Two doctors from the St. Louis, Missouri area have pleaded guilty to federal crimes. Dr. Asim Muhammad Ali, 54, pleaded guilty Thursday to one count of conspiracy to illegally distribute controlled substances and to maintain a drug-involved premises. Dr. Mohd Azfar Malik, 71, pleaded guilty in April to two counts of making false statements related to healthcare matters. Malik, a psychiatrist, also agreed to surrender his Drug Enforcement Administration registrations authorizing him to administer controlled substances. As part of his plea agreement, Dr. Ali admitted agreeing to perform healthcare services for Medicare patients of a company Dr. Malik owned, Psych Care Consultants LLC, but bill using Dr. Malik’s name and Medicare billing number. The doctors billed Medicare for “annual wellness visits,” a yearly appointment in which the healthcare provider develops, creates, or updates a personalized prevention plan and performs tasks including a cognitive function assessment. Dr. Ali did not see them in person but called asked a series of questions. Dr. Ali admitted that Medicare paid $3,902 for the fraudulent claims.
Dr. Malik admitted submitting claims for payment to Medicare, Medicaid, and private health insurers in which he falsely claimed to have performed in-person services when he was out of Missouri or out of the country. In one example in the plea agreement, Dr. Malik admitted submitting a claim to Missouri Medicaid for an initial inpatient hospital visit on Dec. 3, 2023. Dr. Malik was in Hawaii at the time. He also admitted billing a private insurance company for the intravenous infusion of ketamine when he was out of town. The infusion was conducted by Dr. Ali. Dr. Malik knew Dr. Ali was under indictment and lacked a DEA registration authorizing him to administer controlled substances, including ketamine. Dr. Malik admitted causing a total loss of $19,442 to Medicare, Medicaid, and the private healthcare insurers.