A San Diego dermatologist faces serious legal trouble after allegedly defrauding California’s Medi-Cal program out of more than $1.3 million. On Thursday, California Attorney General Rob Bonta announced felony charges against the doctor as part of a large conspiracy that targeted the state’s vital health insurance program for low-income residents over several years.
The California Department of Justice revealed that the dermatologist reportedly billed Medi-Cal about $1.4 million for light therapy sessions that were never actually performed. These sessions, meant to treat skin conditions, were often claimed as done using medical-grade equipment, but officials allege many treatments involved non-medical lighting, casting doubt on the legitimacy of the claims.
Related posts
On some days, the doctor submitted bills for more than 200 patients, with 60 to 70 patients treated per day, all receiving the same or very similar treatments. This unusual pattern triggered red flags within the system and led to an investigation by both state and federal authorities.
“We will not tolerate fraud where individuals take advantage of Medi-Cal to line their own pockets, potentially jeopardizing critical, necessary medical services our most vulnerable residents rely on,” said Attorney General Bonta.
“Today’s action is possible due to my team’s efforts to hold accountable those who defraud Medi-Cal, and we will continue to do so. At the California Department of Justice, we are committed to fighting against all types of elder abuse, theft, and fraud. We will take prompt action to ensure that anyone who exploits or harms these vulnerable members of our community is held accountable.”
The formal lawsuit, filed in San Diego County Superior Court, accuses the dermatologist of 22 counts of healthcare insurance fraud and one count of Medi-Cal fraud. Additional charges include white-collar crime and excessive takings, highlighting the seriousness and breadth of the alleged offenses.
The California Department of Justice’s Division of Medi-Cal Fraud and Elder Abuse led the investigation, with support from the FBI, California Department of Healthcare Services, and the Office of Inspector General at the U.S. Department of Health and Human Services. Funded mostly by a federal grant, the division exemplifies the cooperation between state and federal agencies to combat healthcare fraud and abuse.
The case remains active, and officials encourage anyone with information about potential Medi-Cal fraud to come forward. The Attorney General’s office emphasizes that protecting public resources and delivering justice for vulnerable communities remain top priorities.
