June 3, 2016
3801 Connecticut Avenue, NW
Apt. 136
Washington, DC 20008

Michael A. Bogrov, M.D.
Chief Medical Officer
Psychiatric Institute of Washington
Washington, DC
Telephone: 202-885-5688

Re: Possible Medicare/D.C. Medicaid Fraud

Dear Dr. Bogrov:

I am currently in twice per week out-patient therapy with Richard Chvotkin at the Psychiatric Institute of Washington (PIW). I reviewed this letter with Mr. Chvotkin on May 31, 2016.

From 1988 to 1991 I worked as a paralegal at the D.C. Office of the law firm Akin Gump Strauss Hauer & Feld. Effective October 29, 1991 Akin Gump (Dennis M. Race, Esq.) (202 887-4028) terminated my employment. The employer later alleged that its consultation with the psychiatrist Gertrude R. Ticho, M.D. (deceased) disclosed that I suffered from paranoid mental illness (“ideas of reference”) that might be associated with a risk of violent conduct. I later filed for and was granted (in August 1993) Social Security (SSA) Disability Benefits based in large part on the employer’s disability determination. SSA’s disability date is October 29, 1991, the job termination date.

In 1992 The George Washington University Medical Center Department of Psychiatry (GW) (Napoleon Cuenco, M.D. and Suzanne M. Pitts, M.D. (deceased)) diagnosed me with Bipolar Disorder and prescribed lithium for a brief time. In February 1996 GW (Dimitrios Georgopoulos, M.D.) diagnosed me with Paranoid Schizophrenia.

Comprehensive psychological testing performed by GW in May 1994 failed to disclose that I suffer from any mental illness of any kind (Axis I or Axis II). In March 1996 GW administered the Wisconsin Card Sorting Test, a measure of executive functioning. I received a perfect score, which tends to rule out schizophrenia as well as paranoid (delusional) disorder. Ibanez-Casas I., et al. “Deficits in executive and memory processes in delusional disorder: a case-control study.” PLoS One. Jul 2;8(7):e67341 (2013). I was not on any medication at the time of testing in 1994 or 1996.

In February 1999 Albert H. Taub, M.D. (D.C. Dept. Behavioral Health) diagnosed me with paranoid schizophrenia and recommended the neuroleptic zyprexa, which I refused. Documents I wrote to Dr. Taub prior to his diagnosis tend to show that it is inconceivable that a psychiatrist acting in good faith could have concluded that I suffered from Paranoid Schizophrenia.

My current Axis I diagnosis is Paranoid (Delusional) Disorder. I believe that I was a victim of job harassment at Akin Gump, a belief which has been described as delusional. I also believe that I have been under surveillance by Akin Gump since late October 1988, a belief which has been described as delusional.

My current medications are Paxil (40 mg/day), Buspar (60 mg/day) and Geodon (20 mg/day). Medications are prescribed by the McClendon Center (Nurse Sara Carroll), a core services agency of the District of Columbia. I previously took Geodon, Abilify, Risperdal and Zyprexa at therapeutic doses which did not affect my paranoid thinking.

I forward documents about my case that may support an inference that I do not suffer from any mental illness and that, therefore, PIW’s billing of Medicare and D.C. Medicaid for my treatment is medically questionable or fraudulent.

I invite PIW to refer this matter to the Washington Field Office of the FBI for investigation. I have addressed several letters to Supervisory Special Agent in Charge, Paul Abbate, FBI-WFO whom you may wish to contact directly.


Gary Freedman