Houston Chronicle

Feds: Doctor defrauded patients to fund lavish lifestyle

- By Alex Horton

The business of chemothera­py treatment for arthritis has been good to Jorge Zamora-Quezada.

The Texas doctor took to the air on his six-seat Eclipse 500 business jet, bought with some of the $50 million he was paid since 2000 administer­ing a host of treatments to countless patients.

And on land, ZamoraQuez­ada, 61, roared between various homes and properties in South Texas in his blue 2017 Maserati Granturism­o Coupe.

But the Justice Department has alleged that he bankrolled his “lavish” lifestyle by performing unnecessar­y procedures and prescribin­g costly medication to, potentiall­y, thousands of patients.

Investigat­ors have said that he and co-conspirato­rs took part in a $240 million health care fraud scheme and internatio­nal moneylaund­ering operation funded by excessive and unwarrante­d medical procedures — including treatment for children and the elderly.

The seven-count indictment against Zamora-Quezada could land him in prison for decades.

“His patients trusted him and presumed his integrity; in return he allegedly engaged in a scheme of false diagnoses and bogus courses of treatment ... with no regard for patient wellbeing,” C.J. Porter, a special agent with the Department of Health and Human Services’ Office of Inspector General, said in a Monday statement.

Zamora-Quezada is in custody, and a court date has been set for July 2, Justice Department spokeswoma­n Nicole Navas Oxman said Thursday.

The unsealed indictment says Zamora-Quezada owned medical practices in Brownsvill­e, Edinburg and San Antonio, primarily practicing rheumatolo­gy.

But various shell organizati­ons were built to obscure the flow of money stemming from excessive and fraudulent treatments, the indictment said.

Zamora-Quezada focused on treating rheumatoid arthritis, the indictment said.

The disorder causes the immune system to mistakenly attack tissue and can be treated with various medication­s and chemothera­py drugs — which involve toxins that can damage healthy cells.

It is unclear how many patients could be affected. The indictment notes more than a dozen people but also notes the doctor stashed thousands of medical records in a dilapidate­d barn concealed from Medicare oversight.

ProPublica found that he saw more than 1,500 patients in 2015 alone and was paid $1,672 per patient — well above the $955 average in Texas.

A call to a phone number listed under Zamora-Quezada went unanswered, as did one of his Edinburg practice, Arthritis Ost.

Nora Rodriguez, a patient of Zamora-Quezada, told CNN that he yelled and threw her out of his office after she questioned his treatment.

“He kept getting upset when I was asking him why I was feeling worse and not getting better,” she said.

He is also accused of falsifying records to show that his patients were having more pain than they described, and he hid documents from other doctors who saw the same patients for a second opinion. The indictment does not specify who his alleged co-conspirato­rs are or their role in the scheme.

Zamora-Quezada’s plane and Maserati have been seized by authoritie­s, along with the various real estate properties that investigat­ors allege he used to rent out, under the appearance of generating legal income.

Properties in Texas, Colorado and California were among those seized, in addition to a pair of penthouses in Puerto Vallarta, Mexico.

Zamora-Quezada is not new to scrutiny.

In 2006, the Texas Medical Board accused him of prescribin­g a drug “inconsiste­nt with public health and welfare” and of “billing for treatment that was improper, unreasonab­le, or medically or clinically unnecessar­y,” the Dallas News reported in 2010.

Zamora-Quezada later settled for a public reprimand, monitoring by other doctors and a $30,000 fine.

He was also accused of sexually assaulting four former employees.

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