A medical director, operator and two unlicensed practitioners at a Texas medical clinic are now in custody on charges related to their alleged participation in a $32 million health care fraud scheme. Farrah Forough Farizani, D.O., Hamid Reza Razavi, Elie Hanna Hajjar, and Juan Acuña, all of Houston, made their appearances on March 2. Farizani and Razavi are the medical director and operator, respectively, of Hillcroft Physicians, while Hajjar and Acuña allegedly worked as unlicensed practitioners there. The indictment alleges the defendants submitted false and fraudulent claims to Medicaid and Medicare for services that were not provided or were not provided by a licensed, qualified and enrolled provider. Further, the indictment alleges that Farizani, Razavi, Hajjar, and Acuña misled patients and staff to believe that Hajjar and Acuña were licensed to practice medicine in Texas.