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 June 23, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
National Health Care Fraud Enforcement Action Results in 455 Defendants Charged and Over $6.5 Billion in Intended Fraud Loss Charged
Six cases in the Eastern District of Michigan involving alleged fraudulent billing of Medicare, Medicaid and private insurers for laboratory tests, prescriptions not dispensed, and reimbursement claims for services never rendered, plus unlawful opioid prescribing and False Claims Act settlements.
Michigan Home Health Care Agency Owner Convicted of $1.6M Medicare Fraud Scheme and Kickback Conspiracy
Scott bribed a hospital discharge nurse to fax confidential Medicare patient records to her home health agency and billed Medicare for home health services using false representations that doctors had certified the patients as homebound, causing approximately $1.6 million in losses.
Pharmacy Technician Pleads Guilty to $5.6M Health Care Fraud Scheme and Illegal Distribution of Oxycodone
A pharmacy technician and a co-conspirator submitted false claims to health care benefit programs for prescription drugs that were never ordered by a doctor and never dispensed, using forged prescriptions, and he provided unlawful oxycodone prescriptions to drug traffickers for cash.
Michigan Pharmacist Sentenced to 46 Months in Prison for $4M Health Care Fraud Scheme
Fakih billed Medicare for prescription medications, such as blood thinners and lung disease inhalers, that he did not dispense at the pharmacy he owned and operated, concealing the fraud by manipulating inventory purchases and diverting proceeds for personal use.
Pharmacist and Brother Sentenced to Prison for $15M Health Care and Wire Fraud Scheme
A pharmacist and his brother, a pharmacy manager, billed Medicare, Medicaid and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense at pharmacies they owned or operated, targeting expensive medications and concealing inventory shortages from auditors.
FORMER HOME HEALTH CARE OPERATOR SETTLES FRAUD ALLEGATIONS OF BILLING FEDERAL HEALTH CARE PROGRAMS FOR SERVICES PERFORMED BY UNLICENSED FOREIGN DOCTORS
Irene Oshiyoye submitted, or caused the submission of, false claims by Advance Visiting Physicians to Medicare and Medicaid for home health visits performed by unlicensed and unsupervised foreign doctors.
Four Men to Including Two Doctors to Charged in a $7 Million Illegal Opioid Distribution Conspiracy
The indictment alleges the defendants conspired to issue thousands of opioid prescriptions for supposed patients who did not have a legitimate medical need, resulting in more than 400,000 dosage units of Schedule II opioids with a street value over $7 million and more than $1 million fraudulently billed to Medicare and Medicaid for medically unnecessary medications.
CEO and Medical Director Charged in $500M COVID-19 Test Billing Fraud
Fast Lab Technologies operated a website offering free COVID-19 tests, collected beneficiaries' insurance information, and billed Medicare, Medicaid, TRICARE and private insurers more than $500 million for antigen and PCR testing services that were never rendered.
Home Health Care Provider To Pay $334,807 To Settle False Claims Act Allegations
M&Y Care billed Medicare and Medicaid under CPT code G0156 for home health aide services provided by staff who lacked the requisite qualifications and were insufficiently trained, when it should have billed for non-skilled care.
National Health Care Fraud Enforcement Action Results in 324 Defendants Charged and Over $14.6 Billion in Intended Fraud Loss Charged
Prosecutors charged four defendants in a conspiracy to unlawfully distribute controlled substance prescriptions sold for cash through P & A Aftercare and Detroit Hoover Pharmacy, and resolved civil False Claims Act cases against Villa nursing homes for grossly substandard care and against two pharmacies for billing for prescription drugs never dispensed.
National Health Care Fraud Takedown Results In 324 Defendants Charged In Connection With Over $14.6 Billion In Alleged Fraud
The Justice Department announced criminal charges against 324 defendants, including 96 licensed medical professionals, in 50 federal districts and 12 State Attorneys General's Offices for alleged health care fraud schemes involving over $14.6 billion in intended loss, including transnational fraudulent durable medical equipment and laboratory billing, fraudulent amniotic wound allograft claims, fraudulent substance abuse treatment billing, and illegal diversion of prescription opioids.
Michigan Doctor Sentenced to Four Years for $6.3M Medicare Fraud Scheme
A doctor signed prescriptions for more than 7,900 orthotic braces for over 2,600 Medicare patients she barely or never spoke with, which brace supply companies used to bill Medicare more than $6.3 million, in exchange for approximately $120,000 from purported telemedicine companies.
Lab Operator Convicted of $4M Medicare Fraud Scheme
Khalil, owner of a toxicology lab, submitted over $4 million in Medicare claims for medically unnecessary urine drug testing obtained by paying marketers a percentage of Medicare reimbursements through marketing companies he secretly controlled.
Four Pharmacists Sentenced for Roles in $13M Medicare, Medicaid, and Private Insurer Fraud Conspiracy
Four pharmacy owners billed Medicare, Medicaid, and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense at five pharmacies they owned and operated.
Health Care Plan Agrees to Pay Over $500,000 As Part of Self-Disclosure of Potential False Claims Act Violations
Reliance HMO provided cash payments to healthcare professionals and administrative staff at physician practices for patient contact information and paid four physicians and physician practices $2,500 each characterized as advances on coordination of care services, allegedly to induce enrollment of Medicare beneficiaries in Reliance's Medicare Advantage plan.
Michigan Woman Convicted of $1.4M Health Care Kickback Scheme
Smettler-Bolton referred Medicare beneficiaries to several Metro Detroit home health companies in exchange for kickbacks paid by the owners and operators, causing over $1.4 million of loss to Medicare.
U.S. Attorney Totten Announces Second Wave Of Enforcement In Nationwide Telemedicine Fraud Schemes
Five doctors used telemedicine programs to authorize medical orders for orthotic braces and genetic testing for Medicare beneficiaries they never met or examined, with two pleading guilty to making a false statement relating to health care matters and all five agreeing to civil settlements.
International Fugitive Home Health Care Owner Sentenced for Fraudulently Billing Medicare
Zafar, with three doctors and two other home health care company owners, offered kickbacks, bribes, and other inducements to beneficiary recruiters in exchange for Medicare beneficiary information used to bill Medicare for home health services that were medically unnecessary and not provided.
Pharmacist and Brother Convicted of $15M Medicare, Medicaid, and Private Insurer Fraud Scheme
A pharmacist and his brother billed Medicare, Medicaid, and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense at pharmacies they owned or operated in Michigan.
Macomb County Doctor And Pharmacist Agree To Pay $700,948 To Settle False Claims Act Allegations
A physician received above fair market value rent indirectly paid by a laboratory to induce referrals, and prescribed medically unnecessary opioid and ADHD medications that a pharmacy filled, in violation of the False Claims Act.
Pharmacy Owner Sentenced for Role in $6.9 Million Scheme to Bill Insurance for Medications Not Dispensed
A pharmacist in charge at two pharmacies led a scheme to submit claims to Medicare, Medicaid, and Blue Cross Blue Shield of Michigan for pharmaceuticals the pharmacies did not actually purchase.
Nine Individuals Indicted In $28 Million Illegal Opioid Distribution Conspiracy Three Doctors and A Clinic Owner Among Those Indicted
A clinic owner hired three doctors to issue controlled substance prescriptions to "fake" patients recruited by others without medical necessity in exchange for cash, and pharmacies billed Medicare and Medicaid for medically unnecessary prescription and maintenance medications.
Pharmacists Convicted of $13M Medicare, Medicaid, and Private Insurer Fraud Scheme
Four licensed pharmacists who owned pharmacies in Michigan and Ohio billed Medicare, Medicaid, and Blue Cross Blue Shield of Michigan for prescription medications that they did not dispense.
Home Health Care Company Operators Sentenced to Prison in $5.5 Million Kickback Scheme and Tax Evasion
The Tcruzes operated Macomb County home health care companies and engaged in an approximately $5 million conspiracy to pay kickbacks and bribes to physicians for referrals of Medicare beneficiaries, evaded personal and business income taxes, and Noli Tcruz used a family member's identity and company to obtain more than $250,000 in pandemic assistance funds.
St. Clair Shores Doctor Sentenced to 20 Years in Prison for Causing Patient’s Drug Overdose Death
Shelton ran a pill mill, prescribing over 5.5 million doses of controlled substances outside the usual course of professional practice so he could charge for office visits and tests, receiving over $1.4 million from Medicare, Medicaid, and Blue Cross/Blue Shield of Michigan, and causing a patient's overdose death.
Kalamazoo Doctor Charged for Role in Telehealth Fraud Scheme
A physician signed and certified orders for medical braces and genetic testing through a telehealth application without conducting meaningful medical review, costing Medicare over $794,000.
National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Billion in False Claims
Six defendants in the Eastern District of Michigan were charged with schemes to defraud Medicare through false claims for home health care, psychotherapy, DME and genetic testing, and COVID-19 test kits, and with paying illegal kickbacks to obtain patients and beneficiary information.
Former West Michigan Doctor Sentenced to 5 Years in Federal Prison
Castro performed medically unnecessary sinus surgeries, falsified medical records and CT scan findings to justify them, and billed excisions of single lymph nodes and glands as more complex, higher-paying neck dissections.
Doctor Convicted of Nearly $2M Medicare and Medicaid Fraud Scheme
A doctor referred medically unnecessary prescriptions to a Detroit pharmacy for patients he had not treated in exchange for cash kickbacks paid by the pharmacy's owners, causing nearly $2 million of loss to Medicare and Medicaid.
Doctor Convicted of $6.3M Medicare Fraud Scheme
A doctor signed thousands of orthotic brace prescriptions for over 2,500 Medicare patients she did not treat, after brief or no telephone contact, and brace supply companies used the prescriptions to bill Medicare more than $6.3 million.
Shelby Township Doctor Sentenced to 12 Years in Prison for Illegally Distributing More than 270,000 Opioid Pills worth more than $6.3 Million
A physician conspired with clinic operators and employees to illegally authorize more than 3,000 opioid prescriptions for patients without legitimate medical need at a cash-only clinic, with associated maintenance medications billed to Medicare and Medicaid exceeding $500,000.
Local Physician and Practice Agree to Pay Over $2 Million to Settle False Claims Act Allegations
Aronovitz submitted claims to Medicare and Medicaid under his National Provider Identifier for ear care services provided by physician assistants in nursing facilities and home health settings, without providing the required supervision of the physician assistants.
Home Health Company Owner Sentenced for Nearly $2.8M Medicare Fraud
Pancholi, while excluded from billing Medicare, concealed his ownership of a home health company using others' identities and billed Medicare nearly $2.8 million for services never provided, then transferred the funds through shell corporation accounts to accounts in India and tampered with a witness.