In November 2019, the United States filed a complaint against Sioux Falls, South Dakota, neurosurgeon Wilson Asfora M.D., Medical Designs LLC, and Sicage LLC alleging False Claims Act violations arising from the alleged payment of kickbacks to Asfora linked to the devices he used in spinal surgeries. Medical Designs LLC and Sicage LLC are medical device distributorships in South Dakota owned and operated by Asfora. Such entities are also known as “physician-owned distributorships” or “PODs”. This lawsuit follows a recent $20.45 million settlement between the government and the hospitals where Asfora performed such surgeries, Sanford Medical Center and the Sanford
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