A Texas rheumatologist was sentenced to 10 years in prison for a cruel health care fraud scheme that involved diagnosing hundreds of healthy people with chronic diseases that required expensive and dangerous treatments.
Jorge Zamora-Quezada M.D. of Mission, Texas, pleaded guilty to conspiracy to commit fraud, several counts of healthcare fraud, and conspiracy to obstruct justice and received a sentence of 10 years behind bars and three years of supervised release. For years, the 68-year-old rheumatologist falsely diagnosed patients with chronic illnesses to bill for tests and treatments that they didn’t need, for his own enrichment. Evidence presented by prosecutors showed that his fraud scheme involved over $118 million in false claims and the payment of over $28 million by insurers, which allowed him to fund an incredibly lavish lifestyle. By profiting off of innocent victims, Zamora-Quezada was able to amass a sizeable fortune, including 13 real estate properties, a jet, and a Maserati GranTurismo.
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“Dr. Zamora-Quezada funded his luxurious lifestyle for two decades by traumatizing his patients, abusing his employees, lying to insurers, and stealing taxpayer money,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division.
During Dr. Zamora-Quezada’s trial, other Texas rheumatologists testified to seeing hundreds of patients previously diagnosed with rheumatoid arthritis by the accused. None of them had the condition, but they had all been prescribed powerful medication and treatments with debilitating and even deadly side effects. Some patients suffered strokes, necrosis of the jawbone, hair loss, liver damage, and excruciating pain that made even the most mundane tasks impossible.
“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 victim said, while others claimed they abandoned college plans because the treatements made them fel like they were living in the body of an elderly person.
Apart from knowingly debilitating healthy patients to finance his lavish lifestyle, Zamora-Quezada reportedly traumatized his staff and blackmailed them to make sure they did his bidding. He mostly hired people who were on J-1 visas so he could threaten to fire them and jeopardize their immigration status, got rid of those who didn’t blindly follow his orders, and abused anyone who failed to generate enough unnecessary procedures for patients, even if they were perfectly healthy.
Patients as young as 13 were treated by Zamora-Quezada at his medical practices in South Texas and San Antonio, and his sentencing brought much-needed closure to hundreds of victims and their families. Although some of them have serious health problems as a result of the medication and treatments prescribed by the disgraced rheumatologist, they can take comfort in knowing that he has been brought to justice, and others won’t have to suffer the same ordeal.
Jorge Zamora-Quezada will have to serve 10 years in prison and three years of supervised release. He was also ordered to pay back $28,245,454, including his 13 real estate properties, private jet, and luxury cars.
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