Enforcement, updated every day.
Every health care enforcement release from the Department of Justice and the HHS Office of Inspector General, including state attorneys general and Medicaid fraud control units, fetched daily and read into the same schema the detectors use. Each one links to the providers it names when the match is certain, and the newest is dated August 27, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare
Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit
Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit
Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.
CEO Of Bay Area Home Health Agency Convicted Of Health Care Fraud Conspiracy Targeting Medicare
Katz conspired with his wife and two agency employees to defraud Medicare by having unqualified medical professionals provide home health care outside their scope of practice, billing Medicare for services never provided, submitting false documents to state inspectors, and instructing employees to lie to the FBI.
Founder/CEO and Clinical President of Digital Health Company Sentenced to 72 Months and 24 Months, Respectively, for $90 Million Scheme to Distribute over 37 Million Pills of Adderall
The founder/CEO and clinical president of a digital mental health company used its technology platform, compensation structure, and clinical protocols to unlawfully distribute over 37 million Adderall pills, submitted false prior authorization requests to insurers resulting in over $12.3 million in payments, and obstructed the federal investigation.
Woman Pleads Guilty to Nearly $1 Million Hearing Aid Fraud Scheme
Lung marketed and sold hearing protection devices to Border Patrol agents, other federal employees, and their family members, then submitted approximately 385 claims to FEHB health insurance plans falsely representing that beneficiaries had hearing loss or tinnitus requiring medically necessary hearing aids.
Mother-Daughter Duo Charged in $9.5 Million Medicare Fraud Scheme; Part of National Healthcare Fraud Takedown
A mother and daughter allegedly billed Medicare approximately $9.5 million for mobile wound care services, including skin substitute allografts, under the nurse practitioner mother's NPI while she was incarcerated and the unlicensed daughter provided the services.
Health Care Fraud Takedown Results in 10 SoCal Defendants Federally Charged with Defrauding Public Health Plans, Other Crimes
Federal prosecutors in the Central District of California charged 10 defendants, including participants in a scheme that submitted nearly $270 million in fraudulent claims to Medi-Cal for prescription drugs that were not medically necessary or not provided, and an operator of hospice companies that billed Medicare approximately $27 million for hospice services for beneficiaries who were not terminally ill or were already deceased.
San Francisco Company Agrees to Pay Over Three Million Dollars to Resolve Allegations That They Submitted False Claims for Healthcare Payments
Circle and its chief medical officer submitted claims to federal health care programs and California commercial insurers identifying the name and NPI of rendering providers who did not actually provide or supervise the services, and failed properly to supervise the nurse practitioners and physician assistants who rendered the services.
Blood Test Lab Owner Sentenced to More Than 4 Years in Federal Prison for Using Shill to Collect Medicare Payments to Evade $11.2 Million in Taxes
Muradyan used a friend as a nominal owner to enroll his blood-testing laboratory with Medicare and collect reimbursements after he was banned from submitting claims, evaded more than $11.2 million in taxes on that income, and obtained $99,900 through a false EIDL application.
California Doctor Convicted of $45M Botox Fraud Scheme Targeting Medicare
Mailyan billed Medicare approximately $45 million for Botox injections that were never provided or were medically unnecessary and altered patient medical records provided to federal investigators.
Vascular Practice and Physician Agree to Pay More Than $6.73M to Settle False Claims Act Allegations of Unnecessary Vascular Interventional Procedures
The United States alleged that from 2016 to 2024 Dr. Serrano and his practice submitted false claims for medically unnecessary dialysis access and peripheral artery disease interventions, including angioplasty, stent and atherectomy procedures, on 20 Medicare beneficiaries, overstating stenosis and falsely documenting symptoms and conservative therapy in medical records.
Huntington Park Medical Practice and Doctor to Pay More Than $6.7 Million to Settle Allegations of Billing Medicare for Unnecessary Procedures
A physician and his medical practice submitted false claims for medically unnecessary vascular interventional procedures, including dialysis access interventions, angioplasty, stent, and atherectomy procedures, on 20 Medicare beneficiaries, and falsely documented patient symptoms and degree of stenosis to justify the procedures.
Nonprofit Health Care Provider Agrees to Pay $750,000 to Resolve False Claims Act Allegations Involving Misbranded Contraceptives
Salud Para La Gente purchased misbranded Nexplanon from an unlicensed wholesaler, administered it to Medicaid patients, and submitted claims to Medicaid using incorrect National Drug Code numbers.
The Fraud Division Launches West Coast Strike Force to Target Health Care Fraud Schemes Across Arizona, Nevada, and Northern California
The Justice Department announced the formation of the West Coast Health Care Fraud Strike Force uniting the Fraud Division's Health Care Fraud Section with the U.S. Attorney's Offices for Arizona, Nevada, and the Northern District of California, and described prior prosecutions including wound graft, substance abuse clinic billing, and medical technology fraud schemes.
United States Seizes More Than $2 Million from Pasadena-Based Advanced Wound Care Clinic Accused of Medicare Fraud
A federal court authorized seizure of approximately $2,039,792 from a bank account linked to Expert Wound Care PC, which is accused of billing Medicare for skin graft substitutes and skin grafts that were never performed on patients.
Former Teacher Pleads Guilty in $51 Million Medicare Fraud Scheme in National Fraud Enforcement Division Prosecution
Valenzuela admitted that she and co-conspirators owned and operated multiple durable medical equipment companies that paid kickbacks to sham marketing companies for bogus orthotic prescriptions, billed Medicare nearly $51 million, and laundered at least $14 million in proceeds, including placing DME companies in the names of nominee owners after being suspended from billing Medicare.
Podiatrist and Pharmaceutical Sales Representative Sentenced in $3.2 Million Healthcare Fraud Conspiracy Involving Unlicensed Person Performing Skin Grafts
A podiatrist permitted an unlicensed pharmaceutical sales representative to apply skin grafts and perform sharp debridement on patients, and they submitted claims to Medicare, Medicaid, and Medi-Cal falsely representing that physicians performed the procedures.
Orange County Man Pleads Guilty to Orchestrating Fraud Scheme that Submitted Nearly $270 Million in Bogus Claims to Medi-Cal
Through Monte Vista Pharmacy, the defendant and co-schemers exploited Medi-Cal's suspension of prior authorization requirements to bill more than $269 million for 19 expensive, non-contracted generic drugs that were not medically necessary, frequently not dispensed, and procured by kickbacks.
8 Arrested in Health Care Fraud Takedown, Including Owners of Hospices that Billed Taxpayers Millions of Dollars to Serve the ‘Dying’
Eight defendants were arrested on federal charges of schemes to defraud health care programs of more than $50 million, including operating hospices that billed Medicare for hospice services for beneficiaries who were not terminally ill and paying kickbacks to beneficiaries and marketers, plus a $19 million scheme against a labor union health plan for chiropractic and physical therapy services not needed or not provided.
Federal Jury Finds Mother and Daughter Guilty of Medicare Fraud Scheme and Payment of Illegal Kickbacks
The defendants paid marketers commissions based on Medicare reimbursements for prescriptions generated through telehealth encounters without legitimate medical examinations, often using stolen identities of nurse practitioners, and billed Medicare for medically unnecessary drugs including those for purported footbath treatments.
Larchmont Woman Sentenced to Nearly 3 Years in Federal Prison for Her Role in Hospice and Diagnostic Testing Fraud that Conned Medicare
Shaklian and co-schemers used multiple bogus hospice and diagnostic testing companies enrolled with Medicare to submit fraudulent claims for services that were unnecessary or never provided, causing a loss of at least $14,103,043.
Foreign National Charged with Orchestrating Health Care Fraud Scheme Targeting Medicare Advantage Programs
Rustamov, through an entity he created called Dublin Helping Hand, submitted thousands of fraudulent claims to Medicare Advantage Organizations totaling more than $90 million for medical equipment such as blood glucose monitors and orthotic braces that was not provided, not needed, and not authorized by a medical provider.
Orange County Judge Agrees to Plead Guilty to Knowingly Paying Convicted Doctor to Work on Workers’ Comp Cases Despite Suspension
Claustro operated Liberty Medical Group and paid a suspended physician more than $300,000 to prepare medical evaluations and med-legal reports, then mailed those reports to California's Subsequent Injuries Benefits Trust Fund while concealing the physician's involvement by listing other doctors' names on billing forms and reports.
Doctor Indicted for Orchestrating $45M Botox Fraud Scheme Targeting Medicare
A doctor who owned and operated a medical center allegedly submitted more than $45 million in false and fraudulent claims to Medicare for Botox injections that were medically unnecessary and never provided, and submitted falsified medical records in response to a grand jury subpoena.
Digital Health Company and Medical Practice Indicted in $100M Adderall Distribution Scheme
Done Global Inc. and Mindful Mental Wellness P.A. allegedly conspired to distribute over 40 million Adderall and other stimulant pills through a subscription-based telehealth model without legitimate medical purpose and to submit false and fraudulent claims to Medicare, Medicaid, and commercial insurers, obtaining over $100 million in revenue.
CEO of Fresno-based Health Care Company Arrested at San Francisco Airport for an Alleged $7 Million Scheme to Defraud the Department of Veterans Affairs
The CEO of a home health care company submitted approximately 10,000 false claims to the Department of Veterans Affairs for in-home care hours not actually rendered, including care billed for veterans who were already dead, resulting in $7 million in reimbursements.
Founder/CEO And Clinical President Of Digital Health Company Convicted In $100m Adderall Distribution And Health Care Fraud Scheme
He and Brody used the digital health company Done to distribute Adderall and other stimulants over the internet in exchange for monthly subscription fees and submitted false prior authorization requests and claims to insurers, resulting in payments in excess of approximately $14 million.
Founder/CEO and Clinical President of Digital Health Company Convicted in $100M Adderall Distribution and Health Care Fraud Scheme
He and Brody used the digital health company Done to distribute Adderall and other stimulants over the internet in exchange for monthly subscription fees and submitted false prior authorization requests and claims to Medicare, Medicaid, and commercial insurers.
Four California Residents Sentenced to Prison in Connection with $16M Hospice Fraud and Money Laundering Scheme
Defendants operated four sham hospice companies that billed Medicare nearly $16 million for hospice services that were medically unnecessary and never provided, used foreign nationals' identities as straw owners, and laundered the proceeds through shell company accounts.
Fresno County Podiatrist and Sales Representative Plead Guilty to Conspiracy to Submit False Claims Related to Skin Grafts
A podiatrist purchased skin grafts from a sales representative and allowed him, an unlicensed person, to apply them to Medicare and Medi-Cal beneficiaries, then submitted claims falsely representing that the podiatrist had applied the grafts.
United States Files Lawsuit Against San Bernardino County-Based Health Plan for Alleged False Claims to California’s Medicaid Program
The United States alleges IEHP misused surplus Medi-Cal Expansion funding through sham incentive programs and an extra-contractual retroactive rate increase, made false statements about the nature, timing, and purpose of payments to providers, and knowingly retained overpayments.
United States Files Suit Against California-Based Health Plan for Alleged False Claims to California’s Medicaid Program
The United States alleges IEHP made false statements to Medi-Cal about the nature, timing, and purpose of payments to providers and knowingly retained overpayments by misspending Medi-Cal Expansion funding through sham incentive programs and an extra-contractual retroactive rate increase.
Blood Test Lab Owner Pleads Guilty to Evading Over $11.2 Million in Federal Taxes by Using Shill to Illegally Collect Medicare Payments
Muradyan used a long-time friend as a shill owner to enroll his blood-testing laboratory with Medicare and collect reimbursements after Medicare banned him from submitting claims, evaded more than $11.2 million in federal taxes, and obtained $99,900 through a false EIDL application.
Owner of California Blood Testing Laboratory Pleads Guilty to Tax and Health Care Related Crimes
Muradyan owned and operated a blood testing laboratory that received more than $23 million in Medicare reimbursements while using a nominee owner and bank accounts, failed to report the income on tax returns, and submitted a false COVID-19 EIDL application.
Glendale Woman Sentenced to 9 Years in Federal Prison for $10.6 Million Hospice Fraud Scheme Involving Kickbacks for Patients
Palma, while excluded from Medicare, concealed her ownership of two hospices, paid marketers including Abrams kickbacks for patient referrals, and caused submission of approximately $10.6 million in fraudulent Medicare claims for purported hospice care for patients who were not dying.
California Man Pleads Guilty in Connection with $16M Hospice Fraud Scheme and Money Laundering Scheme
Esparza and co-defendants operated four sham hospice companies that billed Medicare nearly $16 million for hospice services that were not medically necessary and never provided, using foreign nationals' identifying information, and laundered the proceeds through shell company accounts.
Two California Residents Plead Guilty in Connection with $16M Hospice Fraud Scheme and Money Laundering Scheme
Defendants used four sham hospice companies and misappropriated identities of foreign nationals and doctors to bill Medicare nearly $16 million for hospice services that were not medically necessary and never provided, and laundered the proceeds.