In the city of Anchorage a doctor sits in jail this Easter weekend after being arrested for billing the state Medicaid program for more than $300,000 for services that he never performed.
Doctor Shubhranjan Ghosh, age 39, is charged by the state with the following felonies:
> Medical Assistance Fraud
> Evidence Tampering
> Scheme to Defraud an insurance provider
According to the Alaska Medicaid Fraud Control Unit, Ghosh’s billing scam was discovered by an employee, when she came across an insurance bill for a patient whom she knew had not been at the office on the dates recorded. From there, detectives learned that Ghosh had been submitting false billings, “for years.”
Ghosh, who specialized in child psychiatry, operated a business called Ghosh Psychiatric Services at 9138 Arlon Street in Anchorage. He is believed to have entered into a three-year conspiracy with his office manager, fraudulently sending out bills for “ghost visits” beginning at least as far back as early 2010.
Investigators say this wayward physician charged more than $110,000 in “treatments” for all seven children of his office manager; at least $20,000 for “treating” children of a former girlfriend. And they now know he billed Medicaid $170,000 in psychiatric services for patients who never entered the office. The Fraud Unit discovered he billed more than $42,000 for office visits when he was not even in town.
Ghosh MD is now held on $100,000 bail, on three felony charges and one misdemeanor charge. His arraignment will be this week.
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As so often happens, this particular lab coat lunatic immigrated to the United States, in his case from India. He graduated from Kasturba Medical College in Manipal in 1998. He soon learned, as so many immigrant doctors do, that the U.S. has absolutely no oversight, and they can operate with impunity. Had he not gotten careless, he might never have been caught.
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