Five Individuals, Including One-Time Fraud Investigator, Arrested in Health Care Fraud Scheme That Allegedly Sought $20 Million
Five people linked to two
A federal grand jury indictment unsealed this morning alleges that the five defendants - including a former fraud investigator at
Those arrested this morning include the owner and operator of the clinics,
The indictment alleges that Khadem and others induced patients to visit the clinics to receive free cosmetic procedures - including facials, laser hair removal and Botox injections - which were not covered by insurance. The conspirators obtained the insurance information from the patients and fraudulently billed insurance companies for unnecessary medical services or for services that were never provided. Using the fraudulent proceeds from the insurance companies, Khadem and other conspirators calculated a "credit" that patients could use to receive "free" or discounted cosmetic procedures.
During the course of the conspiracy, Khadem and her conspirators submitted at least
The other four defendants arrested this morning are:
* Dr.
*
* Lucine Ilangezyan, 38, of
*
All five defendants are expected to be arraigned on the indictment this afternoon in
The indictment alleges that, in return for cash payments, Jizmejian assisted Khadem and others by providing them with confidential
The indictment further alleges that Jizmejian worked to prevent the insurance companies from detecting the fraud at the clinics, which included helping Khadem to avoid responding to inquiries from fraud investigators, diverting attention of other
In
The scheme involving the two clinics allegedly defrauded the
An indictment contains allegations that a defendant has committed a crime. Every defendant is presumed innocent until and unless proven guilty.
All five defendants are charged with one count of conspiracy to commit health care fraud and 13 counts of health care fraud. The indictment contains criminal forfeiture allegations that seek forfeiture of the ill-gotten gains derived from the offense.
Each count charged in the indictment carries a statutory maximum sentence of 10 years in prison.
This case was investigated by the
The case is being prosecuted by Assistant United States Attorney
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