{"id":60723,"date":"2026-04-07T16:15:00","date_gmt":"2026-04-07T23:15:00","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=60723"},"modified":"2026-04-07T22:09:22","modified_gmt":"2026-04-08T05:09:22","slug":"orange-county-man-admits-270-million-medi-cal-fraud-scheme","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=60723","title":{"rendered":"Orange County Man Admits $270 Million Medi-Cal Fraud Scheme"},"content":{"rendered":"<p style=\"text-align: center;\" title=\"\" data-start=\"65\" data-end=\"310\" data-speechifyplaybackhighlighter-highlight=\"true\"><strong><span style=\"font-size: 20px;\">LOS ANGELES\u00a0<\/span><\/strong><\/p>\n<p style=\"text-align: center;\" title=\"\" data-start=\"65\" data-end=\"310\" data-speechifyplaybackhighlighter-highlight=\"true\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-41105 alignright\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2020\/07\/cropped-judge-gavel-2-300x300.jpg\" alt=\"West Virginia Woman Took Top Secrets, Committed Kidnapping\" width=\"300\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2020\/07\/cropped-judge-gavel-2-300x300.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2020\/07\/cropped-judge-gavel-2-150x150.jpg 150w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2020\/07\/cropped-judge-gavel-2.jpg 684w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>An Orange County man has pleaded guilty to orchestrating a massive health care fraud scheme that billed Medi-Cal nearly $270 million for unnecessary or nonexistent prescription drugs over less than a year, federal prosecutors said.<\/span><\/p>\n<p style=\"text-align: left;\" title=\"\" data-start=\"312\" data-end=\"632\"><span style=\"font-size: 20px;\"><strong data-start=\"312\" data-end=\"328\">Quick facts:<\/strong><\/span><br data-start=\"328\" data-end=\"331\" \/><span style=\"font-size: 20px;\">\u2014 <strong data-start=\"333\" data-end=\"347\">Defendant:<\/strong> Paul Richard Randall, 66, of Orange<\/span><br data-start=\"383\" data-end=\"386\" \/><span style=\"font-size: 20px;\">\u2014 <strong data-start=\"388\" data-end=\"399\">Charge:<\/strong> Wire fraud committed while on release<\/span><br data-start=\"437\" data-end=\"440\" \/><span style=\"font-size: 20px;\">\u2014 <strong data-start=\"442\" data-end=\"459\">Fraud billed:<\/strong> ~$269.1 million<\/span><br data-start=\"475\" data-end=\"478\" \/><span style=\"font-size: 20px;\">\u2014 <strong data-start=\"480\" data-end=\"501\">Paid by Medi-Cal:<\/strong> ~$178.7 million<\/span><br data-start=\"517\" data-end=\"520\" \/><span style=\"font-size: 20px;\">\u2014 <strong data-start=\"522\" data-end=\"536\">Timeframe:<\/strong> May 2022 to April 2023 (11 months)<\/span><br data-start=\"571\" data-end=\"574\" \/><span style=\"font-size: 20px;\">\u2014 <strong data-start=\"576\" data-end=\"591\">Sentencing:<\/strong> Aug. 3; faces up to 30 years in prison<\/span><\/p>\n<p style=\"text-align: center;\" data-start=\"634\" data-end=\"712\"><span style=\"font-size: 20px;\">Randall pleaded guilty Monday and has been in federal custody since June 2025.<\/span><\/p>\n<p data-start=\"634\" data-end=\"712\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u201c<span style=\"font-size: 20px;\">This defendant used a public health program as his personal piggy bank,\u201d said First Assistant U.S. Attorney Bill Essayli.\u00a0<\/span><\/p>\n<p style=\"text-align: center;\" data-start=\"714\" data-end=\"993\"><span style=\"font-size: 20px;\">According to his plea agreement, Randall and co-schemers Kyrollos Mekail, 37, of Moreno Valley, and Patricia Anderson, 58, of West Hills, exploited a temporary suspension of Medi-Cal\u2019s prior authorization requirement during a transition to a new prescription drug payment system.<\/span><\/p>\n<p style=\"text-align: center;\" title=\"\" data-start=\"995\" data-end=\"1263\"><span style=\"font-size: 20px;\">Operating through Monte Vista Pharmacy, the group billed Medi-Cal tens of millions of dollars per month for high-reimbursement medications that contained inexpensive generic ingredients, were medically unnecessary, or were never provided to patients, authorities said.<\/span><\/p>\n<p style=\"text-align: center;\" data-start=\"1265\" data-end=\"1454\"><span style=\"font-size: 20px;\">Prosecutors said the scheme targeted 19 costly, non-contracted drugs. Some prescriptions were purportedly for pain treatment, including Folite tablets, a vitamin available over the counter, according to officials<\/span><\/p>\n<p style=\"text-align: center;\" data-start=\"1456\" data-end=\"1517\"><span style=\"font-size: 20px;\">In total, Medi-Cal paid more than $178 million on the claims.<\/span><\/p>\n<p style=\"text-align: center;\" data-start=\"1519\" data-end=\"1762\"><span style=\"font-size: 20px;\">Randall admitted transmitting approximately $269.1 million in fraudulent claims tied to prescriptions written by Anderson. Authorities said the conspirators also laundered proceeds through third parties to pay kickbacks and conceal the scheme.<\/span><\/p>\n<p style=\"text-align: center;\" title=\"\" data-start=\"1888\" data-end=\"2062\" data-is-last-node=\"\" data-is-only-node=\"\" data-speechifyclicktoplay-highlight=\"true\" data-speechifyclicktoplay-no-background=\"true\"><span style=\"font-size: 20px;\">Mekail previously pleaded guilty in August 2024 to two counts of health care fraud and is awaiting sentencing. Anderson has been charged with two counts of health care fraud.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>LOS ANGELES\u00a0 An Orange County man has pleaded guilty to orchestrating a massive health care fraud scheme that billed Medi-Cal nearly $270 million for unnecessary or nonexistent prescription drugs over less than&#8230;<\/p>\n","protected":false},"author":1,"featured_media":7271,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-60723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Orange County Man Admits $270 Million Medi-Cal Fraud Scheme<\/title>\n<meta name=\"description\" content=\"LOS ANGELES\u00a0 An Orange County man has pleaded guilty to 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