Given the specific misrepresentations made, and the fact that insurers would have otherwise more carefully scrutinized the clinic, sufficient evidence for a scheme or artifice to defraud, despite the fact that some percentage of the claims were legitimate.
Restitution, and sentencing calculations should have been offset for the percentage of treatments that were medically necessary. Forfeiture, though, looks to the gross proceeds of the criminal activity and did not have to be offset.