West Bloomfield doctor guilty in Medicare fraud scheme

The Detroit News

A West Bloomfield Township physician has become the third doctor convicted in a $17.1 million Medicare fraud scheme in Michigan.

Dr. Gerald Daneshvar, 40, was found guilty Monday of one count of conspiracy to commit health care fraud after a trial of about two weeks, the U.S. Department of Justice said in a news release. He was acquitted of two counts of health care fraud.

According to federal authorities, evidence during his trial showed that Daneshvar visited patients who did not qualify for visiting physician services, and those visits were billed to Medicare at the highest billing codes.

Daneshvar billed Medicare for home visits that required 40- or 60- minute examinations, but would instead schedule up to 22 home visits a day, spending about 15 minutes or less with each patient, to make more money, authorities said.

He also ordered unneeded tests to qualify for bigger bonuses.

Daneshvar worked for Lake MI Mobile Doctors from 2002 to 2013. Evidence presented at trial shows the company billed Medicare about $17.1 million in fraudulent services.

Two other physicians earlier pleaded guilty to conspiracy to commit health care fraud in connection with the scheme. Dr. Leonard Van Gelder, 69, of Caledonia, Michigan, pleaded guilty in March and Dr. Stephen Mason, 46, of Indianapolis pleaded guilty in December.

As part of their pleas, both doctors admitted seeing patients who did not need their services and testified in Daneshvar’s trial.