Michael Lesem, MD and Michael D. Lesem, MD PA
Outcome
OIG enforcement action against Michael Lesem, MD and Michael D. Lesem, MD PA for healthcare fraud. Penalty: $546,000.
Details
Michael Lesem, MD and Michael D. Lesem, MD PA — OIG Enforcement (2025)
OIG took enforcement action against Michael Lesem, MD and Michael D. Lesem, MD PA in TX in 2025 involving healthcare fraud violations in the Independent Pharmacies sector.
Penalty: $546,000
Violation types: Healthcare Fraud
Entity type: Healthcare Provider
Penalty type: Fine
Location: TX
Source: Michael Lesem, MD and Michael D. Lesem, MD PA Agreed to Pay $546,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Bundled Services that Included Drugs that Were No
How Crucible Prevents This
Crucible's compliance monitoring controls for Healthcare / General would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.
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