A federal grand jury returned a one-count indictment Thursday against Felipe Ruiz, 51, of Fresno, and Jose Gabriel Aguirre, 52, of Clovis, charging them with conspiracy to commit health care fraud.
According to court documents, Ruiz was a podiatrist at West Coast Podiatry Inc. (WCP), a podiatric medical practice with locations in Fresno, Madera, and Stanislaus Counties.
Aguirre was a sales representative for several companies that sold skin grafts. Aguirre used his name, his wife’s name, and the name of a corporation registered to his wife to sell the skin grafts.
Between June 2021 and January 2024, Ruiz purchased skin grafts from Aguirre and permitted Aguirre, who was not a licensed healthcare provider, to apply the skin grafts to Medicare and Medi-Cal beneficiaries without Ruiz being present.
Ruiz and Aguirre also allowed beneficiaries to refer to Aguirre as “Dr. Gabe,” though he was not a doctor.
Ruiz and Aguirre subsequently submitted claims to Medicare and Medi-Cal that falsely represented that Ruiz had applied the skin grafts to the beneficiaries when Aguirre had actually rendered the services.
As a result, Medicare and Medi-Cal paid Ruiz millions of dollars for the false claims. Ruiz then made payments to Aguirre. Ruiz and Aguirre used the money for their own benefit and personal expenditures.
If convicted, Ruiz and Aguirre face a maximum penalty of 10 years in prison and a $250,000 million fine.
Any sentence, however, would be determined at the discretion of the court after considering any applicable statutory factors and the Federal Sentencing Guidelines, which consider several variables. The charges are only allegations; the defendants are presumed innocent until and unless proven guilty beyond a reasonable doubt.
