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A prominent Botox physician based in the Los Angeles area has been found guilty of orchestrating a scheme involving over $45 million in fraudulent Medicare claims.
Violetta Mailyan, a 45-year-old resident of Glendale, faced conviction on nine counts of wire fraud along with three counts of obstructing a criminal investigation related to healthcare offenses. Her fraudulent activities involved billing Medicare for Botox treatments that were never administered, as reported by Fox News.
According to prosecutors, Mailyan had been deceitfully charging for unnecessary Botox procedures at her clinic, Healthy Way Medical Center, from January 2019 until August 2025. Her operations were eventually uncovered by the Department of Justice’s Health Care Fraud Section’s Data Analytics Team.
The investigation by the DOJ revealed that Mailyan had received more Medicare payments for Botox treatments than any other physician nationwide.
In total, Mailyan collected over $24 million from the federal program over four years, a figure that dwarfs the payments received by other medical professionals, including neurologists, by sixfold.
She then used those funds to take lavish vacations and purchase luxury collectibles – including a $3,000 painting of Ludwig I, crown prince of Bavaria, and $12,000 for a 17th-century crossbow.
‘Violetta Mailyan falsely diagnosed patients, fraudulently billed Medicare for Botox injections while she was actually on lavish vacations and tried to trick federal agents with fake records,’ said Assistant Attorney General Colin McDonald, of the Justice Department’s National Fraud Enforcement Division.
‘The Fraud Division’s data-driven approach shines a light on fraud schemes across the country, ensuring that no doctor can engage in these brazen schemes to steal taxpayer dollars,’ he added.Â
Violetta Mailyan, 45, of Glendale, was convicted on nine counts of wire fraud and three counts of obstruction of a criminal investigation of a health care offense
She allegedly used Medicare payments she received for fraudulent claims to buy a $12,000 17th-century crossbow (pictured)
Medicare typically only reimburses medical providers for Botox injections when they are deemed necessary to treat documented cases of chronic migraines or for muscle issues after a patient had tried all other treatments.
But Mailyan billed the federal program for Botox injections that were administered solely for cosmetic reasons or given to patients whose primary care doctors had not referred them for the treatment.
On social media, she even described herself as a ‘BOTOX FILLER NONSURGICAL NOSE COSMETIC DOCTOR.’
Meanwhile, prosecutors said, Mailyan billed Medicare for injections that were administered while she was traveling to Cabo, Mexico; Maui, Hawaii; Las Vegas, Nevada; Pennsylvania and New York.
Some of the injections she billed the federal program for were also listed as having taken place on dates when Healthy Way was not even open, when the patients listed as receiving the treatment were on vacation.
In one case, prosecutors said, Mailyan even claimed she treated a patient who was incarcerated in federal prison at the time.Â
For these injections, Medicare had paid Mailyan nearly $32.9 million.Â
She described herself online as a ‘BOTOX FILLER NONSURGICAL NOSE COSMETIC DOCTOR’ even as she billed Medicare for more than $45 million
Prosecutors said Mailyan billed Medicare for injections that were administered while she was traveling to Cabo, Mexico; Maui, Hawaii; Las Vegas, Nevada; Pennsylvania and New York
When Mailyan later learned that federal prosecutors were on to her scheme, she was also said to have falsified patient medical records – including patient consent forms – to make it appear as if the patients had received migraine treatments in her office.
She went as far as backdating some of the claims to bill for injections before the patients listed as having received the treatment had even contacted Healthy Way to set up an appointment, prosecutors had claimed.
Mailyan now faces up to 20 years in prison for each of the nine counts of wire fraud and five years in prison for each of the three obstruction chargesÂ
Prosecutors had also sought the forfeiture of her property, funds, a Tesla Model X and a Tesla Cybertruck in the indictment.
A sentencing date has not yet been set.