Overview
- Paul Randall, who pleaded guilty Monday to one count of wire fraud, is set for August 3 sentencing and faces up to 30 years in prison.
- Randall admitted he caused $269,120,829 in false claims from May 2022 to April 2023, and that Medi-Cal paid about $178,746,556 on those bills.
- Using Monte Vista Pharmacy, the group capitalized on a temporary halt to prior authorization and billed for non-contracted generics priced outside Medi-Cal’s usual caps.
- Investigators say Randall paid patient marketers for Medi-Cal IDs and paid nurse practitioner Patricia Anderson to sign pre-filled prescriptions without seeing patients, then routed money through a third party to mask kickbacks.
- The government reports seizing about $126.5 million tied to the scheme, and co-defendants Kyrollos Mekail and Anderson previously entered guilty pleas and await sentencing.