For years, Dr. Paul Madison had skated along the margins of his profession, making a living as a notorious prescriber of powerful pain medications. During four of those years he worked out of a non-descript office building in downtown Riverside in partnership with a disgraced former doctor.

During those years, Madison was described in court documents as a power prescriber of controlled substances, doling out more than a million and a half doses of pain addictive pain medications in a two-year period.

At the same time, Madison was, according to a federal lawsuit filed in 2016, involved in a scheme where he was paid money to host sham speaker events in exchange for pushing an incredibly powerful fentanyl spray manufactured to provide pain relief for late-stage cancer patients.

Court documents allege that Madison was the state of Illinois’ No. 1 prescriber of the medication and that he prescribed it to patients who did not have cancer.

Earlier this year, Madison was named as a defendant in a series of lawsuits filed by Illinois municipalities and other government agencies who are seeking to recoup money they have spent to wage war against an opioid epidemic that doctors like Madison allegedly have helped create.

Madison has had his medical licenses suspended in Illinois but he so far has escaped other legal consequences for his penchant for prescribing controlled substances. 

But the feds nailed him in November when a jury convicted him on more than 10 counts, including insurance fraud, making false statements and identity theft related to $3.5 million in fraudulent medical claims another of Madison’s clinics made between 2005 and 2009.

The feds filed the lawsuit in 2012, right around the time Madison was employed at the local pain clinic to prescribe painkillers by the hundreds. Madison successfully delayed the trial for six years, as lawyers came and went.

On Nov. 29, it was game over. Madison faces up to 10 years in prison for each of six counts of insurance fraud and up to five years each for the three counts of making false statements in connection with delivering healthcare.

The identity theft counts carry two-year mandatory consecutive sentences.

Dr. Madison, at age 65, is going to jail.