September 28, 2020 The Best Source of News, Culture, Lifestyle for Culver City, Mar Vista, Del Rey, Palms and West Los Angeles

Westside Chiropractor Sentenced to Federal Prison for Fraudulently Billing Labor Union Health Plan $4.8 Million

Mahyar David Yadidi order to pay $1,976,832 in restitution on top of four year prison sentence

By Chad Winthrop

A chiropractor was sentenced today to 46 months in federal prison for conspiring to defraud a labor union’s health care benefit plan by offering kickbacks to patients for attending the clinic and by submitting approximately $4.8 million in sham billings.

Mahyar David Yadidi, 38, of West Los Angeles, was sentenced this week by United States District Judge R. Gary Klausner, who also ordered him to pay $1,976,832 in restitution.

In November 2019, Yadidi pleaded guilty to one count of conspiracy to commit health care fraud.

Yadidi operated Philips San Pedro Chiropractic – formerly known as Synergy Healthcare and Wellness Center – in San Pedro. From July 2016 to October 2018, Yadidi operated a scheme to defraud the International Longshore and Warehouse Union – Pacific Maritime Association (ILWU-PMA) health care benefit plan. Yadidi worked with co-conspirators Ivan Semerdjiev, 41, of Irvine, a chiropractor who worked for Yadidi, and Julian Williams, 45, of San Pedro, a personal trainer who also worked for Yadidi.

ILWU-PMA health care plan members were induced by Yadidi to visit his clinic with offers of $50 in cash for each visit, according to a one-count criminal information filed in this case. Yadidi also paid plan members to allow him to bill the plan when members did not visit his clinic.

Yadidi offered monetary incentives to Williams, Semerdjiev, and other employees, as well as to patients, to recruit additional plan members to visit his clinic. Williams induced plan members to visit the clinic by falsely informing them that they could receive personal athletic training services from him that the plan would pay for.

Once plan members either visited Yadidi’s clinic or agreed to allow him to submit claims to the plan for non-existent visits, Yadidi billed and caused his employees to bill the plan for services that were not rendered, services that were not medically necessary, and chiropractic and physical therapy services that were performed by

Williams, who was neither licensed nor otherwise qualified to be performing those services.

At his instruction, Yadidi’s employees falsified records, including sign-in sheets that listed the dates plan members purportedly received services from Philips Chiropractic. Yadidi instructed Semerdjiev to falsify patient files to support the clinic’s fraudulent billing. Yadidi and his co-conspirators also created false entries in the name of plan members’ relatives, knowing that the union’s health care benefit plan allowed them an additional number of covered visits as well.

Yadidi continued to operate his scheme after he was terminated as an authorized provider by the ILWU-PMA plan in August 2017, six months after it conducted an audit of his clinic.

To continue the conspiracy, Yadidi changed the name of his clinic – which previously was called “Synergy” and falsely held out another person as the clinic’s primary owner and operator, when in fact, Yadidi continued to own, operate, and financially benefit from the clinic. Yadidi continued to submit claims to the plan in the sham owner’s name.

During the conspiracy’s duration, Yadidi’s clinic submitted $4,756,284 in fraudulent claims to the ILWU-PMA plan, for which the plan paid $1,976,832.

Williams and Semerdjiev each pleaded guilty to one count of conspiracy to commit health care fraud and were sentenced to six months and one year in federal prison, respectively.

      

Related Posts

Westfield Files Federal Class-Action Lawsuit to Reopen Indoor Malls

September 27, 2020

September 27, 2020

Federal class-action lawsuit filed against Los Angeles County By Toi Creel The company behind Westfield Culver City has filed a...

Edify TV: Trident Center Redevelopment

September 25, 2020

September 25, 2020

The Westside’s Trident Center is getting a major overhaul and new name as part of a flurry of development in...

Edify TV: Boulders Blocking Westside Encampment Removed

September 24, 2020

September 24, 2020

City officials recently removed boulders placed on sidewalks by some Westside residents to prevent the formation of a homeless encampment....

Stabbing Suspect At Large Police Seek Publics Help: Culver City Beat – September, 24, 2020

September 24, 2020

September 24, 2020

Local news and culture in under 5 minutes. * Stabbing Suspect At Large Police Seek Publics Help * Increases In...

Edify TV: Al Fresco Program Ending?

September 24, 2020

September 24, 2020

During a COVID-19 pandemic many restaurants have found aid through the City of Los Angeles’ Al Fresco dining program, but...

As County Breweries Say They Have Been Unfairly Shuttered Lawmakers Pass Grant Program

September 24, 2020

September 24, 2020

$10 million grant program approved by Board of Supervisors  By Sam Catanzaro Will a $10 million grant program be enough...

Trio of Popular Restaurants Coming to Marina del Rey

September 23, 2020

September 23, 2020

Marina del Rey getting HiHo Cheeseburger, KazuNori and UOVO By Kerry Slater A trio of popular restaurants is coming to...

Burglary Suspect Makes Entry Into Occupied Culver City Residence

September 22, 2020

September 22, 2020

Man enters Culver City home, confronted by residents By Chad Winthrop Culver City police arrested this week a burglary suspect...

Smoke From Wildfires Making You Sick?

September 22, 2020

September 22, 2020

UCLA pulmonologist on how people can tell if the wildfires are making them sick By Toi Creel Even if you...

Culver City Officials Threaten to Close Skatepark if Face Coverings Are Not Worn

September 22, 2020

September 22, 2020

Officials post additional notices at skatepark  By Chad Winthrop Culver City health officials are threatening to close the city’s skatepark...

Will County See Another Surge in COVID-19 Cases?

September 22, 2020

September 22, 2020

County health officials keeping close eye on data this week By Sam Catanzaro Los Angeles County health officials are monitoring...

Firefighters Extinguish Building Fire In Palms: Culver City Beat – September, 21, 2020

September 21, 2020

September 21, 2020

Local news and culture in under 5 minutes. * Firefighters Extinguish Palms Building Fire * Bobcat Fire Reaches Historical Size...

Shots Fired and Live Ammo Found at Culver City Park

September 21, 2020

September 21, 2020

No victims reported by police By Sam Catanzaro Police found spent shells and live ammunition following reports of shots fired...

Culver City Hotel Stabbing Leaves Victim ‘Bleeding Profusely’

September 21, 2020

September 21, 2020

Suspect at-large, victim in critical condition following Friday incident at Culver City DoubleTree By Sam Catanzaro A suspect remains at-large...

4.6 Quake Rocks Westside

September 18, 2020

September 18, 2020

4.6 magnitude quake recorded Friday night By Sam Catanzaro A 4.6 magnitude earthquake struck the San Gabriel Valley Friday sending shock...

Comments
Leave a Reply

Your email address will not be published. Required fields are marked *