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Statement of Practitioner Services:
2007 (Page 2)

Fraud Evidence: Drs. Nayar, Khan, Dangor and Datta

Pro-Rated Contribution to the Fraud

The Statement of Practitioner Services contains concrete evidence of systematic billing fraud from the group of four GPs who practice at Suite 125 in the Medical Arts Building, Saskatoon. The doctors are listed below with their pro-rated contribution to the fraud:

Physician
125 Medical
Arts
Number of
Phantom
Appointments
Amount Billed Percent of
Total Cost
Dr. Arun Nayar 28 false claims $ 618.00 21.4 %
Dr. Rukhshanda Khan 60 false claims $ 1,266.00 43.8 %
Dr. Abdulla I. Dangor 44 false claims $ 966.00 33.4 %
Dr. Jyotirmoy Datta 2 false claims $ 42.00 1.4 %
Totals 134 false claims $ 2,892.00 100.0 %

What Are the Multiplying Factors?

Drs. Nayar, Khan, Dangor, and Datta were house physicians at McCoshen Care Home on Whitecap Crescent, Saskatoon (also called Whitecap Care Home). It housed 15 residents. Aside from attending to emergencies, the Nayar group made regular rounds of the block of patients they had signed up – about half the residents. The remaining residents choose their own GP outside of (and independent of) the Care Home.

  • Residents:  Total 15 / 8 consulted the Nayar group / 7 chose independent GPs
  • For one independent resident (Sil), the Nayar group billed $2,892 in false visits, cycling around the four GP names once each week to allay suspicion.
  • Nayar's fraud, well-organized and dextrous, likely went beyond just one resident. Extrapolate: If the Nayar group expanded their scam to include every independent Whitecap resident, then the profit would be ($2,892 x 7) = $20,244.
  • GPs who become house physicians often sign contracts with several Care Homes concurrently, and may line up blocks of patients in one or more large Nursing Homes. The scam potential argues for patient involvement.

Statement:  Claim Status

To mark the 134 phantom appointments, Tuum Est added its own Status Column on the right side of each Statement page. We did so because MICIB took no action themselves to annotate the false claims, despite Dr. Nayar's confession. The size of the Nayar fraud was audacious; some billing patterns were impudent. We highlight such claims with this color key:

Highlight Fraud Type Fraud Description
Gray General Case Drs. Nayar, Khan, Dangor, or Datta bill for a phantom appointment
Yellow Statutory Holiday Claim for a non-urgent full medical exam, on a day when all businesses are closed by law
Green Location Conflict Patient placed in two different locations (miles apart) for same service, on same day
Pink Null Phantom appointment billed, then cancelled same day (no reason given)

Highlight: Gray

Fraud type: General Case

Drs. Nayar, Khan, Dangor, or Datta bill for a phantom appointment

Highlight: Yellow

Fraud type: Statutory Holiday

Claim for a non-urgent full medical exam, on a day when all businesses are closed by law

Highlight: Green

Fraud type: Location Conflict

Patient placed in two different locations (miles apart) for same service, on same day

Highlight: Pink

Fraud type: Null

Phantom appointment billed, then cancelled same day (no reason given)

The 2007 Statement is verbatim from the original apart from: Status Column; highlight colors; and blocking the patient's health-number. For details go to Nayar Fraud.

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Medical Arts Building, Saskatoon

Medical Arts Building

750 Spadina Crescent E, Saskatoon

The truth comes as conquerer only because we have lost the art of receiving it as guest.

Rabindranath Tagore

Nobel Prize Literature 1913

Medical Services Report  –  Statement of Physician Services March 7, 2007 2  
Medical Services Report  –  Statement of Physician Services
March 7, 2007   Page 2
ph_HSN = □□□  name = SIL, GEORGENA S  
Spec Provider
of Service
Provider
Correspondence
Service
Date (D/M/Y)
Service
Provided
Amount
Paid
 
BB Balakrishna, Rangappa 118 Braemar Cres, Saskatoon, S7V 1A1 11/05/2004 VISIT SERVICE $24.30  
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 15/05/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 25/05/2004 VISIT SERVICE $18.00 Fraud
BB Nayar, Arun 125-750 Spadina E, Saskatoon, S7K 3H3 07/06/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 14/06/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 25/06/2004 VISIT SERVICE $18.00 Fraud
BB Straza, Lorne Dale No Current Practice in Saskatchewan 26/06/2004 VISIT SERVICE $24.30  
BB Nayar, Arun 125-750 Spadina E, Saskatoon, S7K 3H3 10/07/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 19/07/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 26/07/2004 VISIT SERVICE $18.00 Fraud
BB Straza, Lorne Dale No Current Practice in Saskatchewan 30/07/2004 VISIT SERVICE $24.30  
BB Mettle, Armstrong N B 2921 8th Street E, Saskatoon, S7H 0V4 31/07/2004 VISIT SERVICE $24.30  
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 01/08/2004 VISIT SERVICE $18.00 Fraud
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 14/08/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 25/08/2004 VISIT SERVICE $18.00 Fraud
BB Straza, Lorne Dale No Current Practice in Saskatchewan 01/09/2004 VISIT SERVICE $24.30  
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 04/09/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 13/09/2004 VISIT SERVICE $18.00 Fraud
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 18/09/2004 VISIT SERVICE $18.00 Fraud
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 26/09/2004 VISIT SERVICE $18.00 Fraud
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 02/10/2004 VISIT SERVICE $18.00 Fraud
BB Straza, Lorne Dale No Current Practice in Saskatchewan 04/10/2004 VISIT SERVICE $24.30  
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 16/10/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 02/11/2004 VISIT SERVICE $18.00 Fraud
BB Straza, Lorne Dale No Current Practice in Saskatchewan 02/11/2004 VISIT SERVICE $24.30  
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 06/11/2004 VISIT SERVICE $18.00 Fraud
BB Straza, Lorne Dale No Current Practice in Saskatchewan 06/11/2004 VISIT SERVICE $24.30  
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 16/11/2004 VISIT SERVICE $18.00 Fraud
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 27/11/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 07/12/2004 VISIT SERVICE $18.00 Fraud
BB Straza, Lorne Dale No Current Practice in Saskatchewan 09/12/2004 VISIT SERVICE $24.30  
BB Dangor, Abdulla I P O Box 1241, Saskatoon, S7K 3N2 12/12/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 21/12/2004 VISIT SERVICE $18.00 Fraud
BB Nayar, Arun 125-750 Spadina E, Saskatoon, S7K 3H3 27/12/2004 VISIT SERVICE $18.00 Fraud
BB Khan, Rukhshanda Jabeen 125-750 Spadina Cr E, Saskatoon, S7K 3H3 03/01/2005 VISIT SERVICE $18.00 Fraud
BB Straza, Lorne Dale No Current Practice in Saskatchewan 11/01/2005 VISIT SERVICE $24.30  
BB Nayar, Arun 125-750 Spadina E, Saskatoon, S7K 3H3 12/01/2005 VISIT SERVICE $18.00 Fraud
Georgena S. Sil
Saskatoon, Canada
Physicist & Technical Writer
Alumnus: University of British Columbia
TuumEstContact@protonmail.com
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Copyright © 2008-2019 Georgena Sil. All Rights Reserved.