An Indian-origin cardiologist was sentenced to five years in prison for defrauding the US government’s medicare scheme and public and private health care insurance programmes of a whopping $13 million through false medical claims.
Sushil Sheth, a Chicago area physician, was sentenced on Wednesday by district Judge Rebecca Pallmeyer and ordered to begin serving the 60-month prison term in two months.
Sheth, 50, who had surrendered his medical licence, pleaded guilty a year ago to one count of health care fraud after being charged in January 2009.
He was ordered to pay restitution totalling approximately $13 million and he agreed to forfeit property and funds worth more than $11.3 million that the government seized from him.
He had privileges at three area hospitals and lied thousands of times to medicare and other insurers in order to receive millions of dollars for medical services he purportedly rendered to patients he never treated, according to the US department of justice.
Sheth, whose business office was in Flossmoor, used the fraud proceeds to live a lavish lifestyle, purchasing a suburban mansion, property in Arizona, luxury automobiles and investing in various venture capital opportunities, it said.
“Health care fraud is one of the highest priorities of federal law enforcement. We will make every effort to recover any fraudulently obtained funds and to ensure that dishonest physicians and other medical providers do not profit from cheating medicare and private insurers,” Patrick J Fitzgerald, US attorney for the northern district of Illinois, said.
Sheth admitted that he obtained approximately $13 million from January 2002 to July 2007, including approximately $8.3 million from medicare and some $5 million from over 30 other public and private health care insurers in fraudulent reimbursement for the highest level of cardiac care when those services were not performed and then used the proceeds for his own benefit.
