Five Modesto physicians are among more than two dozen physicians, pharmacists, business owners and a physician assistant charged in a $40 million fraudulent medical billing and kickback scheme, authorities announced Thursday.
Insurance Commissioner Dave Jones and Orange County District Attorney Tony Rackauckas said a Beverly Hills couple are accused of masterminding a complex insurance fraud scheme of recruiting doctors and pharmacists to prescribe unnecessary treatment for workers compensation insurance patients.
Authorities allege the scam took place from 2011 to 2015 and involved more than 13,000 patients. Authorities said $40 million was billed to insurance companies, and the defendants were paid about $23.2 million.
Stanislaus Orthopedic and Sports Medicine Clinic physicians Jonathan Louis Cohen, 57, John Joseph Casey Jr., 65, Mohamed Adly Ibrahim, 40, and William Louis Pistel, 53, are among those charged. Authorities identified all of them as Modesto physicians except for Ibrahim, who authorities said is from Danville.
A receptionist in Caton’s office said he had no comment. A receptionist in Robson’s office said he was not available for comment. The Stanislaus Orthopaedic and Sports Medicine Clinic physicians were not available for comment.