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.
Kansas Chiropractor Pleads Guilty to Health Care Fraud
Laser submitted claims to Blue Cross and Blue Shield of Kansas City seeking payment for chiropractic services purportedly rendered on dates when patients had not visited Laser Chiropractic and received no treatment, including billing using the information of an individual who never received treatment.
Adult Day Care Provider Accused of $1.47 Million Missouri Medicaid Fraud
King submitted $1.47 million in false claims to Missouri Medicaid through Agape Love Adult Day Care LLC for services never provided, claiming 10 hours of care per day when only half that was provided and billing for patients who were absent or hospitalized.
Home Health Care Operator Sentenced for Defrauding Missouri Medicaid
Childress submitted fraudulent enrollment documents concealing her ownership of a home health care company and then billed Missouri Medicaid for home health services that were never provided.
Federal Health Care Fraud Takedown Targets 455 Defendants and $6.5 Billion in False Claims
Four defendants were charged by complaint in the Western District of Missouri with forgery and using fraudulent nursing credentials or with false statements to receive health care payments and stealing by deceit for Medicaid claims for personal care services that were not provided.
U.S. Attorney’s Office Seeks Potential Victims in Case Against Columbia, Missouri Doctor
A federal grand jury charged Morris with issuing controlled substance prescriptions outside the usual course of professional practice and with defrauding Medicare and Missouri Medicaid by billing for services falsely representing him as the rendering provider when services were rendered by assistant physicians and by submitting claims for prescriptions not eligible for reimbursement.
Former St. Louis Area Pediatrician Sentenced to 20 Years in Prison for Exchanging Prescriptions for Sex Acts
A pediatrician prescribed controlled substances in exchange for cash, sex acts or nude photos, including prescribing in the names of friends and relatives to use their insurance benefits, causing Medicare and Medicaid losses.
Psychiatrist Reaches Civil Settlement of $360,000 to Resolve Allegations of False Claims to Federal Health Care Programs
From Jan. 1, 2019, through May 31, 2024, a psychiatrist falsely indicated to Medicare and Missouri Medicaid that she provided face-to-face psychotherapy to patients, including submitting claims for services when she was out of town and for services provided by other practitioners.
Kansas Doctor Sentenced to 3 Years in Prison for $8 Million Medicare Fraud
An anesthesiologist accepted kickbacks of about $30 per order to sign orthotic brace prescriptions for patients he never examined, generated by overseas call centers, and Medicare paid at least $8 million on those orders.
St. Louis County Home Healthcare Company Owner, Associates Accused of $1.46 Million Fraud
The owner of a home healthcare company and her associates were indicted for creating false timesheet records and billing Missouri Medicaid $1.46 million for home health services that were never provided.
Local Home Healthcare Company Owner Admits Over $200,000 Fraud
The owner of a home healthcare company submitted hundreds of fraudulent reimbursement claims to the Missouri Medicaid Program and the VA Community Care Network, including claims for dates when patients were hospitalized and for services not provided or documented.
U.S. Attorney’s Office Collected $16 Million in Civil and Criminal Actions in Fiscal Year 2025
The U.S. Attorney's office reported collecting $1,323,318 from Michael McCormac, former owner of a mail order pharmacy who pleaded guilty to two counts of violating the Anti-Kickback Statute and admitted paying kickbacks to marketing companies to generate prescriptions for expensive medications, to reimburse Medicare and the Missouri and Ohio Medicaid programs.
Former St. Louis Area Pediatrician Admits Exchanging Prescriptions for Sex Acts
A pediatrician admitted issuing prescriptions for controlled substances with no legitimate medical purpose in exchange for sex acts, nude photos or cash, including prescribing in others' names to use their insurance benefits, causing $114,480 in losses to Medicare, Missouri Medicaid and Illinois Medicaid.
Missouri Home Health Care Company Agrees to Pay $534,475 False Claims Act Settlement
The company submitted Medicaid claims on behalf of a contractor/employee who inflated his educational credentials, was not qualified to provide applied behavior analysis therapy, and billed more than 24 hours of service in a single day.
U.S. Attorney’s Office Seeks Potential Victims in Case Against St. Louis Doctor and Staff
The indictment alleges the three conspired to prescribe controlled substances outside the usual course of professional practice and that Parks and Bilderback conspired to defraud Medicare, Missouri Medicaid and private health insurers by billing claims that falsely identified Parks as the provider, including when he was out of the country.
St. Louis Area Doctor Sentenced to 70 Months in Prison
A physician paid kickbacks for urine specimens referred to his laboratory, signed and pre-signed prescriptions for controlled substances without seeing patients or determining medical need, and billed Medicare for annual wellness visits under another doctor's name and billing number for services not performed in person.
United States Reaches $501,556 Civil Settlement Resolving Allegations of False Claims to Federal Health Care Programs
From Jan. 1, 2019, through May 31, 2024, a psychiatrist falsely indicated to Medicare and Missouri Medicaid that he provided face-to-face psychotherapy to patients, including submitting claims for payment when he was out of town and for services provided by other practitioners.
Chesterfield Doctor Sentenced to 5 Years in Prison for Healthcare Fraud
A doctor participated in schemes in which urine samples were referred to Central Diagnostic Laboratory in exchange for kickbacks and prescriptions for oxycodone and other controlled substances were pre-signed without examining patients, with the laboratory and pharmacies seeking reimbursement from Medicare and Medicaid.
Two St. Louis Area Doctors Admit Health Crimes
Two doctors admitted billing Medicare, Medicaid and private insurers for services falsely represented as performed in person by the billing physician, including annual wellness visits performed by another doctor under Dr. Malik's name and billing number, plus related controlled substance and kickback offenses.
Kansas Doctor Admits Accepting Kickbacks to Commit Health Care Fraud
A telemedicine doctor admitted accepting about $674,000 in kickbacks from five health care companies from 2017 to 2020 to order medically unnecessary durable medical equipment, pain creams and genetic tests for thousands of patients without evaluating them.
Columbia Physician Pleads Guilty to False Statements to Medicare
Bruggeman signed over 3,100 orders for cancer and pharmacological genetic testing and durable medical equipment for Medicare beneficiaries he never interacted with, in exchange for approximately $29,440 from a telehealth company, causing Medicare Part B to pay $1,606,408.
St. Louis Area Doctor Sentenced, Ordered to Repay $742,000
Saggar hired assistant physicians to see patients at his two St. Louis General Hospital urgent care locations but billed Medicare and Missouri Medicaid as if he had seen the patients, submitted false collaborative practice arrangement forms, and did not disclose to Medicaid that a physician whose billing privileges were suspended was performing services.
U.S. Attorney’s Office Collects $23.5 Million in Civil and Criminal Actions in Fiscal Year 2024
The district reported collections in Fiscal Year 2024 including civil settlements over allegations of false claims for medical services by Total Access Urgent Care and Dr. Nehal Modh, and garnishment of retirement accounts of doctors who pleaded guilty in criminal cases, including one who admitted accepting kickbacks from telemedicine companies.
Local Home Healthcare Company Owner Accused of $800,000 Fraud
The owner of a home healthcare company submitted hundreds of fraudulent claims to Missouri Medicaid and the VA Community Care Network for services that were never provided, including claims for patients who were hospitalized and claims for more than 24 hours of care in a single day.
Three Sentenced for Half-Million Dollar Health Care Fraud Conspiracy
The former owner, office manager, and business manager of a home health care company conspired to submit $552,659 in fraudulent reimbursement claims to Missouri's Medicaid program for personal care services that were never provided.
St. Louis County Woman Accused of $3 Million Home Health Care Fraud
Childress owned a home health care company, concealed her ownership from state officials due to a 2012 conviction, and submitted or caused to be submitted fraudulent claims to Missouri Medicaid for home healthcare services that were never provided.
St. Louis Man Sentenced for Home Health Care Fraud
Spencer used his brother's identity to submit false time sheets and Electronic Visit Verification records claiming his brother was providing him Medicaid-reimbursed personal care assistance services after his brother moved out, and kept the reimbursement debit card.
Pair Accused of Kickback Scheme Involving Lab Testing
The indictment alleges Peoples collected biological specimens for genetic and COVID-19 testing primarily from Medicare patients at senior citizen centers while Cleveland connected him to laboratory personnel, and the two used sham contracts describing kickbacks as a monthly flat marketing fee and offered a physician $100 per lab test ordered.
Testing Laboratory Co-owner Sentenced for $3.8 Million in Fraudulent Billing
Co-owners of testing laboratories concealed ownership and lab operations from CLIA and insurers, engaged in pass-through billing and split billing, and submitted more than $3.8 million in fraudulent claims to Medicare, Medicaid and private health care benefit programs.
Jefferson County Doctor, Staffers Accused of Conspiracy, Health Care Fraud
A doctor and two employees were indicted for conspiring to prescribe controlled substances outside the usual course of professional practice and for billing Medicare, Missouri Medicaid and private insurers for claims that falsely identified the doctor as the provider, including when he was out of the country.
United States Reaches $1.2 Million Civil Settlement with Festus Pain Management Doctor Over Allegations of False Claims to Federal Health Care Programs
Dr. Modh and Progressive Pain Management falsely indicated to Medicare and Missouri Medicaid that ultrasound guidance was used on certain pain management injections, submitted false claims for facet joint injections that did not meet billing substantiation requirements, and improperly coded claims to receive excess reimbursement.
Three Admit Half-Million Dollar Health Care Fraud Conspiracy
The former owner, office manager, and business manager of a home health care company conspired to submit fraudulent reimbursement claims to Missouri's Medicaid program for personal care services that were never provided, receiving $552,659.
Gamma Healthcare and Three of Its Owners Agree to Pay $13.6 Million for Allegedly Billing Medicare for Lab Tests That Were Not Ordered or Medically Necessary
Gamma and three of its owners submitted or caused the submission of Medicare claims for medically unnecessary urinary tract infection PCR urinalysis tests that were not ordered by treating physicians, using requisition forms that did not allow physicians to opt out.
St. Louis Area Pediatrician Indicted, Accused of Exchanging Prescriptions for Sex Acts
A pediatrician was indicted for issuing controlled substance prescriptions to adult women in exchange for sex acts, sexual photographs or cash, making false statements related to health care matters, and using third-party identities to take advantage of their prescription insurance benefits or conceal the frequency of prescriptions, with an acquaintance charged in a conspiracy to distribute controlled substances.
St. Louis Man Admits Home Health Care Fraud
Spencer submitted time sheets, Electronic Visit Verification records and enrollment paperwork falsely claiming his brother provided Medicaid-reimbursed personal care assistance services to him, receiving about $31,700 on a debit card.
Testing Laboratory Co-owner Admits $3.8 Million in Fraudulent Billing
Co-owners of testing laboratories submitted more than $3.8 million in fraudulent claims through pass-through billing and split-billing for urine toxicology tests, concealed common ownership from payers and made misrepresentations to obtain CLIA certification.
St. Peters Physician Pleads Guilty to False Statements, Resulting in $1.4 Million Medicare and Medicaid Fraud
A physician signed pre-printed forms and letters of medical necessity certifying that genetic tests were medically necessary for Medicare and Medicaid beneficiaries with whom he had little or no doctor-patient relationship, causing laboratories to bill more than $1.4 million.
Columbia Physician Indicted for False Statements to Medicare
A physician contracted with a telemedicine company to sign orders for durable medical equipment and genetic testing for Medicare beneficiaries and falsely certified that he had evaluated the patients and determined the items were medically necessary.
U.S. Attorney’s Office in the Eastern District of Missouri Collects More than $21 Million in Civil and Criminal Actions in Fiscal Year 2023
Great Circle, a nonprofit behavioral health provider, admitted making false statements when billing for services that were not actually provided to foster youth and agreed to pay $1,866,000, and two Jefferson County chiropractors and co-defendants were ordered to repay money fraudulently obtained through a Social Security disability fraud conspiracy involving medically unnecessary tests.
St. Louis Area Doctors Accused of Illegally Administering Ketamine, Health Care Fraud
Two doctors were indicted for illegally administering intravenous ketamine and esketamine nasal spray without proper DEA authorization or supervision and for fraudulently billing Medicare using another physician's name and Medicare billing number.