United States of America v. Paul Ricahrd Randall

Santa Ana, California, criminal defense lawyer represented the Defendant charged with conspiracy to commit wire fraud in violation of 18 U.S.C. 1349, wire fraud in violation of 18 U.S.C. 1343, and cocealment of money laundering in violation of 18 U.S.C. 1956(a)(1)(B)(i).

Paul Richard Randall, 67, of Orange, California, along with pharmacist and pharmacy owner Kyrollos Mekail, 38, of Moreno Valley, California, and nurse practitioner Patricia Anderson, 59, of West Hills, California, took advantage of Medi-Cal’s suspension of its requirement that health care providers obtain prior authorization before providing certain h medications as a condition of reimbursement. The suspension of the prior authorization requirement was part of an ongoing transition of Medi-Cal’s prescription drug program to a new payment system.

Through a business called Monte Vista Pharmacy (Monte Vista), Randall and his co-conspirators exploited Medi-Cal’s prior authorization suspension by billing Medi-Cal tens of millions of dollars per month for dispensing high-reimbursing, non-contracted generic drugs through Monte Vista. The medications, which included pain creams and Folite tablets, a vitamin available over the counter, were billed for thousands of dollars each, including approximately $13,424 for one prescription of meloxicam 5 mg, a generic drug that typically costs between $5 and $25 for a 30-day supply in larger dosages. Normally, these high-cost reimbursement medications would have required prior authorization under Medi-Cal’s previous payment system. Medication involved in this scheme was medically unnecessary, frequently not dispensed to patients, and procured by illegal kickbacks.

In furtherance of the scheme, Randall paid illegal kickbacks to patient marketers in exchange for Medi-Cal beneficiary information and to Anderson to sign pre-filled prescriptions for the medications. Anderson never met the patients, reviewed their medical records, or otherwise determined that the medications were medically necessary before signing the prescriptions.

From May 2022 to April 2023, Randall caused at least $269,120,829 in false and fraudulent claims to be submitted to Medi-Cal, of which Medi-Cal paid at approximately $178,746,556. Randall committed this offense while on release in another criminal tax case in the Central District of California (United States v. Paul Richard Randall, No. CR 20-00031-GW).

Randall and his co-conspirators laundered their illicit proceeds by transferring them to a third party to pay hundreds of thousands of dollars in illegal kickbacks to Anderson in exchange for Anderson signing the fraudulent prescriptions.

In April 2026, Randall pleaded guilty to one count of wire fraud. In his plea agreement, Randall agreed to forfeit property obtained from the fraud, including bank account balances exceeding $17 million, three vehicles, seven real properties, and sports memorabilia. To date, the government has seized approximately $126.5 million in assets that Randall and his co-conspirators accumulated from the scheme, including $111 million in bank funds and securities, nine luxury vehicles totaling approximately $1 million, nine luxury real properties totaling approximately $13.5 million, and more than $1 million worth of sports memorabilia.

The Defendant was found guilty and was sentenced to 30 years in federal prison.