Dermatologist Sentenced to 7 Years in Federal Prison for Fraud

September 18, 2015 | Strategic Insights for Ambulatory Care


​​A dermatologist was sentenced to 7 years in federal prison and ordered to pay $3,764,381.69 for defrauding Medicare and private insurers of over $3.7 million in alleged skin cancer treatments that were either unnecessary or never given, according to an August 28, 2015, U.S. Department of Justice press release. From 2003 to 2010, the dermatologist submitted hundreds of false claims to Medicare and private insurers for treatments allegedly for pre-cancerous lesions. In actuality, the treatments being given were cosmetic in nature. Evidence at the trial revealed the dermatologist would have aestheticians in his office perform cosmetic laser treatments that would not normally be covered by insurance and instead bill them as being for large numbers of pre-cancerous lesions that needed to be destroyed using the procedure, costing up to $352.40 per treatment.

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