1. What was charged
According to the indictment (allegation only), Dubin — sole owner of Dubin Medical Consultants / Wound MD — applied expensive amniotic allografts to elderly Medicare patients, including hospice patients, without medical necessity, after obtaining product through illegal kickbacks and “rebate” structures from distributors.
Medicare allegedly paid over $54 million on claims totaling more than $95 million.
2. Document and payment mechanics
Key paper patterns alleged by prosecutors:
- Sham full-price invoices submitted for reimbursement while true net cost was reduced by illegal rebates/kickbacks.
- Pass-through / shell bank account used to route illegal payments from a distributor.
- Falsified medical records to make unnecessary applications look compliant with Medicare wound-care rules.
- Quantity and site abuse — allografts on infected wounds, non-responding wounds, oversized applications relative to wound size.
Proceeds allegedly funded a luxury lifestyle, including multi-million-dollar yacht construction.
3. Desk takeaway
This is healthcare fraud with a banking signature: distributor kickbacks, shell accounts, and invoice arbitrage. For Scam Wire’s bank-instrument readers, the same lesson applies — invoice price ≠ economic price when rebates and side letters exist off the face of the PDF.
Charges: conspiracy to commit health care fraud and five counts of health care fraud (presumption of innocence applies).
4. Primary sources
U.S. Department of Justice OPA, 5 August 2026, Press Release Number 26-889. Investigating agencies: FBI, HHS-OIG, DCIS. West Coast Health Care Fraud Strike Force.