Doctor Found Guilty in $2M Medicare, Medicaid Fraud Case

A federal jury convicted a Nevada doctor yesterday for his role in defrauding Medicare and Medicaid of nearly $2 million.

According to court documents and evidence presented at trial, Eduardo Abellana, M.D., 75, of Las Vegas, referred medically unnecessary prescriptions to City Drugs, a Detroit, Michigan, pharmacy, for patients he had not treated in exchange for cash kickbacks paid by the owners of the pharmacy. Abellana and his co-conspirators caused nearly $2 million of loss to Medicare and Medicaid.

The jury convicted Abellana of conspiracy to commit health care fraud and conspiracy to defraud the United States and receive kickbacks. He is scheduled to be sentenced on Sept. 25, and faces a maximum penalty of 10 years in prison on the conspiracy to commit health care fraud count and five years in prison on the conspiracy to defraud the United States and receive kickbacks count. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

Principal Deputy Assistant Attorney General Nicole M. Argentieri, head of the Justice Department’s Criminal Division; Special Agent in Charge Cheyvoryea Gibson of the FBI Detroit Field Office; and Special Agent in Charge Mario M. Pinto of the Department of Health and Human Services Office of Inspector General (HHS-OIG) Chicago Region made the announcement.

The FBI Detroit Field Office and HHS-OIG investigated the case.

Trial Attorneys Claire Sobczak and Kelly M. Warner of the Criminal Division’s Fraud Section are prosecuting the case.

Public Release. More on this here.