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An 87-year-old Nevada doctor's identity used to file 76,000 Medicare claims in Los Angeles

Posted on 3/13/26 at 11:11 am
Posted by L.A.
The Mojave Desert
Member since Aug 2003
65998 posts
Posted on 3/13/26 at 11:11 am
Posted by ReauxlTide222
St. Petersburg
Member since Nov 2010
90295 posts
Posted on 3/13/26 at 11:15 am to
Idk how anyone is ok carrying on with this type of shite happening.


The government owes it to us to completely eliminate fraud. If they don’t, we should blow the entire thing to hell.
Posted by Wolfhound45
Member since Nov 2009
127194 posts
Posted on 3/13/26 at 11:17 am to
quote:

L.A.
Why do you hate hard working healthcare providers who are illegally practicing medicine outside of their state
Posted by dakarx
Member since Sep 2018
8382 posts
Posted on 3/13/26 at 11:19 am to
Has the L.A. DA convened a grand jury to go after the NV doctor yet?
Posted by baldona
Florida
Member since Feb 2016
23927 posts
Posted on 3/13/26 at 11:29 am to
I'm very ignorant here, but I'd love someone to explain how there's no system at all in place to check any specific practice billing this much. I understand that some large practices are likely billing $100s of millions but it wouldn't take long to confirm they are legit and arguably could have their own Medicare employee monitoring those types of companies.

ETA; that guy in the video maybe involved IDK, but he doesn't look like someone that has $10s of millions of dollars.
This post was edited on 3/13/26 at 11:31 am
Posted by Zgeo
Baja Oklahoma
Member since Jul 2021
3431 posts
Posted on 3/13/26 at 11:30 am to
Those boomers. Amirite…….
Posted by Hangover Haven
Metry
Member since Oct 2013
32879 posts
Posted on 3/13/26 at 11:49 am to
I personally know 3 doctors who went to jail for Medicare fraud in the 2018.. Amazes me how these people are getting away with this shite today...



Eastern District of Louisiana

The Health Law Firm
This post was edited on 3/13/26 at 11:58 am
Posted by GoCrazyAuburn
Member since Feb 2010
40463 posts
Posted on 3/13/26 at 11:50 am to
There "technically" are systems in place but generally every fraud investigation department within our government that's job is to review any government program that gives "free" goods/services is so ridiculously understaffed and resourced that there is no realistic way they can actually do much. I've spoken with a few accountants before that had been in similar roles in different departments and it was shocking to hear some of their stories.
Posted by Auburn1968
NYC
Member since Mar 2019
25946 posts
Posted on 3/13/26 at 11:53 am to
quote:

Has the L.A. DA convened a grand jury to go after the NV doctor yet?


Nah, they are convening an award jury if they can figure out who was putting in the actual claims.
Posted by baldona
Florida
Member since Feb 2016
23927 posts
Posted on 3/13/26 at 12:03 pm to
quote:

There "technically" are systems in place but generally every fraud investigation department within our government that's job is to review any government program that gives "free" goods/services is so ridiculously understaffed and resourced that there is no realistic way they can actually do much. I've spoken with a few accountants before that had been in similar roles in different departments and it was shocking to hear some of their stories.


Which seems absurd. We can't justify a $100k accountant for every $500 mil or whatever of Medicare spent? At some point well under $500 mil it seems like someone should be auditing this?

This is where IDK the answer to big/ small government and audit.
Posted by SmackoverHawg
Member since Oct 2011
31218 posts
Posted on 3/13/26 at 12:12 pm to
We used to get in person audits, now we send them the info. Can fake notes, but you can't fake a physical location/practice.
Posted by Vacherie Saint
Member since Aug 2015
47167 posts
Posted on 3/13/26 at 12:13 pm to
LowTboy will be here shortly to blame Trump for this.
Posted by SouthEasternKaiju
SouthEast... you figure it out
Member since Aug 2021
45575 posts
Posted on 3/13/26 at 12:14 pm to
Lotta olds in NV.
Posted by PeleofAnalytics
Member since Jun 2021
5232 posts
Posted on 3/13/26 at 12:29 pm to
quote:

here "technically" are systems in place but generally every fraud investigation department within our government that's job is to review any government program that gives "free" goods/services is so ridiculously understaffed and resourced that there is no realistic way they can actually do much

This is really the reason. The cash authorized to flow through government programs increases its magnitude every year and rarely does the budget for monitoring it ever go up.

And there really is no reason the gov't wouldn't want to hire more gov't employees (they typically love it) other than the fact they really don't want the work of monitoring their programs to be done.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
137399 posts
Posted on 3/13/26 at 12:52 pm to
quote:

An 87-year-old Nevada doctor's identity used to file 76,000 Medicare claims in Los Angeles
This guy has previous complaints which seem to center around similar business issues. LINK

But whatever he's doing, he's not making money hand-over-fist doing it. He's living in LV suburbs in a $500K 4bed 3bath 2,836sqft ranch home on a 0.15 acre lot.
Posted by RohanGonzales
Member since Apr 2024
9387 posts
Posted on 3/13/26 at 1:19 pm to
quote:

Those boomers. Amirite…….


actually no:

2025
- 87
= 1938

The baby boom happened AFTER WWII.

The upper limit is passing 80 years old this year. Write that down somewhere.*

*I think your amirite indicates that you are being sarcastic, still a chance to say that again.
Posted by tide06
Member since Oct 2011
22189 posts
Posted on 3/13/26 at 1:23 pm to
If people realized how easy this type of analysis is with modern data analysis overlaid with AI and systems like Palantir they’d lose their mind.

This stuff should be flagged almost instantaneously with any type of competency at the federal level but it isn’t due to incompetency and complicity from federal stakeholders.
Posted by tigersmanager
Member since Jun 2010
10299 posts
Posted on 3/13/26 at 1:23 pm to
this how democrats pay for campaigns by stealing our money
Posted by The Torch
DFW The Dub
Member since Aug 2014
28975 posts
Posted on 3/13/26 at 1:27 pm to
Per Gavin Newsom:

MAGA learning in real time this is a federally run program — DR OZ runs, not Gavin Newsom.

They are now highlighting the fraud in their own party’s government — incredible turn of events here
Posted by dgnx6
Member since Feb 2006
88049 posts
Posted on 3/13/26 at 1:27 pm to
Prob no voter fraud either.

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