My guess from reading this indictment is the Podiatrist was falsely billing 11721 for patients that did not exist. https://www.justice.gov/usao-edky/pr/lexington-foot-and-ankle-center-agrees-pay-750000-resolve-allegations-violations-false
So the issue is when you pay for fake reviews sometimes they are obviously fake. https://www.reddit.com/user/MingCherng/comments/iyeqio/this_is_why_you_should_not_trust_online_doctor