SANTA FE – A former self-described “holistic” cardiologist in Santa Fe was sentenced to more than 4 years in prison Tuesday for health care billing fraud and obstruction of justice.
Roy G. Heilbron also was ordered to pay $623,477 in restitution. He pleaded guilty last year to cheating Medicare and other health care benefit programs by submitting false and inflated claims.
The obstruction count against Heilbron was for faking medical documents about himself, which purported to show a doctor in Costa Rica was to treat him for cancer, in an effort to postpone or avoid his sentencing for fraud. He pleaded guilty to the obstruction count in February.
Chief U.S. District Judge William P. “Chip” Johnson of Albuquerque sentenced Heilbron, 54, to 24 months on a single health care fraud count and 27 months for obstruction. He will be on supervised release for three years after completing his prison sentence.
A federal grand jury indicted Heilbron in June 2015.
According to the indictment, Heilbron had billed for unnecessary tests on new patients and submitted false diagnoses with billing claims he made to insurers; inserted false symptoms and other bad information into patients’ medical charts to support unneeded tests; double-billed for some procedures; and misused billing codes to increase his rate of reimbursement.