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California Clinic Under Investigation for $34 Million Medicare Fraud

California Clinic Under Investigation for $34 Million Medicare Fraud

A Pasadena-based wound care clinic, Expert Wound Care PC, is under federal investigation for allegedly exploiting Medicare through a fraudulent billing scheme. The clinic reportedly received over $34 million in Medicare reimbursements for skin grafts and wound-care services that were never provided. The U.S. Attorney's Office for the Central District of California highlighted the clinic's unusually high billing patterns, which were significantly above national averages. The Department of Justice has seized over $2 million from the clinic's bank account as part of the ongoing investigation.

Pasadena Clinic Accused of $34 Million Medicare Fraud in Skin Graft Billing

Pasadena Clinic Accused of $34 Million Medicare Fraud in Skin Graft Billing

Federal authorities are investigating a Pasadena-based wound care clinic, Expert Wound Care PC, for allegedly exploiting Medicare through a multimillion-dollar billing scheme. The clinic is accused of submitting over $46 million in claims for skin substitute grafts and wound treatment services that were purportedly provided to 78 Medicare beneficiaries. Court records reveal that Medicare approved payments totaling approximately $34 million. The clinic's billing patterns were significantly higher than national norms, with an average allowed amount per skin-graft claim more than double the national average. The Department of Justice has seized over $2 million from a bank account associated with the clinic as the investigation continues.

Pasadena Clinic Accused of $34 Million Medicare Fraud in Skin Graft Scam

Pasadena Clinic Accused of $34 Million Medicare Fraud in Skin Graft Scam

Federal prosecutors have seized over $2 million from a Pasadena wound-care clinic, Expert Wound Care, suspected of defrauding Medicare through false claims for skin grafts. The clinic, operating as St. Victoria Home Health Care, allegedly received more than $34 million in federal payouts, with a single patient's claims exceeding $6 million. The investigation, led by the Department of Homeland Security Investigations and the U.S. Secret Service, is part of a broader inquiry into Medicare-funded wound care fraud. No charges have been filed yet, but the investigation is ongoing. The Centers for Medicare and Medicaid Services (CMS) have been tackling fraud in the skin graft industry, where Medicare spending on skin substitutes has surged from $256 million in 2019 to over $10 billion in 2024.

Pasadena Clinic Implicated in $34 Million Medicare Skin Graft Scam

Pasadena Clinic Implicated in $34 Million Medicare Skin Graft Scam

Federal prosecutors have seized over $2 million from a Pasadena wound care clinic, Expert Wound Care, suspected of defrauding Medicare through false claims for skin grafts. The clinic, operating as St. Victoria Home Care, allegedly received more than $34 million in federal payouts, with claims involving a single patient totaling over $6 million. The investigation, led by the Department of Homeland Security Investigations and the U.S. Secret Service, is part of a broader probe into Medicare-funded wound care fraud. The Centers for Medicare & Medicaid Services (CMS) has been tackling fraud in the skin graft and wound care industry, where significant overspending has been identified.

Pasadena Clinic Investigated for Alleged $34 Million Medicare Fraud Scheme

Pasadena Clinic Investigated for Alleged $34 Million Medicare Fraud Scheme

Federal authorities are investigating a Pasadena-based wound care clinic, known as Expert Wound Care PC or St. Victoria Home Care, for allegedly exploiting Medicare through a fraudulent billing scheme. The clinic reportedly received over $34 million in Medicare reimbursements for skin graft and wound-care services that were never provided. Court filings reveal that the clinic dramatically increased its Medicare billing within months, submitting claims totaling more than $46 million for services purportedly provided to 78 Medicare beneficiaries. The Department of Justice has seized over $2 million from a bank account associated with the clinic as part of the ongoing investigation. The clinic's billing patterns, which included a high percentage of claims for skin substitute grafts, stood out significantly from national norms, prompting the investigation.

Chick-fil-A Employee Arrested for Allegedly Stealing $80,000 Through Mac Cheese Scheme

Chick-fil-A Employee Arrested for Allegedly Stealing $80,000 Through Mac Cheese Scheme

A former Chick-fil-A employee, Keyshun Jones, has been arrested for allegedly orchestrating a scheme to steal $80,000 from a restaurant in Grapevine, Texas. According to reports, Jones was dismissed from his position last November but continued to access the restaurant, where he would enter fraudulent food orders into the register and refund them to his personal credit card. The scheme involved approximately 800 orders of mac and cheese, which were processed as phony refunds. Security footage reportedly captured Jones executing these transactions. An arrest warrant was issued on April 6, and Jones was apprehended on April 17 by the Texas Attorney General’s Fugitive Task Force and the Fort Worth Police Department. He faces charges of property theft, money laundering, and evading arrest, with a potential sentence of up to 10 years in state prison if convicted.

Suspect in White House Correspondents' Dinner Shooting Faces Multiple Charges

Suspect in White House Correspondents' Dinner Shooting Faces Multiple Charges

A suspect involved in a shooting incident at the White House Correspondents' Dinner is now facing several charges, including an attempt to assassinate the President of the United States. The authorities are focusing on writings allegedly sent by the suspect to his family just before the attack. The incident has raised significant security concerns, given the high-profile nature of the event and the presence of numerous dignitaries and media personnel.

Pasadena Health Officials Confirm Whooping Cough Outbreak at Local School

Pasadena Health Officials Confirm Whooping Cough Outbreak at Local School

Pasadena health officials have confirmed an outbreak of whooping cough at Don Benito Fundamental School, with four cases identified. The Pasadena Public Health Department is collaborating with the Pasadena Unified School District to monitor the situation and prevent further spread. Whooping cough, also known as pertussis, is a highly contagious respiratory disease that spreads through coughing or close contact with an infected person. Symptoms typically appear 5 to 21 days after exposure and initially resemble a common cold, including sneezing, runny nose, mild cough, and low-grade fever. However, the cough can worsen over one to two weeks, leading to severe coughing fits that may cause a 'whooping' sound or vomiting. Health officials are advising those exposed to monitor symptoms for 21 days and seek medical advice if symptoms develop. High-risk individuals, such as infants, caregivers of infants, and pregnant women, may require preventive antibiotics even if they are asymptomatic.

Conflicting Reports on Status of 'SNL' Writer Jimmy Fowlie's Missing Sister

Conflicting Reports on Status of 'SNL' Writer Jimmy Fowlie's Missing Sister

There are conflicting reports regarding the status of Christina Lynn Downer, the sister of 'Saturday Night Live' writer Jimmy Fowlie. While Fowlie announced on social media that his sister is 'no longer alive' and the case has become a homicide investigation, the Los Angeles Police Department (LAPD) stated that Downer has not been located and the case has not been officially reclassified as a homicide. The LAPD continues to treat the disappearance as suspicious and is actively investigating. Fowlie has urged the public to come forward with any information that could assist in the investigation.

VITURE Launches Beast XR Glasses with Advanced Features for Enhanced User Experience

VITURE Launches Beast XR Glasses with Advanced Features for Enhanced User Experience

VITURE Launches Beast XR Glasses with Advanced Features for Enhanced User Experience

Man charged with attempted assassination of Trump in White House correspondents' dinner shooting

Man charged with attempted assassination of Trump in White House correspondents' dinner shooting

The man who authorities say tried to storm the White House Correspondents’ Association dinner with guns and knives has been charged with the attempted assassination of President Donald Trump

Social Media Account's Mysterious Post Raises Questions After WHCA Shooting

Social Media Account's Mysterious Post Raises Questions After WHCA Shooting

A social media account on the platform X, under the name 'Henry Martinez,' has gained significant attention following a shooting incident at the White House Correspondents' Association dinner. The account, created in December 2023, made a single post stating 'Cole Allen' on December 22 of that year. This post has resurfaced after a man named Cole Allen was arrested for the shooting at the event attended by President Trump and other officials. The account's post has been viewed over 44 million times, sparking conspiracy theories about potential foreknowledge of the incident. However, some users argue that the name 'Cole Allen' is common, suggesting the post may be coincidental. The suspect, Cole Tomas Allen, is a 31-year-old from Torrance, California, with a background in game development and engineering. He was apprehended after breaching security and opening fire, leading to the evacuation of President Trump and others.