California Clinic Accused in $34M Medicare Fraud Probe
Federal authorities are investigating a Pasadena-based clinic accused of a $34 million Medicare fraud scheme involving unprovided skin grafts. The clinic, Expert Wound Care PC, allegedly submitted inflated claims for services that were not rendered, raising concerns about Medicare's vulnerability to exploitation. This investigation highlights the need for stricter oversight in high-dollar billing categories within the Medicare program.
- ▪The clinic received over $34 million in Medicare reimbursements for skin graft services allegedly billed to patients.
- ▪Federal prosecutors noted that the clinic's billing patterns significantly deviated from national norms, with a high percentage of claims for skin substitute grafts.
- ▪One beneficiary was linked to over $6 million in Medicare payments despite not receiving the billed treatments.
Opening excerpt (first ~120 words) tap to expand
By Suzanne BlakeReporter, Consumer & Social TrendsShareNewsweek is a Trust Project memberSee more of our trusted coverage when you search.Prefer Newsweek on Googleto see more of our trusted coverage when you search.Federal authorities are investigating a Pasadena‑based wound care clinic accused of exploiting Medicare through what prosecutors allege is a multimillion‑dollar billing scheme involving skin grafts that were never provided.According to court filings unsealed this week, the clinic, operating as Expert Wound Care PC and also known as St. Victoria Home Care, received more than $34 million in Medicare reimbursements for skin graft and wound‑care services allegedly billed to dozens of patients from late 2025 to early 2026.
…
Excerpt limited to ~120 words for fair-use compliance. The full article is at Newsweek.
Discussion
0 commentsMore from Newsweek
