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 20, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.
U.S. Attorney Announces $2.2 Million Settlement With Urologists For Submitting False Claims To Medicare
Two urologists submitted or caused the submission of false claims to Medicare for medically unnecessary InterStim neurostimulation implantation, replacement, and revision procedures performed without the required preoperative test stimulation.
Warren County Physician and Nurse Practitioner Pay $500,000 to Resolve Unlawful Opioid Prescribing and Fraudulent Conveyance Actions; Barred from DEA Registration for 20 Years
A physician and nurse practitioner operating a cash-pay pain practice issued high-dose opioid and other controlled substance prescriptions tied to recurring appointment payments to patients who were not regularly examined, and the physician transferred a residence to his then-spouse to hinder federal recovery.
Carl’s Cab Operators Charged in $4.2 Million Medicaid Fraud and Kickback Scheme
The defendants, operating Carl's Cab, a Medicaid-enrolled transportation provider, submitted claims for transportation services that were not provided, not medically necessary, or improperly inflated, and paid cash and controlled substances to Medicaid recipients to induce them to use Carl's Cab.
Latham Taxi Operators and Employees Charged in $660,000 Medicaid Fraud and Kickback Scheme
The defendants, who operated and were associated with Latham Taxi Inc., a Medicaid-enrolled transportation provider, submitted or caused the submission of claims for transportation services that were not provided, not medically necessary, or improperly inflated, and provided Medicaid recipients with cash, rent abatement, controlled substances, and other things of value to induce them to use Latham Taxi Inc.
Clifton Park Telehealth Company to Pay $300,000 to Resolve Allegations of Improper Billing for No-Show Visits and Other Services
Aptihealth billed Medicare and Medicaid for patient appointments that did not occur because the patient was a no-show, for responses to patient messages without regard to whether the communications involved billable clinical content, and for psychological testing services that were not sufficiently documented, and provided $25 gift cards to patients who attended therapy sessions.
United States Announces $36.5 Million Settlement Of Medicare Fraud Lawsuit Against Matrix Medical Network
Matrix conducted in-home health assessments and reported diagnosis codes for chronic conditions that were not supported by sufficient clinical information, causing Medicare Advantage Organizations to submit false diagnoses to CMS and receive inflated risk adjustment payments.
Clinic Manager Convicted of $8 Million Medicare Fraud Scheme
Popovych, an office manager of physical therapy clinics in Brooklyn, paid cash kickbacks to ambulette drivers who recruited Medicare patients and falsified medical records to indicate that physical therapists who were not present treated patients, resulting in Medicare paying the clinics over $8 million.
Rochester man sentenced for defrauding Medicare
An independent insurance broker received $32,150 in kickbacks from a Syracuse company for arranging that Low Income Subsidy Medicare beneficiaries fill medically unnecessary prescription medications paid for by Medicare.
Three Members of International Criminal Organization Sentenced to Lengthy Prison Sentences in $2 Billion Telemedicine Healthcare Fraud Scheme
Defendants ran call centers and remotely controlled pharmacies to generate fraudulent prescriptions without telemedicine visits and submitted over $1.97 billion in fraudulent reimbursement claims to private insurers, which paid over $758 million.
Three Members of International Criminal Organization Sentenced to Lengthy Sentences in $2 Billion Telemedicine Healthcare Fraud Scheme
Between 2017 and 2022, defendants used call centers in Utah and Russia to generate fraudulent prescriptions without telemedicine visits and submitted over $1.97 billion in reimbursement requests to private insurers through dozens of pharmacies acquired through straw owners and billed remotely by Moscow-based billers.
New York Business Owner Sentenced to Prison for Using Shell Companies to Launder Health Care Fraud Proceeds for Transnational Criminal Organization
Zarbailov deposited health care fraud proceeds from five durable medical equipment companies linked to a transnational criminal organization and transferred the funds to other accounts, including accounts overseas.
Queens Pharmacy Owner Sentenced to Over Five Years in Prison for Money Laundering Scheme
Kim co-owned retail pharmacies that submitted approximately $24.4 million in claims to Medicare for medically unnecessary prescription drugs obtained through bribes and kickbacks to medical providers and patients, and he laundered the proceeds through trading companies.
New York Physician Pleads Guilty To Multimillion-Dollar Covid-19 Insurance Fraud Scheme
Rashan, through his ownership and operation of ClearMD LLC, fraudulently billed insurance providers for COVID-19 testing and evaluation and management services that were not provided and directed staff to write software generating fake medical records to support the billings, causing losses of over $24 million.
Former Board Chairman and Executive Director of Healthcare Non-Profit Indicted for Embezzlement, Bribery, and Kickback Schemes
The indictment charges that the former board chairman and executive director of a Brooklyn-based nonprofit that provided home care services and operated homeless shelters embezzled more than $1.3 million from the organization, including through a fraudulently induced $800,000 payment to a shell company, and steered business to vendor companies controlled by two other defendants in exchange for bribes and kickbacks.
United States Attorney’s Office collects more than $68,000,000 in 2025 based on fraud, waste and abuse
The U.S. Attorney's Office recovered more than $68,000,000 in 2025, including a settlement in which Pfizer, on behalf of its subsidiary Biohaven, paid more than $50,000,000 to resolve allegations that Biohaven paid kickbacks to providers in return for prescribing the drug Nurtec, plus PPP fraud cases and self-disclosed overpayments to federal health care programs.
Florida Man Sentenced To Five Years For Orchestrating Multimillion-Dollar Medicare Billing Fraud Scheme
Albin operated a medical billing company that submitted thousands of fraudulent Medicare reimbursement claims for durable medical equipment based on kickback-tainted prescriptions, many generated with forged doctor's signatures and without regard to medical need.
Long Island Medical Doctor Sentenced to 7 Years in Prison for Operating Oxycodone Pill Mill Out of her Great Neck Office
A licensed physician prescribed oxycodone without a legitimate medical purpose in exchange for cash payments and submitted false claims to Medicare and private benefit programs for medical services that were not rendered.
Two Queens Men Charged with $120M Adult Day Care and Pharmacy Fraud on Medicare and Medicaid
Two men allegedly paid cash and gift certificate kickbacks and bribes to Medicare beneficiaries and Medicaid recipients to induce them to fill prescriptions at a pharmacy and enroll in social adult day care centers, and submitted claims for services that were not provided or exceeded permitted capacity, resulting in approximately $120 million in payments.
Brooklyn Banker Pleads Guilty to Laundering Proceeds of Medicare Fraud for Transnational Criminal Organization
A former bank relationship manager opened bank accounts for individuals posing as owners of fake medical equipment companies using fake corporate registration documents, allowing a transnational criminal organization to deposit fraudulently obtained Medicare and insurance checks and launder more than $8 million in health care fraud proceeds.
Syracuse area man pleads guilty to operating kickback scheme involving Medicare And Medicaid
Klein, through JRS Group, LLC, paid kickbacks to insurance brokers to recruit Medicare beneficiaries, paid Advanced Telehealth to supply doctors to sign preselected prescriptions after telemedicine visits, and received payments from ProRX and SunRise Pharmacy for each prescription filled, resulting in claims to Medicare and Medicare drug plan sponsors for medically unnecessary items.
Two Individuals Plead Guilty to $68 Million Fraud Scheme at Brooklyn-Based Adult Day Cares and Home Health Care Company
Two marketers and recruiters for two Brooklyn social adult day cares and a home health care fiscal intermediary referred Medicaid recipients and paid kickbacks and bribes to recipients for services that were billed to Medicaid but not provided, using multiple business entities to launder proceeds and generate cash for the kickbacks.
U.S. Attorney Announces $6.8 Million Settlement With New York-Presbyterian Hudson Valley Hospital For Paying Kickbacks To A Westchester Oncology Practice In Order To Obtain Referrals
NYPHV paid over $4 million to a Westchester-based oncology practice under three directorship and management agreements for work that was not performed or not documented, in order to induce patient referrals that NYPHV then billed to Medicare and Medicaid.
Doctor Sentenced to Seven Years in Prison for $24M Medicare Fraud
A doctor received cash kickbacks and bribes in exchange for ordering medically unnecessary laboratory tests, including cancer genetic tests, and orthotic braces, and billed for office visits he never provided, causing over $24 million in fraudulent claims to Medicare.
Nurse Practitioner Sentenced to 18 Months and Ordered to Pay over $160,000 in Restitution for Health Care Fraud and Unlawful Drug Distribution
A psychiatric nurse practitioner submitted false and fraudulent claims to health care benefit programs for psychotherapy and evaluation and management services she never provided, issued 108 amphetamine prescriptions for non-medical purposes, and used Provider Relief Funds for impermissible purposes.
Plaster’s union member sentenced for defrauding health care plan
Weatherbee submitted 12 fraudulent invoices totaling $44,012 to his union's health and welfare fund for purported out of pocket medical expenses, converting the funds for his own use.
BROOKLYN CARDIOLOGIST SENTENCED TO 37 MONTHS IN PRISON IN CONNECTION WITH HEALTH CARE FRAUD AND BRIBERY SCHEME
Mittal paid other providers purported rent payments to induce patient referrals to his Brooklyn clinic and fabricated patient records to bill for medically unnecessary peripheral vascular interventional procedures.
Lackawanna man sentenced for defrauding Medicaid
Fadhel, an owner of a transportation company providing rides to Medicaid beneficiaries, submitted claims for shared rides which he certified as individual rides in order to claim a higher reimbursement amount.
Leader of $68M Adult Day Care Fraud Scheme Pleads Guilty
Khan and marketers she employed paid kickbacks and bribes to Medicaid recipients to refer them to her two Brooklyn social adult day cares, which billed Medicaid over $68 million for services that were not provided or were induced by kickbacks, and used multiple business entities to launder the proceeds.
Brooklyn Woman Pleads Guilty to Leading a $68 Million Social Adult Day Care and Home Health Care Fraud Scheme
Khan owned two Brooklyn social adult day care centers and, with marketers she employed, paid kickbacks and bribes to Medicaid recipients for social adult day care services that were billed to Medicaid but not provided or were induced by kickbacks, and used multiple business entities to launder the proceeds.
Tonawanda doctor pleads guilty for his role in prescription scam
A family practice doctor signed pre-filled compounded medication prescriptions for 19 individuals who were not his patients based on another person's representations of medical need, and later concealed this during a pharmacy benefit manager audit, resulting in $8,750,315 in reimbursements by health care benefit programs.
Doctor Arrested For Multimillion-Dollar COVID-19 Insurance Scheme
Rashan, the founder and CEO of ClearMD, directed the submission of fraudulent claims to insurers for unperformed COVID-19 testing and evaluation and management services and had software generate false medical records to support the billings, resulting in losses of at least approximately $24 million.
Centers Healthcare Pays Over $6 Million for False Statements on Medicare Cost Reports
Centers Healthcare admitted that Medicare cost reports associated with 44 related skilled nursing facilities contained false statements or omitted material information regarding transactions with related organizations.
11 Defendants Indicted in Multi-Billion Health Care Fraud Scheme, the Largest Case by Loss Amount Ever Charged by the Department Of Justice
Fifteen individuals, including members of a Russia-based transnational criminal organization that purchased durable medical equipment companies through nominee owners and used stolen identities of more than one million Americans, were charged with fraudulently billing Medicare, Medicaid and other health care benefit programs more than $10.6 billion and laundering the proceeds, along with separate charges involving pharmacy kickbacks for over-the-counter products, medically unnecessary DME, drugs not dispensed, and a Suboxone clinic scheme.
National Health Care Fraud Takedown results in 324 defendants charged in connection with over $14.6 billion in alleged fraud
Two physicians were charged criminally and civilly, respectively, with billing Medicare for audio-only telehealth visits that were brief or did not occur and certifying orders for durable medical equipment, including braces, without regard to medical necessity or without speaking with or examining beneficiaries.
Nurse Practitioner Pleads Guilty to Health Care Fraud, Unlawful Drug Distribution
Salamack submitted false and fraudulent claims to health care benefit programs in New York State for psychotherapy and evaluation and management services she never provided, issued 108 prescriptions for amphetamine outside the usual course of professional practice, and used Provider Relief Funds for impermissible purposes.