FRESNO, Calif. - U.S. District Judge Jennifer L. Thurston sentenced Felipe Ruiz, 52, of Fresno, and Jose Gabriel Aguirre, 53, of Clovis, to 63 months in prison for conspiracy to commit health care fraud, U.S. Attorney Eric Grant announced. Judge Thurston also ordered forfeiture of nine properties owned by Aguirre and Ruiz, as well as a $2.6 million personal forfeiture money judgement against Aguirre and a $12.1 million personal forfeiture money judgement against Ruiz.

"We trust licensed medical professionals to safeguard their patients and not hand them over to unqualified individuals," said U.S. Attorney Grant. "This podiatrist put profit over patient safety by allowing a salesman to perform medical procedures on vulnerable Medicare beneficiaries. Today's outcome underscores our commitment to holding providers accountable when they abuse that trust and bill federal health care programs for services that violate the most basic standards of care."

"Health care fraud schemes don't just drain taxpayer-funded programs, they also put patients directly at risk," said FBI Sacramento Special Agent in Charge Sid Patel. "The FBI will continue working alongside HHS-OIG and our law enforcement partners to identify and prosecute those who treat public trust as an opportunity for personal profit."

"By allowing an unlicensed and unqualified sales representative to perform medical procedures - including sharp wound debridement - on Medicare and Medi-Cal enrollees, Dr. Ruiz abandoned his professional responsibilities and violated the trust his patients placed in him," said Special Agent in Charge Robb R. Breeden of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). "Fueled by greed, Dr. Ruiz's scheme exposed his patients to serious risk and undermined the integrity of federal health care programs. As today's sentences demonstrate, HHS-OIG and our law enforcement partners will continue to hold those who put profits above patients accountable for their actions."

According to court documents, Ruiz was a podiatrist and the sole owner of West Coast Podiatry Inc. (WCP), a podiatric medical practice with locations in Fresno, Madera, and Stanislaus Counties. Aguirre was a pharmaceutical sales representative who sold skin grafts to Ruiz and WCP. Aguirre was not licensed to practice medicine.

Between June 2021 and January 2024, Ruiz purchased skin grafts from Aguirre and permitted Aguirre to apply skin grafts and perform other medical procedures on patients suffering from severe wounds, including foot amputations. Application of the skin grafts required sharp debridement, which means using a scalpel to scrape the wound until it bleeds. Some patients believed Aguirre was a physician, referring to him as "Dr. Gabe." Aguirre would perform medical procedures alone without supervision from a trained physician.

Ruiz and Aguirre submitted fraudulent claims to Medicare, Medicaid, and Medi-Cal that falsely represented that Ruiz and other physicians had performed the medical procedures, such as applying skin grafts to patients, when Aguirre had actually rendered the services.

In one example, WCP submitted $150,000 in claims to Medicare in 2023, claiming a physician performed the procedures, when in fact the physician was out of the country on vacation. In another example, Aguirre cut into patients with recently amputated feet with a scalpel and apply skin grafts without a physician's supervision. Ruiz knew about Aguirre's conduct and dismissed staff's concerns about Aguirre.

Throughout the period, staff and third-party auditors raised concerns about Ruiz and Aguirre's billing practices. The two ignored those warnings and continued to bill Medicare and Medicaid for services performed by Aguirre.

As a result, Ruiz submitted approximately $3,200,000 in false claims to Medicare, Medicaid, and Medi-Cal between 2021 and 2024.

The U.S. Department of Health and Human Services Office of Inspector General and the Federal Bureau of Investigation conducted the investigation. Assistant U.S. Attorneys Brittany M. Gunter and Cody S. Chapple prosecuted the case.