-lottery-today/
Winners were selected through a randomized computer drawing from over 14 million qualified entries received during the 34-day application period last year.
According to the department, the visas were distributed among six geographic regions “with a maximum of seven percent available to persons born in any single country.” The two countries that won most immigrant visas were Egypt and Russia, with 5,568 and 5,118 winners, respectively, of this year’s DV-2020 diversity lottery, followed by the Democratic Republic of Congo (4,743 applicants selected), Iran (4,101), Nepal (3,696) and Sudan (3,691).
What the hell! Are we moving the whole of the DR Congo to America?
We’ve ‘welcomed’ 50,000 from the DR Congo already as refugees, see here, and they are streaming across the US border illegally and ending up in Maine, here, and we still take thousands from that African hot mess of a country through the lottery!
The Miami Heraldcontinues….
Last year, Iran received the highest number of visas — 4,199 — followed by the Democratic Republic of Congo (4,186), Egypt, Ukraine (4,025) and Ethiopia (3,856).
In the Americas region, natives from Cuba benefited the most from this year’s DV-2020 drawing, and 2,703 Cuban nationals were selected at random for a green card. It is a substantial increase compared to last year, when only 326 citizens of Cuba won. [Really, Cuba! we don’t have enough migrants from Cuba?—-ed]
[….] The visa lottery is one of the immigration programs that President Donald Trump has openly criticized. He has said that the “worst of the worst” are selected in the cost-free process.
“About 70 percent of immigrants who come to the United States today are admitted based on family relationships or through a random visa lottery —a system that favors random chance over the skills our economy needs,” President Trump’s Immigration Plan for the 21st Century says.
There is much more and a lot of links to follow in the story, go herefor more.
My earlier posts on this outrageous legal immigration program signed into law by George HW Bush in 1990 are here.
***Coincidentally my friend Richard just yesterday sent me a 2018 story from VDARE (Mainstream media won’t name Medicare Fraudsters) which educates us to the fact that a very large amount of Medicare fraud is linked to immigrant fraudsters with Russians topping the list. Ah, the joys of diversity!
I hate these stories about bank fraud because they have so many twists and turns that they make my head spin. Dr. Zahid Aslam is going to jail!
And, this one might not have been worth even writing about except that a headline caught my eye—a rare headline that uses the word “deportation” because he was in the country illegally as he proceeded to defraud us.
I was also interested because the crook was practicing medicine in Maryland (New Jersey, Pennsylvania and Delaware as well).
Here is the headline at the Business Journal,
Former doctor faces possible deportation after being sentenced to prison in fraud case
