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 July 30, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.

DOJOtherJul 30, 2026LA

Louisiana U.S. Attorneys Highlight Nine Recent Fraud Prosecutions Across the State

A nurse practitioner was sentenced for a health care fraud scheme involving over $12 million in fraudulent Medicare claims for medically unnecessary cancer genetic tests and receipt of kickbacks, and a New Orleans physician was charged with health care fraud for allegedly submitting $5.9 million in fraudulent claims to Medicare, Medicaid, and Humana for care not provided, in-person care for patients outside the state, and claims using other providers' identities.

$17.9M alleged$1.5M orderedMedicare, Medicaid, private insurance
DOJChargedJun 23, 2026LA

National Health Care Fraud Takedown Results in 455 Defendants Charged in Fraud Scheme Totaling Over $6.5 Billion

Defendants were charged in connection with schemes to submit claims for medically unnecessary respiratory pathogen panel testing, claims for care a physician did not provide, and false Medicaid claims for personal care services not rendered.

$6.5B allegedMedicare, Medicaid, TRICARE, private insurance
DOJSentencedJun 17, 2026LA

Nurse Practitioner Sentenced to 87 Months in Prison for $12M Medicare Fraud

A nurse practitioner received kickbacks for signing hundreds of orders for medically unnecessary cancer genetic tests after brief phone calls with patients without examining them, causing over $12.1 million in false and fraudulent claims to Medicare.

$12.1M alleged$1.5M orderedMedicare
DOJSentencedApr 10, 2026LA

Slidell Doctor Sentenced For $6.6 Million In Health Care Fraud

Tassin, working through purported telemedicine companies, signed doctors' orders for cancer genetic tests for Medicare beneficiaries he never saw, spoke to, or treated, falsely certifying medical necessity in exchange for a set fee of typically $30 per order.

$6.6M alleged$2.2M orderedMedicare1 provider in Verity
DOJSentencedJan 28, 2026LA

Slidell Chiropractor Sentenced For Health Care Fraud

Peyroux conspired with others to purchase Medicare beneficiary information and fabricated recordings and billed Medicare through his chiropractic clinic for over-the-counter COVID-19 test kits that were not requested or were otherwise ineligible for reimbursement, falsely listing a former nurse practitioner as the referring provider.

$3.3M alleged$3.2M orderedMedicare
DOJPleaded guiltyJan 23, 2026LA

Georgia Chiropractor Convicted Of Healthcare Fraud

A chiropractor conspired with others to pay and receive kickbacks for Medicare beneficiary information and fabricated recordings of individuals posing as beneficiaries requesting over-the-counter COVID-19 tests, which were used to bill Medicare for tests that were not requested and not eligible for reimbursement.

$6.5M orderedMedicare1 provider in Verity
DOJComplaint filedJan 21, 2026LA

Justice Department Files False Claims Act Complaint Against Priority Hospital Group and Three Long Term Care Hospitals

The United States alleges that PHG and the long term care hospital defendants held patients longer than medically necessary to increase Medicare reimbursement and that Riverside Hospital of Louisiana entered into medical directorship agreements and provided other remuneration to a doctor to induce patient referrals in violation of the Anti-Kickback Statute and Stark Law.

Medicare1 provider in Verity
DOJComplaint filedJan 21, 2026LA

Justice Department Files False Claims Act Complaint Against Priority Hospital Group and Three Long Term Care Hospitals

The United States alleges that Priority Hospital Group and three managed long term care hospitals held patients longer than medically necessary to increase Medicare reimbursement and that Riverside Hospital of Louisiana paid a doctor through medical directorship agreements and other remuneration to induce patient referrals in violation of the Anti-Kickback Statute and Stark Law.

Medicare1 provider in Verity
DOJSentencedNov 21, 2025LA

U.S. Attorney Zachary A. Keller Highlights a Dozen Significant Prosecutions During Government Shutdown

Riggins paid for doctors' orders for medically unnecessary durable medical equipment and tricked doctors into signing DME orders and certificates of medical necessity, submitting over $3.8 million in fraudulent claims to Medicare and being reimbursed over $1.8 million.

$3.8M alleged$1.8M orderedMedicare
DOJPleaded guiltyNov 20, 2025LA

Physician Convicted of Conspiracy to Defraud Medicare

Lee, co-owner and medical advisor to a diagnostic laboratory, conspired to procure genetic testing orders in exchange for kickbacks, including through purported telemedicine, and caused over $24 million in false and fraudulent claims to Medicare for medically unnecessary genetic testing.

$24.0M alleged$4.0M orderedMedicare2 providers in Verity
DOJSentencedNov 19, 2025LA

Missouri Man Sentenced to 10 Years in Prison for $174 Million Health Care Fraud Conspiracy

McNamara operated laboratories that billed Medicare for cancer and cardiovascular genetic testing obtained through telemarketing and purported telemedicine doctors' orders procured with kickbacks, shifted billing between labs, and concealed his ownership by listing family members as owners.

$174.0M alleged$55.0M orderedMedicare
DOJSentencedSep 12, 2025LA

Louisiana Chiropractor Sentenced to Seven Years in Prison for Health Care Fraud and Unemployment Insurance Fraud Schemes

A chiropractor billed Blue Cross Blue Shield of Louisiana for uncovered massages and for chiropractic services that were not performed or not performed as billed, including while he was out of the office, fabricated patient records during an audit, and falsely certified unemployment to obtain pandemic unemployment benefits.

$2.3M alleged$754K orderedprivate insurance1 provider in Verity
DOJSentencedAug 21, 2025LA

THREE BATON ROUGE INDIVIDUALS SENTENCED TO FEDERAL PRISON IN CONNECTION WITH THE DEPARTMENT OF JUSTICE’S 2024 NATIONAL HEALTH CARE FRAUD ENFORCEMENT ACTION

Three individuals caused the submission of fraudulent prescriptions for controlled substances to Medicaid using the DEA registration numbers and identifying information of physicians and other medical providers without authority, and submitted false applications for federal pandemic assistance funds.

$293K allegedMedicaid
DOJConvictedJul 24, 2025LA

Louisiana Nurse Practitioner Convicted of $12M Medicare Fraud Scheme

A nurse practitioner signed hundreds of orders for medically unnecessary cancer genetic tests for patients she never met or examined, in exchange for kickbacks from a telehealth company, causing over $12.1 million in fraudulent Medicare claims.

$12.1M allegedMedicare
DOJChargedJul 1, 2025LA

National Health Care Fraud Takedown Results in 324 Defendants Charged in Fraud Scheme Totaling Over $14.6 Billion

Four defendants were charged in the Eastern District of Louisiana with schemes including billing Medicare for medically unnecessary genetic testing procured through kickbacks and purported telemedicine, billing Medicare for over-the-counter COVID-19 tests that were not requested, and embezzling federal grant funds from a non-profit.

$14.6B allegedMedicare3 providers in Verity
DOJPleaded guiltyJun 5, 2025LA

Louisiana Man Pleads Guilty to $3.8 Million Durable Medical Equipment Fraud Scheme

Riggins paid for doctors' orders for medically unnecessary durable medical equipment and tricked doctors into signing orders and certificates of medical necessity, submitting over $3.8 million in fraudulent claims to Medicare.

$3.8M allegedMedicare1 provider in Verity
DOJPleaded guiltyJun 5, 2025LA

Louisiana Man Pleads Guilty to $3.8 Million Durable Medical Equipment Fraud Scheme

Riggins paid for doctors' orders for medically unnecessary durable medical equipment and tricked doctors into signing orders and certificates of medical necessity, then submitted over $3.8 million in fraudulent claims to Medicare and was reimbursed over $1.8 million.

$3.8M allegedMedicare1 provider in Verity
DOJPleaded guiltyMay 29, 2025LA

Missouri Man Pleads Guilty to Multimillion-Dollar Medicare Fraud Conspiracy

McNamara operated laboratories that billed Medicare for cancer and cardiovascular genetic testing obtained through telemarketing and telemedicine doctors' orders procured with kickbacks and bribes disguised through sham contracts, while shifting billing between labs and concealing his ownership by listing family members as owners.

$174.0M allegedMedicare
DOJPleaded guiltyMay 27, 2025LA

Slidell Doctor Convicted Of Health Care Fraud

Tassin, working through purported telemedicine companies, signed doctors' orders for cancer genetic tests for Medicare beneficiaries he never saw, spoke to, or treated, falsely certifying the tests were medically necessary, in exchange for a fee of typically $30 per order.

$6.6M alleged$2.1M orderedMedicare1 provider in Verity
DOJPleaded guiltyMay 9, 2025LA

THREE BATON ROUGE INDIVIDUALS PLEAD GUILTY IN FEDERAL COURT IN CONNECTION WITH THE DEPARTMENT OF JUSTICE’S 2024 NATIONAL HEALTH CARE FRAUD ENFORCEMENT ACTION

Three individuals admitted causing the submission of fraudulent prescriptions for controlled substances using stolen DEA registration numbers and identifying information of medical providers, causing Medicaid to be billed for filling those prescriptions, and also submitted false applications for federal pandemic assistance funds.

$293K allegedMedicaid
DOJConvictedMay 2, 2025LA

Louisiana Nurse Practitioner Convicted of $2M Medicare Fraud

A nurse practitioner working as an independent contractor for telehealth companies signed more than 1,000 orders for medically unnecessary durable medical equipment for patients she had not examined, falsely certifying consultations and assessments, in exchange for kickbacks and bribes.

$2.0M allegedMedicare1 provider in Verity
DOJConvictedApr 2, 2025LA

Louisiana Chiropractor Convicted of Health Care Fraud and Unemployment Insurance Fraud

A chiropractor solicited insured patients for advertised free chiropractic massages and billed Blue Cross Blue Shield of Louisiana over $2.3 million for services he did not perform, fabricated patient records for an audit, and falsely certified unemployment to receive pandemic benefits.

$2.3M allegedprivate insurance1 provider in Verity
DOJChargedMar 11, 2025LA

Slidell Doctor Charged With Health Care Fraud

Tassin, working as an independent contractor for purported telemedicine companies, signed doctors' orders for cancer genetic tests for Medicare beneficiaries he never saw, spoke to, or treated, falsely certifying medical necessity, resulting in over $6.6 million in false claims.

$6.6M allegedMedicare1 provider in Verity
DOJPleaded guiltyMar 10, 2025LA

BATON ROUGE MAN FALSELY HOLDING HIMSELF AS A MEDICAL DOCTOR PLEADS GUILTY TO FALSE STATEMENTS RELATING TO HEALTH CARE MATTERS

Mukherjee, a licensed paramedic who falsely held himself out as a medical doctor, called in prescriptions to pharmacies for himself and others while falsely claiming to be two doctors with authority to write them, causing the pharmacies to submit claims to Medicaid and BCBSLA.

Medicaid, private insurance2 providers in Verity
DOJSentencedMar 10, 2025LA

Thibodaux Social Worker Sentenced to 30 Months for Healthcare Fraud

From 2008 through 2024, Barrilleaux submitted false claims to private insurance companies for millions of dollars of healthcare services that were not actually provided and created fake patient notes to support his bills.

$4.6M orderedprivate insurance
DOJCivil settlementMar 6, 2025LA

Lake Charles Physician, Wife, and Clinic Agree to Pay Medicare for Improper Billing Related to Implanted Neurostimulators

From November 2018 through April 2020, the defendants billed Medicare for implanted neurostimulators when they instead applied single-use P-Stim electric acupuncture devices to patients' ears in the office.

$450K orderedMedicare1 provider in Verity
DOJSentencedMar 5, 2025LA

Thibodaux Social Worker Sentenced to 30 Months for Healthcare Fraud

From 2008 through 2024, Barrilleaux submitted false claims to private insurance companies for millions of dollars of healthcare services that were not actually provided and created fake patient notes to support his bills.

$4.6M orderedprivate insurance
DOJCivil settlementFeb 27, 2025LA

Community Health Care Solutions, LLC and the Estate of Yolanda Burnom Agree to Pay $4.6 Million in Medicaid Fraud Lawsuit

Community Health and its owner/operator offered financial incentives to Medicaid recipients to share their patient information and used it to bill Medicaid for crisis intervention services that were not rendered, with counselors instructed to create generic notes cut and pasted onto patient files.

$4.6M orderedMedicaid
DOJSentencedFeb 6, 2025LA

Louisiana Doctor Sentenced for Illegally Distributing Over 1.8M Doses of Opioids in $5.4M Health Care Fraud Scheme

Talbot owned and operated a clinic that accepted cash for pre-signed prescriptions for Schedule II controlled substances distributed to individuals he did not examine, falsified patient records, and caused health care benefit programs to be billed for the controlled substances.

$5.4M allegedMedicare, Medicaid, private insurance2 providers in Verity
DOJSentencedFeb 6, 2025LA

Louisiana Doctor Sentenced for Illegally Distributing Over 1.8M Doses of Opioids in $5.4M Health Care Fraud Scheme

Talbot owned and operated a clinic that accepted cash for pre-signed prescriptions for Schedule II controlled substances issued without examination, falsified patient records, and caused health care benefit programs to be billed for the prescriptions.

$5.4M allegedMedicare, Medicaid, private insurance2 providers in Verity
DOJArrestedFeb 3, 2025LA

New York Man Arrested in Dallas Airport on Healthcare Fraud Charges

Lake purchased doctors' orders for medically unnecessary orthotic braces and submitted claims to Medicare through his DME companies, and later sold doctors' orders through his marketing company in exchange for kickbacks, resulting in more than $17 million in fraudulent DME claims.

$17.0M allegedMedicare
DOJPleaded guiltyJan 13, 2025LA

Slidell Chiropractor Convicted of Health Care Fraud

Peyroux conspired with others to purchase Medicare beneficiary information and fabricated recordings of individuals posing as beneficiaries requesting over the counter COVID-19 test kits, then billed Medicare through his chiropractic clinic using the misappropriated credentials of a former nurse practitioner listed as referring provider.

$3.3M alleged$3.2M orderedMedicare1 provider in Verity
DOJIndictedSep 18, 2024LA

Doctor Charged in $32.7M Medicare Fraud Scheme

Dole allegedly billed Medicare over $32.7 million for definitive urine drug testing of routinely over 22 classes of drugs from nearly all his patients without documentation of use or suspicion of use of those drugs.

$32.7M allegedMedicare1 provider in Verity
DOJIndictedSep 18, 2024LA

Doctor Charged in $32.7M Medicare Fraud Scheme

A doctor who owned and operated a pain management practice with an in-house drug testing laboratory allegedly billed Medicare over $32.7 million for medically unnecessary definitive urine drug testing of routinely over 22 classes of drugs from nearly all his patients.

$32.7M allegedMedicare1 provider in Verity
DOJPleaded guiltyAug 1, 2024LA

New Orleans Man Pled Guilty to Federal Charge of Conspiracy to Commit Health Care Fraud

Spivey conspired with McNamara to bill Medicare for cancer and cardiovascular genetic testing that was not medically necessary and was procured through kickbacks and bribes, using telemarketing-generated orders signed by purported telemedicine doctors.

$174.0M allegedMedicare
DOJSentencedJul 29, 2024LA

Slidell Woman Sentenced to Year and a Day in Prison and Ordered to Repay the Government Over $1.2 Million in Restitution for Pandemic-Related Healthcare Fraud

Watson submitted false and fraudulent attestations on behalf of her primary care clinic to obtain COVID-19 Provider Relief Fund money and used over $780,000 of the funds for personal purposes including real estate, a luxury vehicle, a boat, a trailer, and a time share.

$780K alleged$1.3M ordered1 provider in Verity
DOJConvictedJul 23, 2024LA

Doctor Convicted for Illegally Distributing Over 1.8M Doses of Opioids and $5M Health Care Fraud Scheme

Talbot owned and operated a clinic that accepted cash for Schedule II controlled substance prescriptions, pre-signed prescriptions for individuals he did not see or examine, falsified patient records, and caused health care benefit programs to be billed for prescriptions written without appropriate examination or determination of medical necessity.

$5.4M allegedMedicare, Medicaid, private insurance2 providers in Verity
DOJConvictedJul 23, 2024LA

Doctor Convicted for Illegally Distributing Over 1.8M Doses of Opioids and $5M Health Care Fraud Scheme

Talbot owned and operated a clinic that accepted cash for prescriptions, pre-signed prescriptions for Schedule II controlled substances for individuals he did not examine, and falsified patient records, causing health care benefit programs to be billed for prescriptions written without appropriate examination or determination of medical necessity.

$5.4M allegedMedicare, Medicaid, private insurance2 providers in Verity
DOJIndictedJun 28, 2024LA

West Monroe Man Charged in Federal Court in Connection with the Department of Justice’s 2024 National Health Care Fraud Enforcement Action

Riggins, owner of a durable medical equipment supply company, paid for doctors' orders for pneumatic compression devices and tricked doctors into signing DME orders and certificates of medical necessity to bill Medicare for medically unnecessary equipment.

$3.8M allegedMedicare1 provider in Verity
DOJIndictedJun 28, 2024LA

Three Baton Rouge Individuals Charged in Federal Court in Connection with the Department of Justice’s 2024 National Health Care Fraud Enforcement Action

Three individuals allegedly conspired to fraudulently obtain controlled substances from pharmacies using at least 97 forged prescriptions bearing the DEA registration numbers of at least 12 physicians and other medical professionals, to distribute those substances, and to commit health care fraud against Medicaid.

Medicaid
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