Ozone Gas Injections at Healing Hands of Virginia: What Patients of Dr. Jawad Bhatti Should Know
Federal prosecutors say a Richmond pain doctor, Jawad Bhatti, injected patients with a mix of ozone gas and lidocaine, a treatment the FDA calls a toxic gas with no accepted medical use, and that many patients were never told. He pleaded guilty to one count in February 2026, but a federal judge rejected the plea deal as too lenient in May. Here is what the public record shows and what former patients should do.
Jawad Bhatti ran a Richmond pain clinic called Healing Hands of Virginia. According to a federal indictment and his own signed statement of facts, he injected patients with a combination of ozone gas and lidocaine, a treatment the Food and Drug Administration does not approve and describes as a toxic gas, and he often did it without telling the patient what the injection was. In February 2026 he pleaded guilty to one count under a plea agreement. In May a federal judge rejected that agreement as too lenient, and the case is not finished. For anyone treated at that clinic, the court file and the deadlines are now part of the story.
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Free Case ReviewWhat the case is about
Jawad Bhatti, 54, of Richmond, Virginia, owned and operated a pain-management clinic called Healing Hands of Virginia. In 2025 a federal grand jury in the Eastern District of Virginia charged him with 26 counts tied to his use of ozone gas on patients. The case is United States v. Jawad Bhatti, Criminal No. 3:25-cr-00099, in the U.S. District Court for the Eastern District of Virginia, Richmond Division.
According to the indictment and the U.S. Attorney's Office, Bhatti bought ozone-generating machines from suppliers in Germany and Hong Kong, used them to make ozone gas, combined that gas with the anesthetic lidocaine, and injected the mixture into patients. He then billed Medicare and Medicaid for the injections by calling them nerve blocks or steroid injections, which they were not, and by claiming he had used ultrasound or radiological guidance that prosecutors say he did not use.
The charges include health care fraud, false statements related to health care matters, receiving adulterated and misbranded devices, and causing a drug to be misbranded. Two of the counts were later dismissed. The core of the case is simple to state: patients were given an unapproved substance, many did not know it, and the government programs that paid for the care were billed under codes that hid what actually happened.
What ozone therapy is, and what the FDA says about it
Ozone is a gas. Some alternative-medicine practitioners promote injecting or infusing it as a treatment for pain and a long list of diseases, but mainstream medicine does not accept those claims, and the FDA has not approved ozone for use inside the body as a therapy.
The FDA's position is blunt. The agency describes ozone as a "toxic gas with no known useful medical application in specific, adjunctive or preventive therapy," and states that for ozone to work as a germicide "it must be present in a concentration far greater than that which can be safely tolerated by man and animals." The agency has also warned that exposure can cause undesirable effects on the central nervous system, the heart, and vision, and can irritate the lungs.
According to reporting by the Richmond Times-Dispatch, the companies that sold Bhatti the machines attached a disclaimer to the sale. The buyer had to acknowledge that the device "is not a medical device," would not be represented as one, and does not treat or cure any disease. Prosecutors say Bhatti's clinic website nonetheless advertised ozone as a pain therapy and, at points, described it as a treatment for cancer, AIDS, and arthritis. None of those uses is supported by mainstream science.
What patients say the injections felt like
The physical accounts in this case are hard to read. Prosecutors say Bhatti injected the ozone mixture into patients' necks, backs, toes, and scalps, and that many described it as the worst pain they had ever felt. According to reporting on the case by WRIC and other Richmond outlets, patients reported extreme pain at the injection sites and symptoms that ranged from seizures and vomiting to migraines and temporary loss of vision.
Bhatti's own signed statement of facts, filed with the court as part of the February 2026 plea, acknowledged that the injections often caused physical side effects in his patients. It also acknowledged that he often gave the ozone compound without securing the patient's informed knowledge and consent, and that he was aware the use of ozone for medical purposes was not approved by the FDA.
Those admissions are on the record in a court document. They matter because a patient who was harmed does not have to prove from scratch that the treatment was improper. Much of that groundwork already sits in the federal file.
Injected without consent, and kept out of the chart
Two facts in this case are especially important for patients, and they work together. The first is consent. A patient has the right to know what is being put into their body and to agree to it. When a provider injects an unapproved substance and does not tell the patient what it is, that is not a technical paperwork problem. It goes to the heart of what the law calls informed consent, a subject we cover in our article on understanding medical malpractice and your rights as a patient.
The second fact is concealment. According to prosecutors and Bhatti's statement of facts, the ozone injections were not recorded honestly. Bhatti used false billing codes and did not identify the ozone in patients' records, which is part of why the conduct went undetected for so long. That creates a painful situation for former patients: you may have been injected with ozone and have no note in your chart that says so.
This is exactly the kind of case where the hidden layer of the medical record matters. Timestamps, order entries, billing codes, and the metadata behind an electronic chart can show what was really given and when, even when the visible note is silent or misleading. Our article on EMR audit trails and what electronic records actually reveal explains how that hidden layer works and why it is worth demanding in writing.
The fraud charges and the money
The government also treated this as a fraud case, because the injections were billed to public health programs under codes for services that were never provided. According to the indictment, Bhatti billed Medicare and Medicaid more than five million dollars in connection with the scheme and was paid a fraction of that amount. The indictment sought forfeiture of $1,206,690, described as the gross proceeds of the charged offenses.
The indictment breaks the billing down. For one group of counts it alleges Bhatti fraudulently billed the programs $1,941,204.32 and was paid $465,352.54. For another group it alleges he billed $3,261,170.64 and was paid $741,338.38. The billing codes told the programs he had delivered legitimate nerve blocks and steroid injections with imaging guidance. Prosecutors say what patients actually received was ozone.
For an injured patient, the fraud numbers are context rather than the claim itself. A criminal fraud charge is about money owed to Medicare and Medicaid. A patient's own injury is a separate matter with its own path, which is the point we turn to next.
The guilty plea, and why a federal judge threw it out
On February 3, 2026, Bhatti entered into a plea agreement with the government and pleaded guilty to a single count, causing a drug to be misbranded through the ozone and lidocaine combination. Under that agreement the two sides recommended a sentence with no prison time, a restitution figure of $91,810, and forfeiture of the same amount. In exchange, the remaining counts would be dismissed. The maximum penalty on that single count is three years in prison and a fine of no more than $10,000.
The judge did not accept the deal. On May 19, 2026, U.S. District Judge Robert Payne issued a written opinion declining to approve the plea agreement, finding it too lenient for the conduct involved. The judge noted that the presentence report put Bhatti's net worth at about $3.7 million, that the indictment had alleged more than $1.2 million in fraud proceeds, and that the agreement's restitution and forfeiture figure of $91,810 was never clearly explained. He wrote that "those who have defrauded the system must be significantly punished" if Medicare and Medicaid are to keep doing their job.
According to reporting on the ruling, sentencing guidelines would suggest roughly 30 to 37 months in prison if Bhatti were convicted of the outstanding charges, in contrast to the probation the plea deal had proposed. With the agreement rejected, the case is not resolved. The counts that were set to be dismissed remain pending, and Bhatti is entitled to the presumption of innocence on any charge that has not been decided by a court. This is a live case, and its status may change after this article is published.
Why the criminal case does not, by itself, compensate patients
It is easy to assume that a federal prosecution takes care of the people who were hurt. It usually does not. A criminal case can send someone to prison and can order restitution, but the restitution in this matter was tied to the money defrauded from Medicare and Medicaid, not to what individual patients lost in pain, lasting injury, or the cost of undoing the harm. A patient who wants to be compensated for a personal injury generally has to bring a separate civil claim.
In Virginia, a claim like this would usually be a medical malpractice or medical battery claim. Being injected with an unapproved substance without consent can support a claim built on lack of informed consent, on treatment that fell below the accepted standard of care, or on a battery theory, depending on the facts. A civil claim has a different job than the criminal case, a lower burden of proof, and a different clock, which is the part patients most often get wrong.
The two tracks can help each other. The federal file, including the indictment, the statement of facts, and any records the government gathered, becomes a roadmap for a civil claim. But a civil claim still has to be brought by the patient, and it has to be brought in time.
What to do if you were a patient at Healing Hands of Virginia
If you or a family member was treated at Healing Hands of Virginia, especially between 2019 and 2023, start by getting the records. Federal law gives patients and their representatives the right to inspect and copy the medical record, so request the complete file in writing: office notes, procedure and injection records, the medication list, billing and coding records, and any imaging. Ask specifically for the electronic record and its audit trail, not just a printed summary.
Do not assume your chart tells the whole story. Because prosecutors say the ozone was billed under other codes and left out of the notes, the visible record may not mention ozone at all. That is a reason to look harder, not a reason to walk away. If you remember an injection that caused unusual pain, seizures, vomiting, vision problems, or other symptoms after a visit to this clinic, write down what you recall while it is fresh, including dates, what you were told, and who was present.
You can also check the clinic and the provider through public records. The Virginia Board of Medicine keeps an online license lookup, and our guide on how to check a surgeon's disciplinary record before surgery walks through how to read a physician's license file and any board actions. If you are helping an older relative who was a patient, gather their records and their account too.
Virginia's deadlines, and why waiting is the expensive mistake
Virginia sets strict time limits on medical malpractice claims. In general, the deadline is two years from the date of the injury, which is shorter than many people expect and often shorter than the time it takes for a case like this to surface publicly. There are narrow exceptions. Virginia law can extend the clock in limited situations, including some cases where an injury was fraudulently concealed, and the specific dates of treatment can change the analysis. Because this conduct is alleged to run back several years, and because it was hidden from the records, the timing questions here are genuinely complicated and worth asking about right away.
Virginia also caps the total amount that can be recovered in a medical malpractice case. The cap is set by statute and rises by a set amount each year, so the figure that applies depends on when the injury occurred. A lawyer can tell you which year's cap would govern your situation and what it means in practice. Our article on the statute of limitations for medical malpractice explains why the clock, not the strength of the case, is what most often ends an otherwise valid claim.
The safe assumption is that your window is short and may already be running. Ask now, while the answer can still help. A conversation with a lawyer costs nothing and can tell you quickly whether the timeline and the facts support a claim, and whether any exception might apply to your dates.
If this is you or your family
National Malpractice Lawyers handles medication and unapproved-treatment cases, including injection injuries and claims built on a lack of informed consent, and we work with patients and families across the country. Richmond is in our home region, and we pay close attention to Virginia cases. If you or a loved one was treated at Healing Hands of Virginia, a free and confidential review can tell you whether the records and the timeline support a case.
Our article on medication errors and who is responsible walks through how these cases are built, and our guide to choosing a medical malpractice attorney explains what to look for. The consultation is confidential and there is no obligation. If you are unsure whether what happened to you counts, that uncertainty is exactly what a review is for.
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Start Your Free Case ReviewSources & further reading
- U.S. District Court, Eastern District of Virginia: Memorandum Opinion rejecting plea agreement, United States v. Jawad Bhatti, No. 3:25-cr-00099-REP (May 19, 2026)
- U.S. Department of Justice, Eastern District of Virginia: U.S. Attorney announces charges as part of DOJ national health care fraud enforcement action
- WRIC (8News): Richmond doctor pleads guilty to injecting patients with ozone gas, many without consent
- WRIC (8News): Richmond doctor who injected patients with ozone gas will see trial after plea agreement thrown out
- WAVY: Richmond doctor faces 26 health care fraud charges after allegedly injecting patients with ozone gas
- Health Exec: Doctor arrested for $5.2M fraud linked to using medical ozone gas on patients (FDA statements on ozone)
- Virginia Board of Medicine: Practitioner license lookup
Frequently Asked
- What is Dr. Jawad Bhatti accused of doing?
- Federal prosecutors in the Eastern District of Virginia charged Jawad Bhatti, who owned the Richmond pain clinic Healing Hands of Virginia, with injecting patients with a combination of ozone gas and lidocaine, a treatment the FDA does not approve, and with billing Medicare and Medicaid for the injections under codes for nerve blocks and steroid injections that were not actually provided. He was charged with health care fraud, false statements, receiving adulterated and misbranded devices, and causing a drug to be misbranded.
- Did Bhatti plead guilty, and is the case over?
- He pleaded guilty to one count under a plea agreement on February 3, 2026, but on May 19, 2026, U.S. District Judge Robert Payne rejected that agreement as too lenient. The case is not resolved. The counts that were set to be dismissed remain pending, and Bhatti is entitled to the presumption of innocence on any charge that has not been decided by a court.
- Is ozone injection an approved medical treatment?
- No. The FDA describes ozone as a toxic gas with no known useful medical application as a therapy, and it has not approved ozone for injection or infusion inside the body. Some alternative-medicine practitioners promote it, but mainstream medicine does not accept those claims.
- I was treated at Healing Hands of Virginia but my records do not mention ozone. What should I do?
- That is common in this case, because prosecutors say the ozone was billed under other codes and left out of the notes. Request your complete medical record in writing, including the electronic record and its audit trail, and write down your own account of any injection that caused unusual pain or other symptoms. Then have a lawyer review the file. The absence of an ozone note in the chart is a reason to look harder, not a reason to assume nothing happened.
- How long do I have to bring a claim in Virginia?
- Virginia generally requires a medical malpractice claim to be filed within two years of the injury, with a few narrow exceptions that can extend the deadline in limited situations, including some cases involving fraudulent concealment. Because the conduct here goes back several years and was hidden from the records, the timing is complicated and worth checking right away. See our article on the statute of limitations for medical malpractice.
Where Peter handles these cases
Peter handles medication errors cases in DC, Maryland, and Virginia, plus FTCA cases nationwide. Statutes of limitations and pre-suit procedures vary by jurisdiction, sometimes by years.