
That’s Jorge Zamora-Quezada M.D., 68, of Mission, Texas above, who was sentenced this week tten years in prison and three years of supervised release for perpetrating a health care fraud scheme involving over $118 million in false claims. More than $28 million was paid out by insurers because he falsely diagnosed patients with chronic illnesses to bill them for tests and treatments that the patients did not need. Zamora-Quezada also falsified patient records to support the false diagnoses.
Yikes.
The Justice Department press release reveals that Zamora-Quezada falsely diagnosed his patients with rheumatoid arthritis and administered toxic medications in order to defraud Medicare, Medicaid, TRICARE, and Blue Cross Blue Shield. His patients were told that they had incurable conditions that required regular treatment at his offices, where Zamora-Quezada administered unnecessary drugs and ordered unnecessary testing. These included injections, infusions, x-rays, MRIs, and other procedures, risking harmful and in some cases deadly side effects. Then the doctor fabricated medical records and lied about the patients’ condition to insurers.
Among the debilitating side effects suffered by his patients were strokes, necrosis of the jawbone, hair loss, liver damage, and crippling, chronic pain. “Constantly being in bed and being unable to get up from bed alone, and being pumped with medication, I didn’t feel like my life had any meaning,” one patient testified. Others described abandoning plans for college or feeling like they were “living a life in the body of an elderly person.”
At trial, the more ethical rheumatologists in the Rio Grande Valley testified that they saw hundreds of patients diagnosed with rheumatoid arthritis by Zamora-Quezada that did not in fact have the condition. Meanwhile, he was an abusive, dominating supervisor to his medical staff. Former employees said Zamora-Quezada imposed strict quotas for procedures. He threw a paperweight at one employee who failed to generate enough unnecessary procedures, hired staff he could manipulate because they were on J-1 visas and knew their immigration status could be jeopardized if they lost their jobs. Zamora-Quezada also took ultrasounds of employees and used those images to falsify patient records.
Following a 25-day trial, a jury convicted Dr. Zamora-Quezada of one count of conspiracy to commit health care fraud, seven counts of health care fraud, and one count of conspiracy to obstruct justice. To go with his prison term, Zamora-Quezada was ordered to forfeit $28,245,454, including 13 real estate properties, a jet, and a Maserati GranTurismo.
My question: why only ten years in prison for such conduct? He should have been sent away for life.