UPDATE: Louisa, Ky. Anesthesiologist Loses Medical License

By: WSAZ News Staff Email
By: WSAZ News Staff Email

UPDATE 7/12/13
LOUISA, Ky. (WSAZ) -- The Kentucky Medical Board has permanently suspended the license of a Kentucky anesthesiologist.

Dr. Lee Balaklaw made an Alford Plea in May to 10 misdemeanor counts of theft by deception under $300.

He was sentenced to 12 months in jail, but the sentence was suspended for two years providing that the defendant pays restitution in the amount of $140,105, which includes more than $135,000 in restitution to the Kentucky Medicaid program.

In October 2011, a Lawrence County grand jury indicted Balaklaw on 20 counts of Medicaid fraud following an investigation into his billing practices at Anesthesia Associates of Louisa.

The indictment accused Balaklaw of intentionally or wantonly submitting fraudulent and false claims to Medicaid by claiming he treated multiple patients using pain treatment injections into the tendon.

The investigation showed Dr. Balaklaw was actually performing another injection treatment which entitled him to a smaller reimbursement from Medicaid. The charges allege that from January 2007 through July 2010, Balaklaw fraudulently billed $90,000 for the 29 patients included in the indictment.

During a hearing this week, the Ohio Board of Medicine permanently suspended Balaklaw's license.

Balaklaw owned now-closed pain clinics in Louisa and Prestonsburg.



UPDATE 5/1/13
LOUISA, Ky. (WSAZ) -- An anesthesiologist from Louisa, Ky., who was also the former owner of two eastern Kentucky pain clinics has pleaded guilty to charges he defrauded the Medicaid program.

Dr. Lee Balaklaw entered an Alford Plea to 10 misdemeanor counts of theft by deception under $300 during a hearing in Lawrence Circuit Court on Friday.

Circuit Judge David Preston immediately sentenced Balaklaw to 12 months in jail on each count to run concurrently. The sentence was suspended for two years providing that the defendant pays restitution in the amount of $140,105, which includes more than $135,000 in restitution to the Kentucky Medicaid program.

Additionally, Dr. Balaklaw is excluded from participation in all federally funded health programs, including Medicaid and Medicare, for a period of at least five years pursuant to federal regulations.

“I appreciate the hard work of my investigators and prosecutors in bringing this case to a successful close,” said Kentucky Attorney Generally Jack Conway. “I am pleased that we’ve recovered money for a vital state program and excluded Dr. Balaklaw from participating in the Medicaid program.”

In October 2011, a Lawrence County grand jury indicted Balaklaw on 20 counts of Medicaid fraud following an investigation into his billing practices at Anesthesia Associates of Louisa.

The indictment accused Balaklaw of intentionally or wantonly submitting fraudulent and false claims to Medicaid by claiming he treated multiple patients using pain treatment injections into the tendon.

The investigation showed Dr. Balaklaw was actually performing another injection treatment which entitled him to a smaller reimbursement from Medicaid. The charges allege that from January 2007 through July 2010, Balaklaw fraudulently billed $90,000 for the 29 patients included in the indictment.

Balaklaw owned now closed pain clinics in Louisa and Prestonsburg.



UPDATE 11/10/11 @ 10:15 a.m.
LOUISA, Ky. (WSAZ) -- An anesthesiologist from Louisa, Ky., says he is not guilty of Medicaid fraud.

Last month, Lee Adam Balaklaw was indicted on 20 counts of Medicaid fraud following an investigation into his billing practices at Anesthesia Associates of Louisa.

Thursday, Balaklaw was arraigned on the charges during a brief hearing in Lawrence County Circuit Court. He pleaded not guilty to each of the counts. He and his attorney had not comment following the hearing.

The indictment alleges that Balaklaw intentionally or wantonly submitted fraudulent and false claims to Medicaid by claiming he treated multiple patients using pain treatment injections into the tendon. These types of injections are called trigger point injections.

The charges allege that from January 2007 through July 2010, Balaklaw fraudulently billed $90,000 for the 29 patients.

Balaklaw is also the former owner of two eastern Kentucky pain clinics.

His next court date is set for February. He is out of jail on his own recognizance.



UPDATE 10/19/11
FRANKFORT, Ky. (WSAZ) -- An anesthesiologist from Louisa, Ky., who is also the former owner of two eastern Kentucky pain clinics, has turned himself in to authorities.

On Friday, a Lawrence County Grand Jury indicted Lee Adam Balaklaw on 20 counts of Medicaid fraud following an investigation into his billing practices at Anesthesia Associates of Louisa.

The indictment alleges that Balaklaw intentionally or wantonly submitted fraudulent and false claims to Medicaid by claiming he treated multiple patients using pain treatment injections into the tendon. These types of injections are called trigger point injections.

The charges allege that from January 2007 through July 2010, Balaklaw fraudulently billed $90,000 for the 29 patients.

The Kentucky Attorney General’s Office says Balaklaw was booked into the Big Sandy Regional Detention Center on Monday, and then released on his own recognizance.

He is expected to be arraigned on the charges in Lawrence County Circuit Court late next week.

The Attorney General’s Office says that Balaklaw had been working in Vermont, but that he maintain a residence in Vermont. They also say the two pain clinics were in Louisa and Prestonsburg, and both are now closed.



ORIGINAL STORY 10/14/11 @ 4:13 p.m.
FRANKFORT, Ky. (WSAZ) -- An anesthesiologist from Louisa, Ky., who is also the former owner of two eastern Kentucky pain clinics, has been indicted by a Lawrence County Grand Jury

Kentucky Attorney General Jack Conway says Lee Adam Balaklaw was indicted on 20 counts of Medicaid fraud following an investigation into his billing practices at Anesthesia Associates of Louisa.

The indictment alleges that Balaklaw intentionally or wantonly submitted fraudulent and false claims to Medicaid by claiming he treated multiple patients using pain treatment injections into the tendon. These types of injections are called trigger point injections.

The charges allege that from January 2007 through July 2010, Balaklaw fraudulently billed $90,000 for the 29 patients.

A warrant has been issued for Balaklaw’s arrest and his bond will be set at $5,000 cash.


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