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.
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
Charlotte Man Charged with Defrauding the North Carolina Medicaid Program Out of Hundreds of Thousands of Dollars; Announcement Made as Part of Justice Department’s National Health Care Fraud Takedown
Robinson, the concealed beneficial owner of The Fisher of Men Project, LLC, used the personal identifying information of medical professionals and Medicaid recipients to submit approximately $735,000 in claims to Medicaid for psychotherapy services that were never provided, receiving approximately $440,000.
Foreign National Indicted in Multimillion Dollar Healthcare Fraud Conspiracy
Foley and others allegedly partnered with marketing entities that solicited Medicare beneficiaries to accept medically unnecessary durable medical equipment by waiving copays and deductibles, then used a "doctor chase" model to pressure physicians into signing or altering orders so the equipment could be billed to Medicare, CHAMPVA, TRICARE, and other insurance programs.
Over $12 Million Medicaid Fraud Scheme Leads to 14 Years of Prison for Substance Abuse Facility, Owner, Compliance Officer, and Office Manager
Operators of a purported substance abuse facility and a urine drug screening company paid more than $1 million in gift card kickbacks to Medicaid patients to induce them to attend substance abuse and lab services, resulting in more than $12.7 million in false billings to North Carolina Medicaid, and falsified documents during audits.
Yadkinville Woman Sentenced in Connection with Multi-Million Dollar Medicaid Fraud Scheme
Briggs directed her durable medical equipment company to submit claims to Medicaid for the maximum reimbursable number of incontinence products per beneficiary regardless of the quantity actually delivered to assisted living facilities.
KINSTON WOMAN SENTENCED TO 6 YEARS IN FEDERAL PRISON AND ORDERED TO REPAY OVER $15 MILLION IN RESTITUTION FOR HEALTHCARE FRAUD
Super, an office manager of a substance abuse treatment company, and others paid more than $1 million in kickbacks to patients in the form of gift cards to induce them to register for services, created false documents to deceive Medicaid auditors, received kickbacks from a lab company, and failed to file a tax return.
Largest North Carolina Behavioral Health Practice Agrees to Pay $1.9 Million to Resolve Allegedly False Medicare Claims
Mindpath and former officers allegedly billed Medicare for psychotherapy and medication management sessions without documentation of separate and distinct psychotherapy treatments from 2018 to 2020.
Compliance Director and Office Manager of Substance Abuse Company Convicted in Scheme to Pay Medicaid Kickbacks to Patients
Two former leaders of a substance abuse treatment company used Medicaid reimbursement funds to buy more than $1 million in gift cards that were given weekly to patients to incentivize them to show up for services, made false statements and documents to Medicaid auditors, and received unreported kickbacks from a drug testing lab company.
Troy Health, Inc. Enters Non-Prosecution Agreement and Admits to Fraudulently Enrolling Medicare Beneficiaries and Identity Theft
Troy admitted that from approximately October 2020 through the end of 2022 it unlawfully accessed pharmacy records and customer lists to obtain Medicare beneficiary information, made false statements on unsolicited sales calls, offered pharmacies kickbacks for enrollment referrals through its Troy.ai platform, and enrolled beneficiaries in its Medicare Advantage plans without their knowledge or consent.
Multiple Eastern North Carolina Healthcare Professionals Charged in Connection with 2025 National Healthcare Fraud Takedown
Defendants were charged with paying more than $1 million in gift card kickbacks to substance abuse treatment patients and making false statements to Medicaid auditors, and with conspiring to bill Medicare, CHAMPVA and other insurers for medically unnecessary durable medical equipment, while seven mental health practitioners pleaded guilty to making or conspiring to make materially false writings relating to health care matters.
Federal And State Officials Announce Efforts To Crack Down On Healthcare Fraud Schemes
Nine individuals were criminally charged in schemes that submitted false and fraudulent reimbursement claims to the South Carolina and North Carolina Medicaid programs for behavioral health services, psychotherapy and urine drug testing that were inflated or never provided, using purchased beneficiary identifying information, providers' NPIs, and kickbacks, with proceeds laundered through disguised payments.
Charlotte Clinic Owner Agrees To Settle Allegations Of Medicaid Fraud
Owners of a clinic submitted or caused to be submitted claims to NC Medicaid for in-home physician visits that never occurred, billing more than 30,000 hours of purported visits.
Greensboro Woman Pleads Guilty to Health Care Fraud and Money Laundering in Connection with Multi-Million Dollar Urine Drug Testing Scheme
Hoyle billed the North Carolina Medicaid program through two businesses she owned for urine drug tests and office visits that were not performed, and used the proceeds for personal expenses.
Doctor Sentenced for Health Care Fraud and Money Laundering
Randall, sole physician and owner of National Institute of Toxicology, prescribed controlled substances without regard to medical indication and required patients to submit to definitive urine drug tests on every visit, billing Medicare and North Carolina Medicaid for those tests at the highest reimbursement rate, and used the proceeds to make large purchases.
Man Pleads Guilty to Conspiracy to Launder Money in Connection with $100 Million Health Care Fraud Scheme
Ahmed conspired to pose as the owner of two durable medical equipment companies that submitted more than $100 million in fraudulent Medicare claims for equipment beneficiaries never received, requested, or needed, and laundered over $3 million of the proceeds through cash withdrawals.
The United States And State Of North Carolina File False Claims Act Complaint Against Durable Medical Equipment Supplier
Ejindu, through a durable medical equipment business operated under different names, caused the submission of false claims to North Carolina Medicaid for high-reimbursing specialized nutritional formula when recipients actually received lower-reimbursing Ensure, PediaSure, Boost, and Glucerna drinks.
Lumberton-based Behavioral Health Provider Agrees to Pay over $2.5 Million to Settle Medicaid Fraud Allegations
Southeastern and the Hutchinsons submitted claims to North Carolina Medicaid for services that were not rendered, including for patients who were incarcerated or deceased on the billed dates of service, without supporting medical records.
Federal Judge Sentences Charlotte Licensed Clinical Social Worker To 11+ Years In Prison For Medicaid Fraud, COVID-19 Fraud, And Money Laundering
Cross, through her company Odyssey Health Group, submitted fraudulent reimbursement claims to South Carolina Medicaid for rehabilitative behavioral health services that were never provided using beneficiaries' personal identifying information, created fake clinical notes, laundered proceeds, and obtained fraudulent PPP loans.
North Carolina Physician Assistant Sentenced To Six Years In Prison For Role In $10 Million Telemedicine Fraud Scheme
A physician assistant signed pre-populated, fraudulent prescriptions for medically unnecessary cancer genomic and pharmacogenetic testing for over 600 Medicare beneficiaries he never examined, in exchange for per-consultation payments, resulting in more than $10 million in fraudulent claims to Medicare.
Greensboro Clinic Owner Is Sentenced To 52 Months In Prison For Defrauding Medicaid
The clinic owner used Medicaid beneficiaries' personal identifying information obtained through community outreach programs to submit more than 1,500 fraudulent reimbursement claims to North Carolina Medicaid for behavioral health services that were never provided, and laundered the proceeds including kickbacks to co-conspirators.
New Hanover County Social Worker Sentenced to Prison for Conspiring to Defraud Medicaid
A county social worker used her government employment to obtain Medicaid beneficiaries' personally identifying information and provided it, for a fee per beneficiary, to a licensed mental health counselor who used it to bill Medicaid for services never rendered.
Charlotte Licensed Clinical Social Worker Convicted Of Medicaid Fraud, COVID-19 Relief Fraud, And Money Laundering
Cross, through her company Odyssey Health Group, submitted fraudulent claims totaling $1.3 million to South Carolina Medicaid for rehabilitative behavioral health services that were never provided, using beneficiaries' personal identifying information and fake clinical notes, and also obtained more than $287,000 in fraudulent PPP loans.
North Carolina Home Health Care Agency And Owner Agree To Pay $600,000 To Resolve False Claims Act Allegations
Family First and its owner billed Medicaid for personal care services that were never performed and for services purportedly provided by aides who were away at college or had moved out of state, and billed for services by family member aides as if performed by non-related aides, forging documents and signatures.
U.S. Attorney’s Office Collects Over $18 Million in Civil and Criminal Actions and Over $18 Million More in Asset Forfeiture Actions in Fiscal Year 2023
The office collected a False Claims Act judgment against Jeffrey G. Hedges related to a Durham medical clinic that billed Medicare for services performed by non-physicians under the higher billing rate of the clinic's nominal owner and medical director, and forfeited property traceable to Tanya Parrish Grant's submission of false and fraudulent Medicare claims for durable medical equipment.
New Hanover County Social Worker Pleads Guilty to Conspiring to Defraud Medicaid
Jones, a county social worker, obtained Medicaid beneficiaries' personally identifying information through her government employment and sold it to a licensed mental health counselor who used it to bill Medicaid for services never rendered.