Dr. Ryan D. Fralick, 42, of Warren, faces three felony counts – two counts of insurance fraud and one of criminal attempt – theft by deception; and one misdemeanor – theft by deception.

According to the affidavit of probable cause, Fralick, as owner and operator of Fralick Chiropractic, was investigated regarding his treatment of two patients in April and May of 2022.

Both patients had been experiencing back pain, according to the affidavit, and decided to see Fralick. They had both been involved in separate motor vehicle crashes late in 2021.

The patients told police that Fralick had advised them that their pain could be tied to injuries from the crashes and asked for their auto insurance information, according to the affidavit.

The patients reported that Fralick adjusted them only once in their first three visits. After their fourth – during which they said he provided no treatment, he told them they were suffering from degenerative disk disease and would need decompression treatment that would cost $6,500, according to the affidavit.

Neither patient returned after that, according to the affidavit.

One of the patients received explanations of benefits from the auto insurance provider in September and October. The explanation showed that Fralick allegedly billed the insurance for 18 visits that the patients never made resulting in charges of $8,500.

The company also paid for MRIs on the patients performed at Warren General Hospital allegedly requested by Fralick, according to the affidavit. The company “has questioned their legitimacy and if they were medically necessary.”

Agents from the Pennsylvania Office of Attorney General questioned Fralick in March, according to the affidavit.

He was told the victims said they had signed in each time they had been to the office. Asked for the sign-in sheets, Fralick allegedly told agents he did not utilize sign-in sheets.

“On the counter in front of (the agents) was a clipboard with a dated paper asking patients to please sign in,” according to the affidavit. “The actor stated his office staff must use the sign-in documents.”

Agents also interviewed two people who had worked in the office during the time in question, according to the affidavit. One of them told agents that Fralick “always suggested that patients needed spinal decompression treatment that cost between $6,000 and $6,500.” She said those treatments were typically not fully covered by insurance.

Both told agents they left the office in October after not being paid for three weeks.

Fralick was arraigned Tuesday morning before District Judge Raymond Zydonik.

Zydonik explained that the felonies – all third degree – carried maximum possible penalties of seven years in prison and a $15,000 fine each. The maximum for the first-degree misdemeanor was five years and $10,000.

Fralick was released on $25,000 unsecured bail.