News

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 March 11, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.

DOJIndictedMar 11, 2026SC

Former Greenville CEO, Employees Indicted in Multi-Million Dollar Health Care Fraud Scheme

The defendants submitted false claims to health care benefit programs for individual COVID-19 tests that had actually been pooled for combined processing and manipulated test processing software, billing for tests that were virtually worthless and ineligible for reimbursement.

$27.5M orderedMedicare, Medicaid
DOJSentencedFeb 25, 2026SC

Lancaster Trio Sentenced for Health Care Fraud Conspiracy

An excluded Medicaid provider and his wife established Transformation Services in her name to bill Medicaid for behavioral health services that were overlapping, not rendered individually, and provided by unlicensed therapists, defrauding Medicaid of nearly $250,000.

$250K alleged$246K orderedMedicaid4 providers in Verity
DOJIndictedNov 18, 2025SC

Florida Man Indicted for Health Care Fraud, Wire Fraud in Durable Medical Equipment Scheme

Weinberger, who was excluded from Medicare, allegedly concealed his ownership and control of a Medicare-enrolled durable medical equipment company through a false enrollment document and, with coconspirators, used call centers to generate doctors' orders for orthotic braces and submit approximately $6.7 million in false and fraudulent claims obtained through kickbacks and bribes, medically unnecessary, or otherwise ineligible for reimbursement.

$6.7M allegedMedicare
DOJCivil judgmentJul 17, 2025SC

United States and the States of Georgia, Colorado, and South Carolina Obtain $114.5M in Judgments in a Sprawling Cancer Genetic Testing Lab Scheme

Premier Medical, its owner and compliance vice president paid kickbacks to Freedom Medical Labs and its marketers, who collected DNA samples from Medicaid beneficiaries in public spaces and purchased telemedicine physician orders, to bill Medicaid for medically unnecessary cancer genetic testing.

$13.8M alleged$114.5M orderedMedicaid1 provider in Verity
DOJIndictedJun 30, 2025SC

S.C. Cases Among Hundreds Announced in National Health Care Fraud Takedown

Two defendants were charged with submitting false claims to Medicare and Medicaid for durable medical equipment that was not delivered or authorized, and with billing the Veterans Administration for massage therapy services not rendered.

$2.6M allegedMedicare, Medicaid3 providers in Verity
DOJPleaded guiltyApr 2, 2025SC

Lancaster County Trio Pleads Guilty to Conspiracy to Commit Health Care Fraud

The defendants recruited Medicaid beneficiaries as clients of Transformation Services and submitted bills and records to the State of South Carolina for behavioral health services that were never rendered, including services by unlicensed counselors.

$246K allegedMedicaid4 providers in Verity
DOJCivil settlementMar 6, 2025SC

Healthcare Providers and Laboratory Marketers Agree to Pay Over $1.9M to Settle Kickback Allegations

Healthcare providers received remuneration disguised as office space rental, phlebotomy, and toxicology payments from a South Carolina laboratory in return for ordering testing, and a marketer and his company received volume-based commissions from that laboratory for arranging referrals, resulting in false claims to Medicare and TRICARE.

$1.9M orderedMedicare, TRICARE10 providers in Verity
DOJCivil settlementMar 6, 2025SC

Health Care Providers and Laboratory Marketers Agree to Pay Over $1.9 Million to Settle Kickback Allegations

Health care providers received remuneration disguised as office space rental, phlebotomy, and toxicology payments from a South Carolina laboratory in return for ordering testing, and a marketer and his marketing company received volume-based commissions from that laboratory to arrange laboratory testing referrals, resulting in false claims to Medicare and TRICARE.

$1.9M orderedMedicare, TRICARE10 providers in Verity
DOJCivil settlementOct 9, 2024SC

North Carolina Physician and Medical Practice Agree to Pay $625,000 to Settle Kickback Allegations

From August 2015 to November 2021, Troyer and his medical practice received kickbacks from a laboratory in Anderson, South Carolina, disguised as payments for purported phlebotomy services, rental of office space and the lease of a chemistry analyzer machine, in return for referrals that resulted in the submission of false or fraudulent laboratory testing claims to Medicare, Medicaid and TRICARE.

$625K orderedMedicare, Medicaid, TRICARE2 providers in Verity
DOJCivil settlementOct 3, 2024SC

Operator of South Carolina Medicaid Call Center Agrees to Pay $11.3 Million to Resolve False Claims Act Liability; Two Former Employees Plead Guilty to Wire Fraud

Conduent fraudulently reported call center performance metrics and submitted false claims for payment to the South Carolina Department of Health and Human Services, with two employees fabricating performance metrics and adjusting invoices.

$8.1M alleged$11.4M orderedMedicaid
DOJCivil settlementJul 25, 2024SC

Substance Use Disorder Treatment Clinics to Pay More than $850,000 to Resolve Allegations They Knowingly Overbilled Medicaid for Office Visits

From 2016 through mid-2023, the clinics submitted claims to Virginia Medicaid containing code 99215 for meetings that were regular check-ins during substance use disorder treatment and did not meet the criteria for that code.

$864K orderedMedicaid
DOJOtherMay 1, 2024SC

U.S. Attorney's Office Announces the Formation of Multi-Agency Health Care Fraud Task Force

The U.S. Attorney's Office announced the formation of the Palmetto Health Care Fraud Task Force to investigate false billings, COVID-19 fraud, Anti-Kickback Statute violations, and other health care fraud schemes in the District of South Carolina.

Medicare, Medicaid, TRICARE, private insurance
DOJCivil settlementApr 29, 2024SC

Laboratory Marketer and North Carolina Physicians Agree to Pay Over $1.3M to Settle Kickback Allegations

A laboratory marketer and his marketing company offered kickbacks disguised as office space rental, phlebotomy payments, and equipment purchases to physicians on behalf of a South Carolina laboratory, and the physicians and their practices received those kickbacks in return for laboratory referrals, resulting in false claims to Medicare and TRICARE.

$1.4M orderedMedicare, TRICARE8 providers in Verity
DOJCivil settlementApr 29, 2024SC

Justice Department Recovers Fraudulent Transfer of Proceeds Arising from Kickback Scheme

Dent was found liable for submitting false claims to Medicare and TRICARE in violation of the Anti-Kickback Statute and the False Claims Act, and after service of an HHS-OIG subpoena transferred tens of millions of dollars in fraud proceeds to his spouse, family members, a family trust and 10 corporations he owned or operated.

$114.0M alleged$16.0M orderedMedicare, TRICARE
DOJSentencedMar 20, 2024SC

Mt. Pleasant Man Sentenced to Nine Years in Federal Prison for Role in One of the Largest Medicare Fraud Schemes in History

Chmiel controlled and operated at least 10 DME companies that paid kickbacks and bribes to an offshore call center and telemedicine companies for completed doctors' orders and submitted false claims to Medicare for medically unnecessary braces.

$200.0M alleged$98.9M orderedMedicare
DOJCivil settlementJan 26, 2024SC

Durable Medical Equipment Companies to Pay Millions in False Claims Settlement

Hillrom's Direct to Consumer division sold used hospital beds but billed federal healthcare programs as if they were new, billed certain beds and pressure support surfaces under a miscellaneous code that sometimes resulted in a higher price paid by the government, and mischaracterized travel time as DME repair time.

$2.1M orderedMedicare, Medicaid, TRICARE3 providers in Verity
DOJSentencedJan 18, 2024SC

New York Man Sentenced to Federal Prison and Pays $850,000 in Civil Fines and Restitution for Durable Medical Equipment Scheme

Brooks operated at least eight durable medical equipment companies that submitted or caused false claims to Medicare and CHAMPVA for braces that were not medically necessary or were obtained by paying kickbacks to telemedicine companies for signed doctors' orders generated from beneficiary information purchased from call centers.

$29.0M alleged$15.2M orderedMedicare, private insurance
Page 1