On December 7, 2023, the San Francisco District Attorney announced that Dr. Gary Martinovsky (51) of San Francisco, his office assistant and mother-in-law, Raisa Rikoshinsky (68) of San Bruno, and one of the businesses he owns, Integrated Pain Care (IPC), have been criminally charged with 40 violations of insurance fraud under (PC 550(a)(5), PC 550(a)(7), and PC 550(a)(8)), for fraudulent billing, double billing, and billing for services not rendered.
As alleged in court documents, Dr. Martinovsky, IPC, and Raisa Rikoshinsky filed liens with the State of California Division of Workers Compensation asking for payment of bills which had already been paid in full or in part. California’s Workers Compensation law allows a doctor to file a lien against an insurance provider for payment for services rendered to an injured worker, where the bill has not been paid. In support of the filed liens, the defendants allegedly submitted fraudulent documents and/or failed to disclose that they had already received payments for the billed services. In addition, Dr. Martinovsky and IPC allegedly billed three insurers for services not rendered, by claiming $625 numerous times for services not provided to injured workers.
According to the California Department of Industrial Relations, Dr. Martinovksy has 3,005 liens worth $29,443,467 outstanding as of October 2023. In terms of number of liens filed from 2022 to the present, IPC was second in the State of California only to the Employment Development Department, the state agency that administers California’s Unemployment Insurance, Disability Insurance, and Paid Family Leave programs and maintains records for more than 19 million workers.
In announcing the charges, the San Francisco District Attorney stated: “Medical provider fraud is a major cost driver for Workers Compensation insurance in our State. These scams serve to enrich unscrupulous providers while driving up costs for the rest of us. My office will not tolerate scams like this and will seek to hold those responsible accountable.”
This case was developed through an investigation conducted by the San Francisco District Attorney’s Office Economic Crimes Unit, with the California Department of Insurance assisting in the arrests. If convicted of all charges, Dr. Martinovsky and Ms. Rikoshinsky each face over five years in State Prison.
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