{"id":56151,"date":"2024-05-07T14:58:50","date_gmt":"2024-05-07T21:58:50","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=56151"},"modified":"2024-05-07T14:58:50","modified_gmt":"2024-05-07T21:58:50","slug":"physician-and-owner-of-medical-clinic-guilty-of-defrauding-medi-cal-family-program-of-2-5-million","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=56151","title":{"rendered":"Physician and Owner of Medical Clinic Guilty of Defrauding Medi-Cal Family Program of $2.5 Million"},"content":{"rendered":"<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">\u00a0\u00a0\u00a0<strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0RIVERSIDE, California<\/strong><\/span><\/p>\n<figure id=\"attachment_56153\" aria-describedby=\"caption-attachment-56153\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-56153 size-medium\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/1540677779305-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/1540677779305-300x300.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/1540677779305-150x150.jpg 150w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2024\/05\/1540677779305.jpg 633w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-56153\" class=\"wp-caption-text\">Robert Eyzaguirre<\/figcaption><\/figure>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\"> Officials stated that a Bellflower medical clinic&#8217;s owner and sole physician pleaded guilty to submitting millions of dollars worth of false claims to a Medi-Cal health care program.<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">\u00a0The program provides family planning services to low-income and uninsured patients, causing more than $2.5 million in losses, the Justice Department announced Tuesday.<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Robert Eyzaguirre, 77, of Torrance, pleaded guilty to one count of healthcare fraud. He faces up to 10 years in federal prison when sentenced.<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">According to his plea agreement, Eyzaguirre owned and operated Dr. Robert\u2019s Medical Center, a Bellflower-based medical clinic enrolled as a Family Planning, Access, Care, and Treatment (Family PACT) provider run through the Medi-Cal public health program that California administered under Medicaid. <\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">At this clinic, Eyzaguirre employed and supervised Gary Lee Didio, 54, of Huntington Beach, and Sandra Rios, 51, of South Los Angeles.<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-5061 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/07\/Department-of-Health-and-Human-Services-Inspector-General.jpg\" alt=\"\" width=\"298\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/07\/Department-of-Health-and-Human-Services-Inspector-General.jpg 298w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/07\/Department-of-Health-and-Human-Services-Inspector-General-150x150.jpg 150w\" sizes=\"auto, (max-width: 298px) 100vw, 298px\" \/>From December 2013 through January 2020, Eyzaguirre conspired with Didio and Rios to submit more than $4.6 million in fraudulent claims to the Family PACT program for family planning services that were never provided. <\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Specifically, Rios picked random names from an online phone and address directory and created fake patient files, inserting fake vital signs and patient notes.\u00a0<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Eyzaguirre signed the fake patient files, falsely representing that he had provided family planning services to those patients. <\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Eyzaguirre sometimes signed blank patient forms before adding the false vital signs and notes. The fake\u00a0<\/span><span style=\"font-size: 20px;\">patient files were then submitted to the Family PACT program for reimbursement.<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-39124 aligncenter\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/09\/cropped-Courtroom-300x90.jpg\" alt=\"\" width=\"397\" height=\"119\" \/>The Medi-Cal program paid over $2.5 million on the fraudulent claims Dr. Robert\u2019s Medical Center submitted.\u00a0<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Eyzaguirre also falsely certified in the fake patient files that laboratory tests were medically necessary. <\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Didio and Rios then referred fake patients&#8217; names to a laboratory in Northern California, paying an illegal kickback of $30 cash for each referral. <\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">In total, the laboratory paid more than $372,000 in illegal kickbacks for the referrals of fake Family PACT patients from Dr. Robert\u2019s Medical Center. The Medi-Cal program paid more than $1 million on the fraudulent claims submitted by the laboratory related to the scheme.\u00a0<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">When Eyzaguirre learne<\/span><span style=\"font-size: 20px;\">d that law enforcement was investigating the fraudulent scheme, he attempted to conceal the criminal activity by instructing Didio to remove the fake patient files from Dr. Robert\u2019s Medical Center and hide them offsite.<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Once the files had been moved, Eyzaguirre attempted to shred them to prevent law enforcement from discovering them.\u00a0<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Eyzaguirre admitted in his plea agreement to abusing his position of trust as a physician and obstructing justice.\u00a0<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Rios and Didio have pleaded guilty to conspiring to receive illegal remunerations for healthcare referral<\/span><span style=\"font-size: 20px;\">s. They are expected to be sentenced in the coming months.<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">U.S. District Judge Jesus G. Bernal scheduled a sentencing hearing for Eyzaguirre on October 28.<\/span><\/p>\n<p class=\"yiv8387801233MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 20px;\">Assistant U.S. Attorney Jason C. Pang of the General Crimes Section is prosecuting this case.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0RIVERSIDE, California Officials stated that a Bellflower medical clinic&#8217;s owner and sole physician pleaded guilty to submitting millions of dollars worth of false claims to a Medi-Cal health care program. \u00a0The program&#8230;<\/p>\n","protected":false},"author":1,"featured_media":56154,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3255,3],"tags":[],"class_list":["post-56151","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-federal-court","category-u-s-department-of-justice"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Physician and Owner of Medical Clinic Guilty 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