The DOJ announced that Adarsh Gupta, a New Jersey doctor, was convicted of three counts of health care fraud and two counts of false statements relating to health care matters for causing the submission of over $5.4 million in fraudulent claims to Medicare. Dr. Gupta now faces up to 25 years in prison.
According to evidence presented at trial, The AffordADoc Network (“AffordADoc”) telemarketers connected Dr. Gupta to over 2,900 Medicare beneficiaries from approximately October 2017 to about April 2019. AffordADoc telemarketers convinced Medicare beneficiaries that they needed unnecessary orthotics. In turn, Dr. Gupta briefly spoke with beneficiaries and prescribed unnecessary braces. Dr. Gupta agreed with AffordADoc to write prescriptions in exchange for $30 per patient consultation.
Evidence presented at trial showed that Dr. Gupta signed thousands of prescriptions for orthotic braces. Dr. Gupta prescribed a back, shoulder, wrist, and knee brace to an undercover agent after speaking with him for less than two minutes. Dr. Gupta also prescribed a knee brace for an amputee. In signing prescriptions for Medicare beneficiaries, Dr. Gupta falsely represented that he diagnosed beneficiaries, the prescribed braces were medically necessary, and that he had a care plan for the beneficiaries. Dr. Gupta’s prescriptions were used to bill Medicare for more than $5.4 million. Dr. Gupta is now scheduled to be sentenced on October 8, 2024.
The attorneys at Chilivis Grubman represent clients of all types and sizes in connection with health care fraud litigation and federal investigations. If you need assistance with such a matter, please contact us today.