Los Gatos urgent care clinic accused of insurance fraud

Santa Clara County attorneys have accused the married owner and director of the Los Gatos Urgent Care Clinic of "massive" overcharging of their clients. On Tuesday, the couple was formally charged with fraud.

Drs Farzaneh Tabrizi, 50, and Ali Moayed, 53, of Monte Sereno, have been charged with eight counts of false insurance claims, the Santa Clara County District Attorney's Office said in a statement. If convicted, the couple could be sentenced to return tens of thousands of dollars and serve a prison sentence, prosecutors said.

The charges were laid following an investigation by the Office of the Public Prosecutor following complaints against the emergency care clinic located at 16400 Lark Avenue. An audit of the company "revealed a 100% error rate in billing, including" upward coding "- falsely claiming a more serious injury or illness – and billing for services not rendered", said the prosecutors.

James Dunn, a lawyer representing Dr. Tabrizi, said, "We have started to look into these allegations, and it seems we can show that they are totally false."

"We are very confident that we can show that this information is unfounded," Dunn said.

Dunn added that Dr. Tabrizi remains focused "on the patients and ensures that they receive the best possible care."

Richard Pointer, a lawyer representing Moayed (according to the court's minutes), could not be reached immediately for a comment on Thursday.

Prosecutors said that in one case, a patient walking on a sea urchin would have been charged $ 700 for a pair of foam slippers valued at less than $ 10.

An organic page for Dr. Tabrizi on the Los Gatos Urgent Care Clinic website indicates that she attended Monta Vista High School in Cupertino, graduated from Berkeley University and completed her medical training at emergency at Johns Hopkins University.

The Medical Board of California website states that Tabrizi is a physician and registered surgeon.

Prosecutors also claim that patients were charged for diagnostic tests that they did not receive.

In one case, a patient went to the clinic for a drug test. Although the patient's company paid for the test, the clinic illegally charged her a copayment and her insurance company $ 425 for a non-existent urinary tract infection, prosecutors said.

"People go to medical clinics for treatment, without being fooled," said prosecutor Julie Sousa in a statement issued by the district attorney's office. "The district attorney's office has no tolerance for health professionals who take advantage of sick and injured clients to scam them and their insurance companies."

One of the defunct insurance companies estimated the losses resulting from the fraudulent practice of Los Gatos Urgent Care at more than $ 200,000.