A Texas rheumatologist was sentenced to 10 years in prison for a cruel health care fraud scheme that involved diagnosing hundreds of healthy people with chronic diseases that required expensive and dangerous treatments.
Jorge Zamora-Quezada M.D. of Mission, Texas, pleaded guilty to conspiracy to commit fraud, several counts of healthcare fraud, and conspiracy to obstruct justice and received a sentence of 10 years behind bars and three years of supervised release. For years, the 68-year-old rheumatologist falsely diagnosed patients with chronic illnesses to bill for tests and treatments that they didn’t need, for his own enrichment. Evidence presented by prosecutors showed that his fraud scheme involved over $118 million in false claims and the payment of over $28 million by insurers, which allowed him to fund an incredibly lavish lifestyle. By profiting off of innocent victims, Zamora-Quezada was able to amass a sizeable fortune, including 13 real estate properties, a jet, and a Maserati GranTurismo.
“Dr. Zamora-Quezada funded his luxurious lifestyle for two decades by traumatizing his patients, abusing his employees, lying to insurers, and stealing taxpayer money,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division.
During Dr. Zamora-Quezada’s trial, other Texas rheumatologists testified to seeing hundreds of patients previously diagnosed with rheumatoid arthritis by the accused. None of them had the condition, but they had all been prescribed powerful medication and treatments with debilitating and even deadly side effects. Some patients suffered strokes, necrosis of the jawbone, hair loss, liver damage, and excruciating pain that made even the most mundane tasks impossible.