Becker’s has reported on four physician fraud cases since July 21:
1. Harrisburg-based Eye Consultants of Pennsylvania has agreed to pay $790,000 to resolve allegations that it submitted false claims to Medicare. Between Sept. 1, 2018, and April 7, 2025, the ophthalmology group allegedly billed for Evaluation and Management services in violation of Medicare regulations.
2. Mohd Malik, MD, a psychiatrist based in St. Louis and part-owner of Behavioral Health Services, which operated Psych Care Consultants, will pay $501,556 to settle claims of improper billing to Medicare and Missouri Medicaid. From Jan. 1, 2019, to May 31, 2024, Dr. Malik allegedly billed for in-person psychotherapy services he did not personally provide, including instances when he was out of state or outside the country, and submitted claims for services rendered by other providers.
3. Scott McLain, MD, a Kingsport-based physician, has been charged with multiple federal offenses including healthcare benefit fraud, false statements, and unlawful distribution of controlled substances. Dr. McLain is accused of billing insurers for services he did not perform and illegally prescribing Schedule II and Schedule IV drugs, including oxycodone.
4. Ritesh Kalra, MD, an internist in Fair Lawn, N.J., faces charges of unlawfully distributing opioids, soliciting sexual favors from patients, and defrauding New Jersey Medicaid. Prosecutors allege Dr. Kalra operated a “pill mill,” prescribing high-dose opioids such as oxycodone and promethazine with codeine without a legitimate medical purpose. Between January 2019 and February 2025, he issued more than 31,000 prescriptions for oxycodone, with some days totaling over 50 prescriptions.
