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By Greg JonesWestern Bureau ChiefAn Orange County grand jury charged Kareem Ahmed, the president and chief executive officer of Landmark Medical Management, with paying doctors more than $25 million in kickbacks to prescribe and dispense to California injured workers three compound creams he had formulated to use the most profitable ingredients, according indictments filed Tuesday and unsealed Thursday...

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Comments (21):
“I guess Kareem wont be selling his Caream. Lol I was marketed by him once. Very suspect individual and skeem. These types of companies make all providers get looked at in a negative way. Put him in jail and make an example. Shame on Kareem. ”
By: Anonymous, 06/20/2014 09:06:11 pm

“It amazes me the amount of provider fraud occurring in Orange County/Inland Empire area. First with the spinal hardware kick back fraud, and now with these creams that I have read can be dangerous. Injured workers are being used in any manor for others to make money off of, no matter what harm it does to their body. I hope examples are being made of those doctors involved. Unfortunately an infant was killed with this scam. An article was written a few weeks ago stating they wonder why work comp claims are so much more costly in Southern CA than Northern CA. It appears to me medical provider fraud could be attributing to this. There are many good medical providers in Southern CA, not all are bad. ”
By: Anonymous, 06/20/2014 10:06:50 pm
“Isn't the list of doctors involved with these creams larger, and can they go after all of those involved?”
By: Anonymous, 06/20/2014 10:06:17 pm
“The infant was not killed by the scam. The infant was killed by their stupid parents who left medication within the infant's reach. Once a medication goes out the door you can't fix the shallow end of the breeding pool. I will be surprised if any of these charges hold water. They are mischaracterized.”
By: Cornelia Sterner, 06/20/2014 10:06:02 pm
“You have to give a lot of the credit to the Orange County DA's office. They've been doing great work using the weapons at their disposal (the grand jury, for one) to catch and prosecute these criminals.”
By: Aaron Sussman, 06/20/2014 11:06:04 pm
“The infant was killed when the mother failed to wash the cream off of her hands and made the infants formula. There is no way an infant could get into a tube of cream. However, the fact that the residual on the mothers hands was enough to kill the infant speaks volumes to the strength of the cream.”
By: Anonymous, 06/21/2014 04:06:51 am
“I did not see the section about what happened to the infant in the above story. If there is another link can you please provide? Again, there should be warning going out to those who have these creams if a death has occurred due to a secondary contact. Do not believe we need to attack the mother here. If those creams can cause an infant death due to secondary contact, then in my opinion too dangerous to be in the marketplace. Shame on these people involved with this fraud, and their greed.”
By: Anonymous, 06/22/2014 10:06:50 pm
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“Now they just need to prove the charges. Until a few doctors and executives with these questionable business practices go to jail for a few years and lose everything the lack of ethics amongst those in elite positions will continue to run rampant in our society. This will deprive the tax-payers of billions of dollars of revenue that could have gone to make more citizens lives better. More benefits could have been directed towards injured workers versus paying outrageous costs for compound medications, being ripped off by DME suppliers, and various other scams within the system. The lack of ethics in the medical professional system based on greed alone that they somehow try to justify in their minds that they're helping the injured worker. ”
By: Anonymous, 06/20/2014 10:06:31 pm

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“Looks like I left LA just in time! .......and I thought NJ was dirty. Wow. Miss you guys. SW”
By: Steve Waldman, 06/20/2014 10:06:20 pm

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“The LA District Attorney's Office has sat on this information for 5 years and for some unknown political reason they failed to do anything. I can name at least 6 other orthopedic doctors that along with Dr. Capen. If the tip of the iceberg and cannot happen soon enough. WORK COMP def atty, sr. partner”
By: douglas felchlin, 06/21/2014 12:06:12 am

“It appears the specifics are still unclear as to how the infant died. If it was due to secondary contact, I agree that does speak volumes as to what was being placed in these creams. I agree with the defense attorney, that hopefully other doctors involved will also be known to the public. Possibly others prescribing them were not involved with illegal activity. I do applaud investigators who are finding these crooks.Since this appears to be a safety issue, someone should contact all injured workers who were given these creams as a safety precaution.”
By: Anonymous, 06/21/2014 04:06:34 am
“The mother applied the cream and then did not wash her hands? Still the shallow end of the gene pool, had to have had applied a lot to have cause death or the infant was otherwise compromised in their health. No way for what is in the creams should have caused death. ”
By: Cornelia Sterner, 06/21/2014 05:06:00 am
“Great job on this story and others that have been posted on this site.Top notch investigative journalism, that often times is better than main stream news.”
By: Anonymous, 06/21/2014 10:06:55 am
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“Just a quick question ..... do we have to continue to pay these companies until a conviction or is there some legal argument we can use to avoid paying additional monies to these alleged crooks?”
By: Anaya Smith, 06/23/2014 11:06:23 pm

“If the District Attorney proves the case, essentially that there was an illegal referral scheme that involved tens of millions of dollars in kickbacks, it would certainly put into question the validity of post-2009 date-of-service liens involving any of the defendants, especially where two or more of them are involved. Laws like LC 139.3 and 4906 explicitly prohibit these types of arrangements. Given that the DA seized their files and has specific information about how much was paid to each defendant, and evidence was sufficient for the grand jury to indict, there's a pretty good argument that action on their liens at the WCAB should be suspended until the criminal cases are resolved. Nobody wants a big backlog of lien litigation clogging up the calendars for the next few years, but there's no sense in proceeding on liens which are also the subject of concurrently pending criminal action. Procedurally speaking, I will certainly be advising my clients to request stays en masse. I expect that others will be doing the same, and I am hopeful that the WCAB will respond by issuing a blanket stay on all post-2009 DOS liens for the named defendants. It would look pretty bad if the WCAB was aware of the indictment, and proceeded to award payments (possibly millions) on those liens, and then a finding issued that those same liens were procured through criminal conspiracy.”
By: Keith Pusavat, 06/24/2014 12:06:24 am
“What happened to innocent until proven guilty? Any excuse to stop paying... This could be used to stop paying all medical liens. We'll have to wait and see.”
By: Anonymous, 06/24/2014 07:06:46 pm
“Interesting list of doctors. Why is it some of these also practiced out of Pacific Hospital Long Beach? Is there a connection? Anyone can do a internet search to see a list of surgeons and pain management doctors who were at that hospital. Cross reference with the list of defendants in this case.”
By: Anonymous, 06/25/2014 02:06:25 am
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“It is about time. The only place these people obtain compounded drugs in California WC system. Somehow the Injured workers and their Attorneys will be punished. It is always that way.”
By: Anonymous, 06/24/2014 12:06:18 am

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“One of the guys indicted, Anguizola, is just a front man who provides his MD license. The real owner of the company One Stop Medical is Larson, the chiropractor. He runs the practice from behind the scene guised as "practice management." That company has been on investigation list of county and state investigator for years for various charges. The investigators really need to step up their effort in shutting this guy down. They will simply replace Anguizola with another MD license...”
By: Anonymous, 06/26/2014 01:06:00 am

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“Capen's pain management team killed my friend at Pacific Hospital after Back Surgery in the late nineties. A work comp Judge remarked that he wasn't surprised and would not have let Dr Capen "carve his turkey". No surprise.”
By: Anonymous, 07/02/2014 06:07:48 am

“Your friend was not the only patient who lost their life at Pacific Hospital Long Beach and other small hospitals in Southern CA. Read Wall Street Journal article called Small Hospitals In Southern California The Marketing Of Spinal Surgery. Lets hope those involved are stopped. Very sorry about your friend. http://online.wsj.com/news/articles/SB10001424052970204319004577088712149447348”
By: Anonymous, 07/02/2014 11:07:39 am
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