News

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 14, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.

DOJPleaded guiltyAug 14, 2026FL

Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud

Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.

$483K orderedprivate insurance1 provider in Verity
DOJConvictedAug 12, 2026FL

Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme

Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.

$4.6M allegedMedicare
DOJCivil settlementAug 3, 2026FL

Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit

Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.

$14.1M orderedMedicare
DOJCivil settlementJul 31, 2026FL

Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds

Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.

$2.3M orderedMedicare, Medicaid1 provider in Verity
DOJCivil settlementJul 31, 2026FL

Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds

Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.

$2.3M orderedMedicare, Medicaid1 provider in Verity
DOJChargedJun 26, 2026FL

U.S. Attorney’s Office for the Middle District of Florida Charges Defendants as Part of National Health Care Fraud Takedown

The U.S. Attorney's Office charged multiple defendants as part of the 2026 National Health Care Fraud Takedown with schemes including billing Medicare for medically unnecessary wound allografts, buying Medicare beneficiary identification numbers to bill for unrequested COVID-19 tests and genetic testing, submitting false durable medical equipment claims, paying kickbacks for brace orders and laboratory tests, and one civil False Claims Act settlement.

$118.0M alleged$5.0M orderedMedicare, Medicaid, TRICARE4 providers in Verity
DOJChargedJun 25, 2026FL

National Health Care Fraud Takedown Results in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud

Twelve defendants in the Southern District of Florida were charged as part of a national takedown of 455 defendants for schemes involving over $6.5 billion in false claims for DME, skin substitutes and wound care products, laboratory testing, and community mental health services that were medically unnecessary, procured by kickbacks to marketers and beneficiaries, or not provided.

$6.5B allegedMedicare, Medicaid, private insurance2 providers in Verity
DOJSentencedJun 22, 2026FL

Dominican National Sentenced for Fraudulently Obtaining Social Security Benefits and Medicare Coverage Using Stolen Identity

Using a stolen identity, the defendant obtained Social Security disability benefits and enrolled in Medicare, receiving medical services and prescription drugs that caused providers to submit approximately $3.4 million in claims to Medicare, of which about $108,057.63 was paid.

$3.4M allegedMedicare
DOJIndictedJun 9, 2026FL

Two Charged in Multi-Year Conspiracy to Buy and Sell Stolen Medicare Beneficiary Information from Major South Florida Health Care Network

A Miami woman allegedly paid a health care network employee to secretly photograph and send confidential patient information including Medicare beneficiary identifier numbers, which she resold to others for use in Medicare fraud schemes, including a durable medical equipment scheme that submitted more than $5 million in fraudulent Medicare claims.

$5.0M allegedMedicare
DOJSentencedJun 1, 2026FL

Three Sentenced to Prison for Laundering Medicare Fraud Proceeds

The defendants owned and operated two durable medical equipment companies that submitted approximately $6.9 million in fraudulent Medicare claims for medically unnecessary orthotic braces, paid kickbacks to an offshore marketing company for beneficiary referrals and doctors' orders, and laundered more than $2.2 million in proceeds through shell companies.

$6.9M alleged$5.3M orderedMedicare2 providers in Verity
DOJSentencedMay 21, 2026FL

Three Sentenced to Prison for Laundering Medicare Fraud Proceeds

The defendants owned and operated two durable medical equipment companies that submitted approximately $6.9 million in fraudulent Medicare claims for medically unnecessary orthotic braces obtained through kickbacks to an offshore marketing company, and laundered more than $2.2 million in proceeds through shell companies.

$6.9M alleged$5.2M orderedMedicare2 providers in Verity
DOJConvictedMay 14, 2026FL

Owner of Health Care Software Company Convicted of 1 Billion Dollar Medicare Fraud Conspiracy

Blackman owned and operated the DMERx internet-based platform that generated false doctors' orders and prescriptions, connecting pharmacies, DME suppliers, and marketers with telemedicine companies that accepted kickbacks for signed orders, resulting in more than $1 billion billed to Medicare and other federal health care benefit programs.

$1.0B allegedMedicare, TRICARE, private insurance
DOJComplaint filedApr 30, 2026FL

United States Files Suit Against Naples Immunologist for False and Fraudulent Claims in Connection with Subcutaneous Immune Globulins

The complaint alleges that Dr. Rosenbach and his practice knowingly caused false claims for subcutaneous immune globulins to be submitted to Medicare Part B by changing or adding diagnoses of a rare immunodeficiency disease for patients who did not meet the definition of that disease.

$1.9M allegedMedicare2 providers in Verity
DOJSentencedApr 14, 2026FL

Florida Nursing Assistant Sentenced to Nine Years in Prison for $11.4M Health Care Fraud Scheme Targeting Medicare Beneficiaries

Cruz owned and operated a durable medical equipment supplier that paid kickbacks for signed doctors' orders and billed Medicare $11.4 million for medically unnecessary orthotic braces shipped to beneficiaries who did not request or need them, while concealing his co-conspirator's ownership and structuring cash withdrawals.

$11.4M alleged$4.4M orderedMedicare
DOJSentencedApr 14, 2026FL

Florida Nursing Assistant Sentenced to Nine Years in Prison for $11.4M Health Care Fraud Scheme Targeting Medicare Beneficiaries

Cruz owned and operated a Florida durable medical equipment supplier that paid kickbacks for signed doctors' orders and submitted $11.4 million in false Medicare claims for medically unnecessary orthotic braces while concealing his co-conspirator's ownership.

$11.4M alleged$4.4M orderedMedicare
DOJCivil settlementApr 7, 2026FL

National Partnership of Insurance Brokers and its Former Subsidiary Agree to Pay Over $135 Million For Affordable Care Act Enrollment Fraud Scheme

APSF, through its executives and employees, submitted false and fraudulent Affordable Care Act plan applications overstating consumers' income, used street marketers who offered cash and gift cards to homeless and low-income individuals, and submitted false information to Florida's Medicaid program to generate denial letters triggering Special Enrollment Periods, causing the federal government to pay $141.5 million in unwarranted subsidies.

$141.5M alleged$135.0M orderedMedicaid, private insurance
DOJPleaded guiltyMar 27, 2026FL

Telemedicine Company Owner Pleads Guilty to $46M Medicare Fraud Scheme

The owner of a telemedicine company paid doctors to sign orders for orthotic braces and genetic tests for Medicare patients recruited by telemarketing, sold the signed orders to DME suppliers, laboratories, and marketers, and used his own DME companies to bill Medicare for braces patients did not want or need.

$46.2M alleged$17.9M orderedMedicare1 provider in Verity
DOJCivil judgmentMar 26, 2026FL

Justice Department Secures the Denaturalization of Convicted Gun Trafficker and Health Care Fraudster, and Files Complaint Against Marriage Scammer

Cabrera Diaz admitted that between August 2011 and March 2014 she and co-conspirators paid kickbacks to patient recruiters for referring fraudulent prescriptions to the pharmacy where she worked, which submitted claims to Medicare Part D for prescription drugs that were not dispensed, and a court revoked her naturalization based on that conduct.

$6.0M alleged$6.0M orderedMedicare
DOJSentencedMar 16, 2026FL

Owners and CEO of Wholesale Pharmaceutical Company Sentenced for Distributing More Than $92M of Black-Market HIV Drugs

Owners of a pharmaceutical wholesale distributor purchased more than 28,000 bottles of black-market HIV drugs obtained through patient buyback schemes and resold them to pharmacies with falsified paperwork, and Medicare, Medicaid and commercial insurers were billed and paid for the drugs.

$92.8M alleged$21.9M orderedMedicare, Medicaid, private insurance1 provider in Verity
DOJPleaded guiltyMar 3, 2026FL

Jacksonville Marketing Company Owner Pleads Guilty to Conspiring to Defraud Medicare and Medicaid in the Provision of HIV Prophylactic Medications

The owner of a marketing company agreed with a Jacksonville pharmacy to receive $200 kickbacks per beneficiary referred for HIV post-exposure prophylactic medications, obtaining insurance information from people signing up for free cellphones, leading to prescriptions authorized by a nurse practitioner who never evaluated the patients and approximately 20,316 claims to Medicare and Medicaid.

$24.2M alleged$2.3M orderedMedicare, Medicaid
DOJSentencedFeb 18, 2026FL

President of Insurance Brokerage Firm and CEO of Marketing Company Sentenced in $233M Affordable Care Act Enrollment Fraud Scheme that Preyed on Vulnerable Consumers

The president of an insurance brokerage firm and the CEO of a marketing company enrolled tens of thousands of low-income consumers in fully subsidized Affordable Care Act plans using false income information, seeking over $233 million in subsidies and earning commissions from an insurance company.

$233.0M alleged$180.6M orderedprivate insurance, Medicaid
DOJSentencedFeb 18, 2026FL

President of Insurance Brokerage Firm and CEO of Marketing Company Sentenced in $233M Affordable Care Act Enrollment Fraud Scheme that Preyed on Vulnerable Consumers

The president of an insurance brokerage firm and the CEO of a marketing company enrolled tens of thousands of low-income consumers in fully subsidized Affordable Care Act plans using false income information and bribes paid through street marketers, seeking over $233 million in subsidies and earning commissions from an insurance company.

$233.0M alleged$180.6M orderedprivate insurance, Medicaid
DOJConvictedFeb 3, 2026FL

Former NFL Player Convicted for $197M Medicare Fraud

French worked with overseas call centers to obtain elderly patients' information, paid sham telemedicine companies for signed doctors' orders for medically unnecessary orthotic braces, sold the orders to marketers and medical supply companies, and billed Medicare and CHAMPVA through eight durable medical equipment companies he owned, including for amputees and deceased beneficiaries.

$197.0M allegedMedicare, private insurance
DOJPleaded guiltyJan 29, 2026FL

Florida Laboratory Owner Pleads Guilty to $52M Medicare Fraud Scheme Involving Genetic Tests

Alterman owned two laboratories that purchased doctors' orders for genetic testing from patient recruiters who used deceptive telemarketing and "doctor chasing" faxes, and billed Medicare approximately $52 million for tests beneficiaries did not need.

$52.0M allegedMedicare1 provider in Verity
DOJPleaded guiltyJan 26, 2026FL

Florida Laboratory Owner Pleads Guilty to $52M Medicare Fraud Scheme Involving Genetic Tests

Alterman owned and operated two laboratories that purchased doctors' orders for genetic testing from patient recruiters running deceptive telemarketing campaigns and billed Medicare approximately $52 million in false and fraudulent claims.

$52.0M allegedMedicare1 provider in Verity
DOJCivil settlementJan 26, 2026FL

Two Home Health Providers Agree to Pay $702,541 to Resolve Self-Referral Allegations

Two home health providers made bonus payments to an employee based on the number of patient referrals made by the employee's spouse, a physician, and submitted claims to Medicare for the referred designated health services in violation of the Stark Law.

$703K orderedMedicare
DOJConvictedJan 22, 2026FL

Florida Nursing Assistant Convicted in $11.4M Health Care Fraud Scheme Targeting Medicare Beneficiaries

Cruz owned and operated a durable medical equipment supplier that submitted false claims to Medicare for medically unnecessary orthotic braces obtained through kickbacks for signed doctors' orders, and concealed his co-conspirator's ownership from Medicare.

$11.4M allegedMedicare
DOJConvictedJan 22, 2026FL

Florida Nursing Assistant Convicted in $11.4M Health Care Fraud Scheme Targeting Medicare Beneficiaries

Cruz owned and operated a durable medical equipment supplier through which he submitted false claims to Medicare for medically unnecessary orthotic braces, paid kickbacks for signed doctors' orders, and concealed his co-conspirator's ownership from Medicare.

$11.4M allegedMedicare
DOJCivil settlementJan 15, 2026FL

Five Ophthalmology Practices Agree to Pay Nearly $6M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds

Five ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and arising from a kickback arrangement with a third-party testing company under which they paid the company based on the volume or value of tests and referred patients to its preferred radiology group.

$6.0M orderedMedicare, Medicaid4 providers in Verity
DOJCivil settlementJan 15, 2026FL

Five Ophthalmology Practices Agree to Pay Nearly $6M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds

Five ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses through a kickback arrangement with a third-party testing company, paying the company based on the volume or value of tests ordered and referring patients to its preferred radiology group.

$6.0M orderedMedicare, Medicaid4 providers in Verity
DOJIndictedJan 8, 2026FL

Oklahoma Medical Supply Company Owner Indicted for $30M Health Care Fraud Scheme

Loftis paid illegal kickbacks to marketers and telemedicine companies for patient referrals and signed doctors' orders and caused his medical supply company to bill Medicare, TRICARE, and CHAMPVA approximately $30 million for durable medical equipment that was medically unnecessary and not provided as billed, and also converted more than $133,000 in Provider Relief Fund money.

$30.0M allegedMedicare, TRICARE, private insurance1 provider in Verity
DOJConvictedJan 7, 2026FL

Two Healthcare Executives Convicted for Exploiting Elderly Medicare Advantage Beneficiaries in $34 Million Fraud Scheme

A jury convicted two executives for a scheme submitting approximately $34 million in false and fraudulent claims to Medicare Advantage plans for medically unnecessary durable medical equipment braces obtained through overseas telemarketing call centers and kickbacks paid to telemedicine companies for prescription orders.

$34.0M allegedMedicare
DOJOtherNov 20, 2025FL

Justice Department Secures Denaturalization of Health Care Fraudster

Briceno owned three purported medical clinics that paid Medicare beneficiaries to undergo unnecessary tests and procedures and submitted approximately $5,460,323 in fraudulent claims to Medicare, and she concealed the fraud to obtain U.S. citizenship, which was revoked.

$5.5M allegedMedicare
DOJOtherNov 19, 2025FL

Justice Department Secures Denaturalization of Health Care Fraudster

Briceno owned three purported medical clinics that paid Medicare beneficiaries to undergo unnecessary tests and procedures and submitted approximately $5,460,323 in fraudulent claims to Medicare, and she later concealed the fraud to obtain U.S. citizenship, which was revoked.

$5.5M allegedMedicare
DOJConvictedNov 17, 2025FL

President of Insurance Brokerage Firm and CEO of Marketing Company Convicted in $233M Affordable Care Act Enrollment Fraud Scheme

Lloyd and Strong submitted false and fraudulent applications to enroll low-income consumers in fully subsidized Affordable Care Act plans for which they were ineligible, seeking over $233 million in subsidies, in order to obtain commission payments from insurance companies.

$233.0M allegedprivate insurance
DOJCivil settlementNov 14, 2025FL

VRA Enterprises Agrees To Pay Over $17 Million For Allegedly Billing Medicare For Over-The-Counter COVID-19 Tests That Were Not Provided To Beneficiaries, Or That Were Sent To Beneficiaries Months After Being Billed To Medicare

VRA Enterprises agreed to pay the United States to resolve allegations it submitted false claims to Medicare for over-the-counter COVID-19 tests that were not provided to beneficiaries or were shipped months after being billed.

$17.1M orderedMedicare1 provider in Verity
DOJSentencedNov 13, 2025FL

Telemarketing Company Operators Sentenced for Roles in Genetic Testing Fraud Scheme

Two operators of a telemarketing company recruited Medicare beneficiaries for medically unnecessary cancer genetic testing and received kickbacks for referrals, and one of them also enrolled a clinical laboratory in Medicare using other people's identities to disguise his ownership.

$20.3M alleged$5.2M orderedMedicare
DOJCivil settlementSep 26, 2025FL

Semler Scientific Inc. And Bard Peripheral Vascular Inc. To Pay Nearly $37M To Resolve False Claims Act Allegations Relating To Flochec And Quantaflo Devices

Semler and Bard knowingly caused and conspired to cause healthcare providers to submit false claims to Medicare for photoplethysmography tests performed with the FloChec and QuantaFlo devices by representing that the tests were reimbursable under CPT codes 93922, 93923 and 93924 even though the devices do not perform an ankle brachial index.

$37.0M orderedMedicare
DOJSentencedSep 19, 2025FL

Marketer Sentenced for $11.5M Genetic Testing Fraud and Kickback Scheme

Desselle and co-conspirators convinced Medicare beneficiaries to take unnecessary genetic tests, paid marketers to recruit beneficiaries, bribed a telemedicine company for doctors' orders, and received kickbacks from clinical laboratories that billed Medicare $11.5 million.

$11.5M alleged$6.6M orderedMedicare
DOJIndictedSep 17, 2025FL

Two Florida Men Charged for $34.8M Fraud Scheme Targeting Medicare Beneficiaries

Two men who owned and operated seven Florida durable medical equipment supply companies allegedly paid kickbacks to marketing companies that used deceptive telemarketing and telemedicine-generated doctors' orders to submit approximately $34.8 million in false claims to Medicare for medically unnecessary orthotic braces and continuous glucose monitors.

$34.8M allegedMedicare
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