Gary J. Ordog, Medicare Fraud, California 2015

Medicare Fraud Scheme Uncovered in Valencia, California

An indictment was unsealed today charging a doctor from Valencia, California, with operating a $6.5 million scheme to defraud the Medicare program by billing Medicare for medical services that were not actually provided.

According to allegations in the indictment, Gary J. Ordog, 60, of Valencia, California, billed Medicare for services that were not actually provided to the Medicare beneficiaries. Ordog would allegedly see a beneficiary at least once in connection with the potential evaluation and management of their conditions. Subsequently, often several years after the last time he saw a particular beneficiary, Ordog would allegedly submit false claims to Medicare for purported additional visits with the same beneficiary, when the visits never actually occurred. In certain instances, Ordog allegedly billed Medicare for services provided to beneficiaries who were deceased as of the claimed date of service.

Assistant Attorney General Leslie R. Caldwell of the Criminal Division, Acting U.S. Attorney Stephanie Yonekura of the Central District of California, Assistant Director in Charge David Bowdich of the FBI's Los Angeles Division, and Special Agent in Charge Glenn R. Ferry of the U.S. Department of Health and Human Services Office of Inspector General's Los Angeles Region made the announcement.

The charges contained in an indictment are merely accusations, and a defendant is presumed innocent unless and until proven guilty.

This case is being investigated by the Health and Human Services Office of Inspector General and the FBI, and was brought as part of the Medicare Fraud Strike Force, under the supervision of the Criminal Division's Fraud Section and the U.S. Attorney's Office for the Central District of California.

Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged nearly 2,100 defendants who have collectively billed the Medicare program for more than $6.5 billion. In addition, the Health and Human Services Centers for Medicare and Medicaid Services, working in conjunction with the Health and Human Services Office of Inspector General, are taking steps to increase accountability and decrease the presence of fraudulent providers.

To learn more about the Health Care Fraud Prevention and Enforcement Team (HEAT), visit www.stopmedicarefraud.gov.

Source: https://www.justice.gov/archives/opa/pr/valencia-california-doctor-indicted-65-million-medicare-fraud-scheme