CWEB News reports on the sentencing of a Texas physician involved in one of the nation’s largest healthcare fraud cases.
Dr. Jorge Zamora-Quezada, a 68-year-old rheumatologist from Mission, Texas, has been sentenced to 10 years in federal prison, followed by three years of supervised release, for orchestrating a sophisticated healthcare fraud scheme that defrauded federal and private insurers out of more than $118 million.
A Decade-Long Fraud Scheme
According to the U.S. Department of Justice and evidence presented during a 25-day trial, Dr. Zamora-Quezada , primarily with rheumatoid arthritis, subjected them to unnecessary tests, procedures, and harmful treatments. The scheme was motivated by personal financial gain and supported a lavish lifestyle.
How the Scheme Worked
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False Diagnoses and Toxic Treatments: Zamora-Quezada told patients they had incurable diseases requiring lifelong treatments—treatments they did not need.
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Fraudulent Claims: He submitted more than $118 million in fraudulent healthcare claims to programs including Medicare, Medicaid, TRICARE, and Blue Cross Blue Shield.
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$28 Million Paid: Insurers ultimately paid out more than $28 million for medically unnecessary services.
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Obstruction of Justice: When under investigation, Zamora-Quezada tried to cover his tracks by falsifying patient records after receiving a federal grand jury subpoena.
Lavish Lifestyle and Forfeiture
As part of the sentence, Zamora-Quezada was ordered to forfeit $28,245,454, including:
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13 real estate properties
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A private jet
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A Maserati GranTurismo
All assets were purchased using proceeds from the fraudulent scheme.
@cwebnews
CWEB Crime Exclusive: Texas Doctor Sentenced to 10 Years in $118 Million Healthcare Fraud Scheme intentionally misdiagnosed patients Dr. Jorge Zamora-Quezada, a 68-year-old rheumatologist from Mission, Texas, has been sentenced to 10 years in federal prison, followed by three years of supervised release, for orchestrating a sophisticated healthcare fraud scheme that defrauded federal and private insurers out of more than $118 million. Read the Full Article on https://cweb.com/category/crime/
Convictions
A federal jury convicted Dr. Zamora-Quezada on multiple charges:
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One count of conspiracy to commit healthcare fraud
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Seven counts of healthcare fraud
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One count of conspiracy to obstruct justice
Patient Harm and Employee Abuse
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Harm to Patients: Hundreds of former patients later discovered they had never suffered from the conditions he diagnosed. Many endured the trauma of taking toxic medications unnecessarily.
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Employee Intimidation: Testimony revealed a 20-year pattern of abuse and coercion. Zamora-Quezada imposed aggressive quotas for procedures and retaliated against staff who questioned his methods, often firing them.
DOJ Issues a Strong Warning
Matthew R. Galeotti, head of the Justice Department’s Criminal Division, stated:
“The Department of Justice will aggressively pursue and hold accountable medical professionals who harm Americans for personal enrichment.”
This CWEB Crime Exclusive exposes a disturbing pattern of professional betrayal, where both physicians and some lawyers or law firms abuse their positions of trust to exploit vulnerable individuals and defraud healthcare and legal systems alike. His conviction and sentencing underscore the serious legal and financial consequences for professionals who engage in fraud at the expense of public health and safety.
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