SANTA ANA,
California – Three additional doctors have been charged in three new cases for
their roles in a 15-year-long health care fraud scheme that involved more than
$40 million in illegal kickbacks paid to doctors and other medical
professionals in exchange for referring thousands of patients who received
spinal surgeries. As a result of the kickback scheme, more than $580 million in
fraudulent bills were submitted, mostly to California’s worker compensation
system.
David Hobart
Payne, 60, an orthopedic surgeon who lives in Irvine, is scheduled to be
arraigned later today in United States District Court on charges of conspiracy,
honest services fraud, and using an interstate facility to aid in unlawful
activity. A five-count superseding indictment returned by a federal grand jury
on April 25 alleges that Payne was bribed approximately $450,000 to steer more
than $10 million in kickback-tainted surgeries to Pacific Hospital of Long
Beach.
Jeffrey
David Gross, 52, an orthopedic surgeon who resides in Dana Point and Las Vegas,
Nevada, appeared in federal court on Wednesday and pleaded not guilty to
charges contained in a 14-count indictment returned earlier this year by a
federal grand jury. Gross, who faces charges of conspiracy, honest services
mail fraud and honest services wire fraud, was ordered to stand trial on August
7. The indictment alleges that Gross made at least $622,000 in exchange for
performing and/or referring more than $19 million in kickback-tainted surgeries
to Pacific Hospital.
In the third indictment being announced
today, Lokesh Tantuwaya, 51, who maintains residences in Rancho Santa Fe and
Rock Springs, Wyoming, was charged in February by a federal grand jury. The
13-count indictment charges Tantuwaya with conspiracy, honest services fraud,
and using an interstate facility to aid in unlawful activity. Tantuwaya, who
pleaded not guilty in April, has been ordered to stand trial on November 6. The
indictment alleges that Tantuwaya received approximately $3.2 million in kickbacks
for referring and/or performing $38 million in surgeries to Pacific Hospital.
The kickback
scheme centered on Pacific Hospital of Long Beach, which specialized in
surgeries, especially spinal and orthopedic procedures. The owner of Pacific Hospital,
Michael D. Drobot, conspired with doctors, chiropractors and marketers to pay
kickbacks in return for the referral of thousands of patients to Pacific
Hospital for spinal surgeries and other medical services paid for primarily
through the California workers’ compensation system. During its final five
years, the scheme resulted in the submission of over $500 million in fraudulent
medical bills. To date, nine defendants have been convicted for participating
in the kickback scheme.
If they were
to be convicted of the charges in the indictments announced today, Payne, Gross
and Tantuwaya would face potential sentences of decades in federal prison.
An
indictment contains allegations that a defendant has committed a crime. Every
defendant is presumed to be innocent until and unless proven guilty in court.
The
investigation into the spinal surgery kickback scheme is being conducted by the
Federal Bureau of Investigation; IRS Criminal Investigation; the California
Department of Insurance; and the United States Postal Service, Office of
Inspector General.
This case is
being prosecuted by Assistant United States Attorneys Joseph T. McNally and
Scott D. Tenley of the Santa Ana Branch Office, and Assistant United States Attorney
Ashwin Janakiram of the Major Frauds Section.
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