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 September 4, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.

DOJIndictedSep 4, 2026MA

Illegal Alien from Georgia Charged for Conspiracy to Launder Proceeds of $1.3B Health Care Fraud Scheme

Gugava purportedly owned ND Medical Solutions LLC, a durable medical equipment company that submitted at least $1.3 billion in fraudulent DME claims to Medicare and other insurers using stolen identities, and he opened bank accounts to deposit and transfer the fraud proceeds to overseas accounts.

$1.3B allegedMedicare, private insurance1 provider in Verity
DOJIndictedSep 4, 2026MA

Georgian National Charged for Conspiracy to Launder Proceeds of $1.3 Billion Health Care Fraud Scheme

Gugava allegedly served as purported owner of ND Medical Solutions, LLC, which submitted at least $1.3 billion in fraudulent durable medical equipment claims to Medicare and private insurers using stolen identities, and he opened bank accounts to deposit and transfer the proceeds overseas.

$1.3B allegedMedicare, private insurance1 provider in Verity
DOJSentencedAug 20, 2026MA

Former Owner of Telemedicine Companies Sentenced to Two Years in Prison for $110 Million Medicare Fraud Scheme

Through his telemedicine companies, Richardson generated prepopulated durable medical equipment orders signed by doctors and nurses without beneficiary contact and sold them to telemarketers who resold them to DME suppliers that billed Medicare for medically unnecessary equipment.

$110.0M allegedMedicare
DOJCivil settlementAug 10, 2026MA

Veloxis Pharmaceuticals Agrees to Pay $46 Million to Resolve Criminal and Civil Liability for Kickback Scheme

Veloxis paid kickbacks in the form of lavish meals, alcohol, luxury resort stays, personal gifts and sham consulting payments to transplant health care professionals, and per-patient and per-month payments to specialty pharmacies, to induce prescriptions and purchases of Envarsus XR, causing false claims to federal health care programs and underreporting payments under the Open Payments Program.

$46.0M orderedMedicare, Medicaid, TRICARE
DOJCivil settlementAug 10, 2026MA

Veloxis Pharmaceuticals Agrees to Pay Over $46M to Resolve Criminal and Civil Liability for Kickback Schemes

Veloxis paid kickbacks in the form of lavish meals, alcohol, gifts, trips and resort stays, and purported consulting fees to health care providers, and per-patient and per-month payments to specialty pharmacies, to induce prescriptions and purchases of Envarsus XR, and concealed those payments through falsified expense reports that resulted in underreporting to CMS's Open Payments Program.

$46.0M orderedMedicare, Medicaid, TRICARE
DOJSentencedAug 10, 2026MA

CFO of Boston-Area Spinal Device Company Sentenced to Four Months in Prison for Kickback Scheme

The CFO of SpineFrontier conspired to pay and direct over $540,000 in bribes to surgeons in the form of sham consulting fees to induce them to use SpineFrontier's spinal implant products in surgeries paid for by federal health care programs.

$540K alleged$10K orderedMedicare, Medicaid
DOJCivil settlementJul 31, 2026MA

Massachusetts Ophthalmology Practice to Pay Nearly $4 Million to Resolve False Claims Act Allegations

OCB billed Medicare and MassHealth for office visits at which ophthalmologists administered intravitreal injections, using Modifier 25 even when it did not perform the service to justify the extra amount or have documentation to support it.

$3.9M orderedMedicare, Medicaid
DOJChargedJun 23, 2026MA

Massachusetts Man Charged in $5 Million Medicare Fraud Scheme as Part of National Health Care Fraud Takedown

Chhatrapati and co-conspirators allegedly worked with telemarketers to obtain Medicare beneficiary information, prepared documentation making it appear practitioners prescribed medically necessary durable medical equipment, submitted over $5.1 million in fraudulent DME claims to Medicare, and paid telemarketers per brace order approved by Medicare.

$5.1M allegedMedicare
DOJSentencedJun 8, 2026MA

Former Brookline Doctor Sentenced to More Than Four Years in Prison for Health Care Fraud and Tax Fraud

Merchia billed former patients' insurance companies for monthly rentals of CPAP and BiPap machines for patients he had not treated since at least 2011, submitted claims to another insurer for a CPAP machine provided to his brother through a newly created medical business, and failed to report over $6.5 million in income by claiming his medical businesses were owned by a co-conspirator.

$390K alleged$1.8M orderedprivate insurance
DOJCivil settlementMay 19, 2026MA

Illinois Doctor Agrees to Pay $62,500 for Signing False Orders in Durable Medical Equipment Scheme

The doctor signed pre-populated orders for orthotic durable medical equipment based on telemarketing calls to Medicare beneficiaries, containing false statements that she had evaluated the patients, which allowed DME suppliers to submit claims to Medicare.

$63K orderedMedicare
DOJCivil settlementMay 18, 2026MA

Behavioral Health Companies and Physician-Owner Agree to Pay $1.4 Million for Allegedly Billing for Psychotherapy Services that Clinicians Did Not Perform

Nova and Patriot billed Medicare, Medicaid and the Massachusetts Group Insurance Commission for medication management and psychotherapy services that behavioral health clinicians did not perform, with claims altered before submission to add billing codes for services not performed.

$1.4M orderedMedicare, Medicaid, private insurance5 providers in Verity
DOJPleaded guiltyMay 12, 2026MA

CFO of Boston-Area Spinal Device Company Pleads Guilty to Kickback Scheme

The CFO of SpineFrontier paid and conspired to pay over $540,000 to surgeons as sham consulting fees to induce them to use the company's spinal implant products in surgeries paid for by federal health care programs.

$540K alleged$150K orderedMedicare, Medicaid
DOJChargedMay 6, 2026MA

Illegal Alien Previously Convicted of Drug Trafficking Charged with Healthcare Benefit Fraud And Aggravated Identity Theft

Baez allegedly used a U.S. citizen's stolen identity and social security number and submitted a false sworn affidavit claiming to be a U.S. citizen to obtain over $80,000 in MassHealth benefits.

$80K allegedMedicaid
DOJCivil settlementApr 22, 2026MA

Eye Practice and Physician Owner Agree to Pay $415,000 to Resolve Allegations of False Claims to Medicare

Mitchell Eye Center and Dr. Alan Mitchell caused the submission of false claims for transcranial doppler tests that were not medically necessary and received per-referral payments from Eyecuity in violation of the Anti-Kickback Statute.

$415K orderedMedicare1 provider in Verity
DOJChargedApr 20, 2026MA

Illegal Alien Previously Convicted of Drug Offenses Charged with Healthcare Benefit Fraud and Aggravated Identity Theft

Arias used the stolen identity of a U.S. citizen and falsely represented that he was a U.S. citizen when applying for healthcare benefits in Massachusetts, obtaining tens of thousands of dollars' worth of MassHealth benefits.

Medicaid
DOJComplaint filedApr 15, 2026MA

United States Sues Illinois Doctor for Fraudulent Billing in Durable Medical Equipment Scheme

The complaint alleges that Williams signed pre-populated orders for medically unnecessary orthotic braces, generated by telemarketing calls, for Medicare beneficiaries she never examined, which DME suppliers used to submit claims to Medicare.

$630K allegedMedicare
DOJPleaded guiltyMar 23, 2026MA

Florida Doctor Pleads Guilty to Making False Statements in Connection with Multi-Million-Dollar Health Care Fraud Scheme

Grinshteyn signed pre-populated medical records and doctors' orders for medically unnecessary genetic testing and durable medical equipment for Medicare beneficiaries he did not examine, and DME suppliers and laboratories submitted claims to Medicare based on those orders.

$3.1M allegedMedicare1 provider in Verity
DOJSentencedMar 23, 2026MA

Alabama Doctor Sentenced to Over One Year in Prison for $2.7 Million Telemedicine Health Care Fraud Scheme

Robinson worked with telemedicine companies to sign pre-populated doctors' orders for medically unnecessary durable medical equipment and genetic testing for Medicare beneficiaries he did not contact, resulting in over $2.7 million in claims submitted to Medicare by DME suppliers and laboratories.

$2.7M alleged$2.8M orderedMedicare1 provider in Verity
DOJCivil settlementMar 6, 2026MA

AmerisourceBergen Subsidiary Agrees to Pay $1 Million for Allegedly Paying Kickbacks to Health Care Providers and Medical Practice Executives

ASD Specialty Healthcare, doing business as Oncology Supply, paid for meals, alcohol, golf and entertainment for health care providers and medical practice executives to induce them to purchase specialty pharmaceutical products, causing physicians to submit false claims to Medicare and Medicaid.

$1.0M orderedMedicare, Medicaid
DOJSentencedMar 6, 2026MA

Illinois Man Sentenced to Two Years in Prison for Durable Medical Equipment Scheme

Bhatia owned and operated durable medical equipment companies that paid telemarketing companies for orthotic brace orders and billed Medicare over $2 million for equipment that was medically unnecessary, not wanted by beneficiaries and tainted by kickbacks, and opened a new DME company after a payment suspension.

$2.0M allegedMedicare
DOJCivil settlementMar 4, 2026MA

Stern Therapy Consultants Agrees to Pay $315,000 to Settle Allegations of Causing False Claims to Medicare

Stern Therapy Consultants agreed to pay $315,000 to resolve allegations that it conspired with RegalCare, its owner and an executive to cause the submission of false claims to Medicare for unnecessary Ultra High RUG skilled nursing facility therapy services.

$315K orderedMedicare
DOJSentencedFeb 27, 2026MA

Former New York National Sales Director Sentenced to Three Years in Prison For Kickback Scheme

A former regional sales director for a mobile medical diagnostics company conspired with others to offer and pay kickbacks to doctors, disguised through sham rental and administrative service agreements, in exchange for ordering medically unnecessary transcranial doppler brain scans billed to Medicare.

$70.6M alleged$27.2M orderedMedicare
DOJSentencedFeb 18, 2026MA

New York Man Sentenced to Eight Months in Prison for Kickback Scheme

A sales director for a mobile medical diagnostics company conspired to offer and pay kickbacks to doctors, disguised through sham rental and administrative service agreements, in exchange for ordering transcranial doppler brain scans billed to Medicare.

$70.6M alleged$17.6M orderedMedicare
DOJSentencedFeb 13, 2026MA

New York Man Sentenced to 14 Months in Prison for Kickback Scheme

Doyle conspired with managers of a mobile medical diagnostics company to offer and pay doctors kickbacks, disguised through sham rental and administrative service agreements, based on the number of transcranial doppler brain scans they ordered.

$70.6M alleged$28.3M orderedMedicare
DOJPleaded guiltyJan 30, 2026MA

Florida Man Pleads Guilty to Conspiracy to Violate the Anti-Kickback Statute

Gilmore, through two durable medical equipment companies he owned and managed, paid telemarketers or call centers on a per-order basis for Medicare beneficiaries' medical information used to prepare orders for braces that were frequently medically unnecessary and based on false documentation, resulting in approximately $6.5 million in kickback-tainted claims to Medicare.

$6.5M allegedMedicare
DOJConvictedJan 29, 2026MA

Doctor Convicted at Trial for Defrauding IRS and Health Care Insurers

Merchia fraudulently billed insurance companies for sleep apnea machines that had not been used by his former patients for years, submitted fraudulent claims for treating his brother through a business in a nominee's name, and failed to report over $6.5 million in income to the IRS.

$390K allegedprivate insurance
DOJConvictedJan 29, 2026MA

Former Brookline Doctor Convicted of Health Care Fraud and Tax Fraud

Merchia billed former patients' insurance companies for monthly rentals of CPAP and BiPap machines from 2017 to 2019 despite not having treated the patients since at least 2011, submitted claims to another insurer for a CPAP machine provided to his brother through a newly created medical business, and did not report over $6.5 million in income by claiming his medical businesses were owned by a co-conspirator.

$390K allegedprivate insurance
DOJSentencedDec 19, 2025MA

Former New York Doctor Sentenced for Receiving Kickbacks

Seodat conspired with a principal of a mobile medical diagnostics company to order hundreds of medically unnecessary transcranial doppler brain scans using false diagnoses in exchange for cash kickbacks of approximately $100 per test, resulting in approximately $1 million in fraudulent bills to Medicare and private insurers.

$1.0M alleged$445K orderedMedicare, private insurance1 provider in Verity
DOJSentencedDec 12, 2025MA

Former New York Doctor Sentenced for Receiving Kickbacks

Fishberger conspired with others, including a principal for a mobile medical diagnostics company, to order hundreds of medically unnecessary transcranial doppler brain scans using false diagnoses in exchange for cash kickbacks of approximately $100 per test, resulting in approximately $891,978 in fraudulent bills to Medicare and private insurance companies.

$892K alleged$441K orderedMedicare, private insurance1 provider in Verity
DOJSentencedDec 11, 2025MA

Canton Man Sentenced for Multi-Million-Dollar Health Care Fraud Scheme

Gidwani conspired to own and operate a durable medical equipment company that paid telemarketing companies for orthotic brace orders and submitted over $4 million in Medicare claims for equipment that was medically unnecessary, not wanted by beneficiaries and tainted by kickbacks.

$4.0M alleged$3.0M orderedMedicare
DOJPleaded guiltyNov 13, 2025MA

Alabama Doctor Pleads Guilty to $6 Million Telemedicine Health Care Fraud Scheme

Robinson worked with telemedicine companies to sign pre-populated orders for medically unnecessary durable medical equipment and genetic testing for Medicare beneficiaries he did not contact, resulting in over $6 million in claims submitted to Medicare.

$6.0M allegedMedicare1 provider in Verity
DOJOtherSep 23, 2025MA

Justice Department Expands Health Care Fraud Unit to Target Health Care Fraud in Massachusetts

The Justice Department announced the expansion of its Health Care Fraud Unit's New England Strike Force to the District of Massachusetts to investigate and prosecute health care fraud schemes.

Medicare, Medicaid
DOJOtherSep 16, 2025MA

U.S. Attorney's Office Collects $48 Million Restitution Ordered Against Insys Executives Convicted of Health Care Racketeering Conspiracy

Insys Therapeutics' founder and six former executives conspired to bribe medical practitioners to prescribe the fentanyl spray Subsys, often when medically unnecessary, and to mislead health insurance providers and Medicare to obtain payment for the drug.

$48.3M orderedMedicare, private insurance
DOJChargedAug 18, 2025MA

Alabama Doctor Charged with $6 Million Telemedicine Health Care Fraud Scheme

An Alabama doctor worked with telemedicine companies to sign pre-populated orders for medically unnecessary durable medical equipment and genetic testing for Medicare beneficiaries he never contacted, resulting in over $6 million in claims submitted to Medicare.

$6.0M allegedMedicare1 provider in Verity
DOJChargedAug 7, 2025MA

Illinois Man Charged in Durable Medical Equipment Scheme

Bhatia allegedly worked with co-conspirators to own and operate DME companies that paid telemarketing companies for orthotic brace orders and billed Medicare over $2 million for equipment that was medically unnecessary, unwanted by beneficiaries and tainted by kickbacks, and opened a new DME company after a payment suspension.

$2.0M allegedMedicare
DOJSentencedAug 7, 2025MA

CEO of Spine Device Company Sentenced for False Statements in Connection With Mandatory Reporting to CMS

Chin directed employees to report a $4,750 payment to a surgeon to CMS as a consulting fee even though he knew the surgeon had not performed actual consulting work.

$5K alleged$905K orderedMedicare
DOJPleaded guiltyAug 5, 2025MA

Canton Man Pleads Guilty to Multi-Million-Dollar Health Care Fraud Scheme

Gidwani and co-conspirators owned and operated a DME company that paid telemarketing companies for orthotic brace orders and submitted over $4 million in Medicare claims for equipment that was medically unnecessary, not wanted by beneficiaries and tainted by kickbacks.

$4.0M allegedMedicare
DOJChargedJun 30, 2025MA

Canton Man Charged in National Health Care Fraud Takedown

Gidwani was charged with conspiring with Raju Sharma and others to own and operate a DME company that paid telemarketing companies for orthotic brace orders and billed Medicare over $4 million for equipment that was medically unnecessary, unwanted by beneficiaries, not prescribed by the doctors whose signatures appeared on the orders, and tainted by kickbacks.

$4.0M allegedMedicare
DOJPleaded guiltyJun 11, 2025MA

New York Man Pleads Guilty to $70 Million Kickback Scheme

Rausch conspired with others to offer and pay kickbacks to doctors, disguised through sham rental and administrative service agreements, in exchange for ordering medically unnecessary transcranial doppler brain scans billed to Medicare.

$70.6M allegedMedicare
DOJPleaded guiltyMay 23, 2025MA

Owner of Durable Medical Equipment Companies Agrees to Plead Guilty in Nearly $30 Million Fraud Scheme

The owner of two durable medical equipment companies agreed to plead guilty to conspiracy to commit health care fraud after contracting with telemarketing companies paid on a per-order basis to generate medically unnecessary DME orders, including orders made without practitioner examination or through unauthorized use of practitioners' national provider identifiers, and billing Medicare approximately $29.6 million.

$29.6M alleged$15.8M orderedMedicare2 providers in Verity
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