Owner of San Pedro clinic sentenced to nearly 4 years for $5 million health care fraud scheme
Dr. MDY, 38 years old from West Los Angeles, will be going to federal prison. On August 25, 2020 he was convicted for defrauding a dock worker's union benefit plan in bogus billing.
Dr. MDY pleaded guilty last November in Federal court to conspiracy to commit health care fraud.
The victim was the Longshore and Warehouse Union - Pacific Maritime Association, with the doctor offering cash kickbacks to patients. He also billed the benefit plan for therapy services that were not rendered or not medically necessary.
The convicted doctor would offer $50 in cash to patients and pay another $50 each time they allowed him to bill the plan when they did not visit his clinic.
MDY was terminated from the plan in August 2017 but continued the conspiracy by changing the name of his clinic.
In addition, MDY charged for chiropractic services when a personal trainer, who worked for MDY, treated patients but was not a licensed chiropractor.
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Defendant disputes necessity of care and future care..and loses
State Farm didn’t want to pay on their own insured’s case.
Alexander C. Eisner of Shawn Steel Law Firm took the matter to Formal Binding Arbitration.
The defense attorney is from State Farm’s house counsel, McGuire & Associates.
Gail is a 64-year-old financial analyst.
Gail drove her car on the 10 Freeway but was struck by Manuel who push Gail’s car across 4 lanes of traffic into the freeway median.
Gail claimed a concussion, neck and back pain, pain to left shoulder, tinnitus, and depression.
State Farm fought hard. Gail produced 5 experts to prove up her case. Janice Kowalski, DC was a cornerstone for the case.
Defendant's final offer was $38,047.76. Gail’s final demand was $64,999.
The Arbitrator awarded Gail $121,167.41.
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