Doctor Charged with Illegally Distributing Opioids, Defrauding Health Care Benefit Programs
For Immediate Release
U.S. Attorney's Office, Western District of Pennsylvania
PITTSBURGH - A Pittsburgh-area physician has been indicted by a federal grand jury in Pittsburgh on charges of violating federal narcotics laws and health care fraud, Acting United States Attorney Stephen R. Kaufman announced today.
The 242-count Indictment, returned on May 5 and unsealed yesterday, named John Keun Sang Lee, age 78, of Venetia, Pennsylvania, as the sole defendant.
According to the Indictment, the defendant was a medical doctor and owner of the medical practice Jefferson Pain and Rehabilitation Center, with a principal office located at 4735 Clairton Blvd, Pittsburgh, Pa 15236. The indictment alleges that on multiple dates between May 2016 and October 2020, Lee knowingly distributed Schedule II controlled substances to five patients outside the usual course of professional practice and not for a legitimate medical purpose. The Indictment further alleges that from May 2016 to October 2020, Lee executed a scheme and artifice to defraud health care benefit programs Medicare and Medicaid by knowingly and willfully submitting claims for steroid injections that were neither reasonable nor medically necessary.
The law provides for a maximum total sentence of not more than 20 years in prison, a fine of $1,000,000 or both. Under the Federal Sentencing Guidelines, the actual sentence imposed would be based upon the seriousness of the offenses and the prior criminal history, if any, of the defendant.
Assistant United States Attorney Karen Gal-Or is prosecuting this case on behalf of the government.
The Federal Bureau of Investigation, the Department of Health & Human Services – Office of Inspector General, the Drug Enforcement Administration, and the Pennsylvania Office of Attorney General conducted the investigation leading to the Indictment in this case.
An indictment is an accusation. A defendant is presumed innocent unless and until proven guilty.
Updated May 7, 2021
Health Care Fraud