A Pennsylvania surgeon has agreed to pay $4.25 million to resolve claims that he allegedly accepted a highly inflated salary and other payments as a kickback for referring clients to two hospitals in Lancaster.

According to Pietragallo Gordon Alfano Bosick & Raspanti attorney Marc Raspanti, who represented the whistleblower in the qui tam action, the settlement resolves the bulk of a years-long litigation that last year resulted in a more than $260 million settlement with the Naples, Florida-based hospital chain Health Management Associates.

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