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 29, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and Kickbacks
DiDonato allegedly conspired to defraud Medicare by billing for unnecessary and duplicative diagnostic eye tests and paid kickbacks and bribes to ophthalmologists disguised as consulting fees for patient referrals, while Campus Eye received a declination after self-disclosing and agreed to pay back $1 million to victims.
Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal Kickbacks
DiDonato allegedly paid kickbacks disguised as consulting fees to ophthalmologists for patient referrals and billed Medicare approximately $3.4 million for duplicative or unnecessary diagnostic tests performed at his optometry practice and eye surgery center.
Six Individuals, Including a Pharmacist and Doctor, Charged in Connection with $20 Million Healthcare Fraud and Kickback Scheme
A pharmacy owner paid cash kickbacks to a doctor, advanced practice nurses, and an office manager in exchange for medically unnecessary prescriptions for high-reimbursement medications billed to Medicare and Medicaid.
Cape May County Psychiatrist Admits to 17 Felony Counts for Unlawful Controlled Substance Prescriptions Linked to Sexual Conduct, Risk of Death, and Serious Bodily Injury
A psychiatrist issued invalid prescriptions for Adderall, Vyvanse, and Xanax to 17 patients outside the usual course of professional practice, with intent to defraud and mislead the dispensing pharmacies and the insurers, government benefits programs, and other third parties who paid for the drugs, sometimes in exchange for sexual activities, images, or videos.
New Jersey Physical Therapist Sentenced to 12 Months in Prison for Health Care Fraud Scheme Targeting Amtrak
Kim, a licensed physical therapist, allowed her license and business bank accounts to be used to bill Amtrak's health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds.
New York Physical Therapist Admits Participating in Health Care Fraud Scheme Targeting Amtrak
Lee, a licensed physical therapist, allowed his license and business bank accounts to be used to bill the Amtrak health care plan for claims for services that never were provided and were medically unnecessary, in return for a portion of the proceeds, while co-conspirators paid cash kickbacks to Amtrak employees for their insurance information.
Opioid Manufacturer Purdue Pharma Sentenced for Fraud and Kickback Conspiracies
Purdue Pharma illegally marketed opioid products to prescribers it had reason to believe were prescribing without a legitimate medical purpose, defrauded the DEA about its diversion prevention programs, and paid kickbacks to prescribers through its doctor speaker program and to an electronic health record platform.
Opioid Manufacturer Purdue Pharma Sentenced for Fraud and Kickback Conspiracies
Purdue illegally marketed its opioid products to prescribers it had reason to believe were prescribing without a legitimate medical purpose, defrauded the DEA about its diversion prevention programs, and paid kickbacks to prescribers through its doctor speaker program and to an electronic health record platform.
Opioid Manufacturer Purdue Pharma Sentenced for Fraud and Kickback Conspiracies
Purdue illegally marketed its opioid products to prescribers it had reason to believe were prescribing without a legitimate medical purpose, defrauded the DEA by misrepresenting its anti-diversion programs, and paid kickbacks to prescribers through its doctor speaker program and to an electronic health record platform.
Former Pharmacy President Sentenced to 24 Months in Prison for Health Care Fraud and Kickback Scheme Involving Compounded Medications
Brosius and others used Main Avenue Pharmacy to distribute prescription pads for high-reimbursement compounded drugs through marketers and telemedicine companies, billed health care benefit programs approximately $33 million, and paid kickbacks to marketers based on referral volume and reimbursement amounts.
New Jersey Pharmacy Owner Sentenced To 24 Months In Prison For Health Care Fraud Scheme
Through a pharmacy he owned, Jaime submitted hundreds of false Medicare claims for Dificid that the pharmacy never purchased or dispensed and that beneficiaries were never prescribed, using providers' unique provider numbers on the claims.
Chiropractor Sentenced to 43 Months in Prison for $14.9 Million Health Care Fraud and Kickback Scheme Related to Durable Medical Equipment and Cancer Genetic Testing
Cameron conspired to defraud health insurers including Medicare by causing submission of claims for medically unnecessary durable medical equipment and cancer genetic tests obtained through marketing call centers and telemedicine companies, and paid and received illegal kickbacks disguised by a sham per-lead agreement with a clinical laboratory.
Amtrak Employees Admit Participating in $11 Million Health Care Fraud Scheme
Amtrak employees took cash kickbacks from health care providers in return for allowing their employer health insurance plan to be billed for services that were never provided and were not medically necessary, resulting in over $11 million in fraudulent claims paid.
New Jersey Doctor Charged in 58-Count Indictment with Distributing Opioids in Exchange for Sexual Favors and Defrauding New Jersey Medicaid
A physician was charged with distributing opioids outside the usual course of professional practice, maintaining a drug-involved premises, and billing New Jersey Medicaid for in-person office visits that never occurred.
New Jersey Business Owner Sentenced to 87 Months for $172 Million Fraud and Money Laundering Scheme
From 2015 to 2019 Williamsky opened or purchased more than twenty durable medical equipment companies concealed through straw owners, submitted fraudulent doctors' orders to Medicare, paid kickbacks to marketing companies that cold-called elderly patients offering free orthotic braces, and laundered proceeds through overseas accounts and shell corporations.
Florida Man Pleads Guilty to Health Care Fraud and Kickback Conspiracy
Van Vleet operated Hype Med LLC, which used telemarketing and telemedicine to generate medically unnecessary prescriptions, paid and received kickbacks from telemedicine companies and pharmacies including Apogee Bio-Pharm, resulting in Medicare paying at least $1,399,812.52 on false and fraudulent claims.
Connecticut Man Sentenced to 30 Months’ Imprisonment for Role in $7.8 Million Health Care Fraud and Kickback Scheme
Foote purchased patient leads from overseas telemarketing call centers, paid kickbacks to telemedicine companies that bribed doctors to sign DME orders without regard to medical necessity, and sold or used those orders so DME suppliers, including ones he controlled, submitted more than $7.8 million in fraudulent claims.
New Jersey Pharmacy Owner Pleads Guilty to Health Care Fraud Scheme Involving Billing Medicare for Undispensed Medication
Through a pharmacy he owned, Jaime submitted hundreds of false claims to Medicare for the medication Dificid that the pharmacy never purchased or dispensed and that beneficiaries were never prescribed, using providers' unique provider numbers on the claims.
Florida Man Sentenced to 24 Months for Laundering Proceeds of Health Care Fraud Scheme
Farese invested in a DME supply company involved in billing Medicare and other insurers for orthotic braces that patients did not want or need, and after learning of the arrests he received $495,000 in proceeds of the scheme into his bank account.
New Jersey Doctor Charged With Distributing Opioids In Exchange For Sexual Favors And Defrauding New Jersey Medicaid
A physician was charged with distributing opioids outside the usual course of professional practice in exchange for sexual favors and billing New Jersey Medicaid for in-person visits and counseling sessions that never occurred.
Florida Man Admits Role in $4.8 Million Health Care Fraud and Kickback Scheme
Kasbee and co-conspirators used marketing call centers to obtain Medicare beneficiaries' information, arranged for cancer genetic screening test kits to be sent and shipped to a testing laboratory that billed Medicare, and received kickbacks exceeding $1,200 per reimbursed test disguised as expenses on false invoices.
New York Man Admits Health Care Fraud Scheme for Submitting Falsified Prescriptions to Medicare and Medicaid
Conzo submitted hundreds of thousands of dollars of fraudulent claims for prescriptions to Medicare and Medicaid on behalf of Elite Pharmacy using the credentials of pharmacists who did not work at the pharmacy or authorize the prescriptions.
Pharmacy Owner Sentenced to 87 Months in Prison and Administrator Sentenced to 72 Months for their Respective Roles in a Health Care Fraud and Kickback Scheme
The co-owner and administrator of a Union City, New Jersey specialty pharmacy conspired to bill Medicare, Medicaid, and private health benefit providers through PBMs for prescription refills that were never dispensed and to pay kickbacks to doctors and their staffs for prescription referrals.
National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud
Physicians and pharmacies submitted reimbursement claims for drugs, devices, and tests that patients did not need or that were never dispensed, and health care providers received kickbacks to drive prescriptions and referrals.
Five New Jersey Pharmacies Agree to Pay $1.935 Million to Resolve False Claims Act Allegations of Billing for Drugs Not Dispensed
Five pharmacies agreed to pay $1,935,000 to resolve allegations that they knowingly billed the Medicare Part D Program and the New Jersey Medicaid Program for drugs that were never dispensed to beneficiaries, as inventory records showed they did not purchase enough medications from wholesalers to fill the prescriptions billed.
Amtrak Employees Admit Participating in $11 Million Health Care Fraud Scheme
Amtrak employees obtained cash kickbacks from health care providers in return for allowing their health insurance plan to be billed for services that were never provided and were not medically necessary.
Cumberland County Drug and Alcohol Rehabilitation Center Agrees to Pay $19.75 Million to Resolve False Claims Act Allegations
Seabrook submitted claims to the VHA Community Care Program and New Jersey Medicaid for short-term residential treatment and partial hospitalization care for which it was not properly licensed or contracted, concealed unlicensed services from state inspectors, failed to employ sufficient properly credentialed caregivers, and kept false and inadequate records.
Vault Agrees to Pay $8 Million to Settle Allegations of Billing False Claims to the COVID-19 Uninsured Program for Patients with Health Insurance
Vault knowingly submitted or caused the submission of false claims to the HRSA COVID-19 Uninsured Program for COVID-19 testing and vaccine administration services provided to patients who had active health insurance.
Operators of New Jersey Company Sentenced to Prison and Enter into Related Civil Settlement Agreement for Roles in $127 Million Health Care Fraud and Kickback Scheme
Two operators of a New Jersey marketing company paid and received kickbacks with telemedicine companies, doctors, and DME suppliers to generate medically unnecessary durable medical equipment orders, causing over $127 million in false claims to Medicare and TRICARE.
Union City Pharmacy Agrees To Resolve False Claims Act Allegations Of Billing For Drugs Not Dispensed
The United States alleged that from January 2, 2015, through January 24, 2022, the pharmacy caused the submission of claims to the Medicare Part D Program and the New Jersey Medicaid Program for drugs that were never dispensed to beneficiaries.
Diopsys Inc. Agrees to Pay up to $14.25 Million to Resolve Alleged Federal False Claims Act and State Law Violations Relating to Vision Testing
Diopsys caused health care providers to submit false claims to Medicare and Medicaid for medically unnecessary electroretinography vision testing using its NOVA device, which lacked FDA clearance for that use, and made changes to the device without submitting them to FDA.
Diopsys, Inc. Agrees To Pay Up To $14.25 Million To Resolve Alleged Federal False Claims Act And State Law Violations Relating To Vision Testing
Diopsys caused health care providers to submit false claims to Medicare and Medicaid for medically unnecessary electroretinography vision testing using its NOVA device, which lacked FDA clearance for that use, and made changes to the device that were never submitted to FDA.
New Jersey Pain Clinic Admits Health Care Fraud And Agrees To Criminal And Civil Penalties
Pain Specialists used its owner physician's NPI number to bill Medicare, Medicaid, and private insurance for services requiring his in-person consultation or direct supervision on dates when he was traveling and not present, and improperly listed a physician as the rendering provider for services provided by a non-physician practitioner when no physician was present.
Two Executives Of Louisiana Compounding Pharmacy Convicted Of Defrauding TRICARE And New Jersey State Health Benefits Programs, Identity Theft, And Money Laundering
Two pharmacy executives used a compounding pharmacy to submit approximately $100 million in fraudulent claims for compounded medications formulated for high insurance reimbursement rather than medical need, using patients' identifying information without consent, and to transact in the proceeds.
Owner Of Marketing Companies And DME Company Convicted For Role In $100 Million Scheme To Defraud Medicare And Other Insurers And To Violate The Anti-Kickback Statute
Naviwala and coconspirators bought Medicare patient lists, used telemarketers to pre-fill orthotic brace prescriptions, paid telemedicine doctors to sign them without speaking to patients, and sold the prescriptions to DME supply companies that billed Medicare, TRICARE and other insurers, while he also owned a DME company that billed Medicare.
Amtrak Employee Admits Participating In $11 Million Health Care Fraud Scheme
Saloka and co-conspirators obtained cash kickbacks from health care providers in return for allowing the providers to use their personal and health insurance information to submit fraudulent claims to the Amtrak health care plan for services never provided or medically unnecessary.
Pharmacy LLC Agrees To Resolve False Claims Act Allegations Of Billing For Drugs Not Dispensed
A Plus Pharmacy LLC caused the submission of claims for reimbursement to the Medicare Part D Program for certain drugs that were never dispensed to beneficiaries.
Amtrak Employee Admits Participating In $11 Million Health Care Fraud Scheme
An Amtrak employee received cash kickbacks from health care providers in exchange for allowing his employer health plan to be billed for services that were never provided and were not medically necessary, and recruited other employees into the scheme.
Pharmacy Agrees To Resolve False Claims Act Allegations For Billing For Drugs Not Dispensed
From January 1, 2019, through January 24, 2022, Medsinbox caused the submission of claims to Medicare Part D and New Jersey Medicaid for drugs that were never dispensed to beneficiaries.
California Man Admits Role In $10 Million Health Care Kickback Scheme
Owens owned marketing companies that identified Medicare beneficiaries for at-home cancer genetic testing and received kickback payments of $1,700 to $2,000 per test reimbursed by Medicare, routed through a New Zealand company under a sham contract.