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 26, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Matrix, HealthFair, and HealthFair founder agree to pay $56.5 million to resolve False Claims Act allegations
Matrix, HealthFair, and Ekbatani agreed to pay $56.5 million to resolve allegations that they caused Medicare Advantage Organizations to submit false or invalid risk-adjusting diagnosis codes to CMS based on in-home and mobile bus health assessments.
Laboratory Executives, Marketers, and Physician to Pay Over $2M to Settle Allegations of Illegal Kickbacks to Doctors
Laboratory executives, marketers, and a physician resolved False Claims Act allegations that kickbacks disguised as managed service organization investment distributions were paid to doctors to induce laboratory testing referrals, including medically unnecessary testing.
Justice Department Secures Landmark Resolution to End Pediatric “Gender-Affirming Care” and Create Detransition Clinic
Texas Children's Hospital agreed to pay over $10 million to resolve allegations that it submitted false billings to public and private payors to secure insurance coverage for pediatric sex-rejecting procedures, and agreed to stop performing such procedures on minors and to establish a clinic for detransitioners.
Texas Fugitive Apprehended and Sentenced to Over 12 Years in Prison for $61M Telemarketing Fraud Scheme Targeting Medicare Beneficiaries
Smith owned and operated seven durable medical equipment supply companies and a marketing company that used deceptive telemarketing and kickbacks to telemedicine companies to obtain doctors' orders, submitting and selling orders used for false Medicare claims for orthotic braces, foot baths, and genetic tests beneficiaries did not need.
Owner of Durable Medical Equipment Company Sentenced for $59M Medicare Fraud
Cassells owned and operated three durable medical equipment companies, concealed his ownership of one in a Medicare enrollment application, paid kickbacks for signed doctors' orders obtained without patient examinations, and submitted claims to Medicare falsely representing that orthotic braces were medically necessary.
Mexican Man Sentenced to 14 Years in Federal Prison for Leading a $6.85M Healthcare Fraud Scheme
Garcia-Moya and two employees of Fleet Ambulance Service Inc. fraudulently billed Medicare and Medicaid by creating run sheets for patients that were not transported, transporting patients in personal or unapproved vehicles, and using ghost employees in run sheets.
Mother Sentenced to 17 Years in Federal Prison for Fraud Scheme Involving Quadriplegic Son
Sanchez falsified time sheets for six years as if a certified nurse aide who had resigned was still caring for her quadriplegic son, submitted them to Texas Medicaid, and directed, forged, and cashed the resulting checks payable to the aide.
Texas Doctor Sentenced to 8.5 Years in Prison for $145 Million Health Care Fraud Scheme
An orthopedic surgeon accepted bribes and kickbacks from pharmacy owners to prescribe medically unnecessary compounded creams to injured federal workers, and the pharmacies billed the Department of Labor's Office of Workers' Compensation Programs and Blue Cross Blue Shield more than $145 million.
Healthcare executives guilty in multimillion-dollar healthcare fraud conspiracy
Two Vivature executives pleaded guilty to conspiracies to defraud others in connection with COVID-19 testing and an athletic training billing scheme.
Houston transplant doctor indicted for making false statements in patients’ medical records
Bynon allegedly made false statements in the medical records of patients on the UNOS liver transplant waitlist that rendered them functionally ineligible for organ donations while Medicare paid for health care benefits, items and services as if they were eligible to receive donor organ offers.
El Paso Doctor Enters $200,000 Settlement Following State and Federal Fraud Allegations
The United States and Texas alleged that August issued 255 controlled substance prescriptions to 15 Medicare Part D and/or Texas Medicaid beneficiaries between Dec. 23, 2017, and May 22, 2021 without a legitimate medical purpose, making the prescriptions ineligible for reimbursement.
Prison time for healthcare employees in multimillion dollar adult daycare fraud scheme
A clinic owner physician and a medical assistant ordered unnecessary lab tests and prescriptions for adult day care center clients, directed them to specific companies in exchange for kickbacks, forged patient signatures and paid bribes disguised as rent payments to day care owners.
Austin Pain Management Doctor and Pain Medicine Practice to Pay $13,625,000 to Settle Civil False Claims Act Allegations
The United States alleged that Dr. Malone and Advanced Pain Care knowingly submitted false claims to Medicare, Medicaid, TRICARE, and the Federal Employees Health Benefits Program for concurrent presumptive and definitive urine drug testing for the same patient on the same date of service without reviewing the presumptive test results, and submitted false claims to the Department of Veterans Affairs for definitive drug testing using separate CPT codes for individual analytes.
Four more charged in $110 million hospice fraud scheme
Seven defendants conspired to fraudulently bill Medicare and Medicaid for more than $110 million for hospice services provided to patients who were not terminally ill, paying kickbacks for referrals and laundering reimbursements through straw-owned successor hospice companies.
Clinic owner arrested in multimillion-dollar fraud scheme involving non-existent psychotherapy services
Spears allegedly submitted approximately $4 million in false Medicare claims for psychotherapy services that were never provided, billing under the names of seven licensed clinical social workers after they resigned and for beneficiaries who were deceased at the time of the billed treatment.
Home health agency owner sentenced to more than six years in Medicare fraud and identity theft scheme
The owner of a home health agency forged signatures of doctors and nurses on doctors' orders, nursing notes and assessments and submitted the falsified records to Medicare to support claims, and bribed a doctor to approve home health services.
Houston doctor agrees to pay over $2 million to settle allegations of fraudulent billing of federal programs
Aggarwal billed federally funded health care programs for surgical implantation of neurostimulator electrodes when patients instead received electro-acupuncture devices taped behind the ear in his clinic with no incision.
Four Individuals Charged in Northern District of Texas with Health Care Fraud Schemes Totaling over $210 Million as part of National Takedown
Four defendants were charged by indictment in the Northern District of Texas with collective fraudulent billing of approximately $210 million submitted to federally-funded programs and other insurers, involving workers' compensation claims for braces and therapy, kickbacks for over-the-counter COVID-19 test claims, genetic testing never ordered or performed, and EEG testing procured through kickbacks.
Nearly 50 charged in Southern District of Texas as part of national health care fraud takedown
Twenty-two cases charging nearly 50 defendants in the Southern District of Texas with hospice fraud and kickbacks, billing Medicare for medically unnecessary genetic tests, skin substitutes and durable medical equipment, fraudulent COVID-19 uninsured program and Medicaid mental health billing, and unlawful distribution of controlled substances diverted to the black market.
Collin County physician agrees to pay $3.5 million to resolve False Claims Act allegations of billing false claims to the COVID-19 Uninsured Program for evaluation & management services not rendered
Khan agreed to pay $3.5 million to resolve allegations that he knowingly submitted or caused the submission of approximately 400,000 false claims to the HRSA COVID-19 Uninsured Program for higher level evaluation and management services that were not performed, when the services provided at COVID test sites were specimen collection by medical assistants.
Jury convicts home health agency owner in Medicare fraud and identity theft scheme
Njoku, owner and CEO of a home health agency, forged doctors' and nurses' signatures onto newly created doctors' orders and nursing notes and submitted the falsified records to Medicare to support claims, and bribed a doctor to approve home health services.
Texas Doctor Who Falsely Diagnosed Patients Sentenced to 10 Years’ Imprisonment in Connection with $118M in Fraudulent Health Care Claims
A rheumatologist falsely diagnosed patients with rheumatoid arthritis and billed over $118 million in false claims for unnecessary tests and treatments, and falsified patient records after receiving a federal grand jury subpoena.
Four sentenced in $110 million-dollar kickback conspiracy
A pharmacy owner conspired with marketers to pay kickbacks to medical providers who referred prescriptions to his pharmacy, which billed federal health care programs more than $110 million in claims for compound drugs from 2014 to 2016.
Harlingen couple guilty in multimillion-dollar Medicare fraud scheme
The operators of a durable medical equipment company admitted receiving millions of dollars from Medicare for power wheelchair parts and repairs that were never performed or provided.
Two former laboratory sales executives sentenced to federal prison for roles in health care kickback conspiracy
Laboratory sales executives conspired to violate the Anti-Kickback Statute by using management services organizations to disguise kickbacks to physicians as investment returns in exchange for laboratory test referrals to rural hospitals and an affiliated lab.
Pharmacist indicted in $2 million health care fraud scheme
A pharmacist submitted or caused the submission of fraudulent claims to Medicaid for prescriptions that a doctor had never prescribed, using doctors' personal information without their consent.
Hospital, Medical Imaging Services Company, and Others to Pay $3.1 Million to Resolve False Claims Act Allegations
The United States alleged that the settling parties engaged in an illegal kickback and pass-through billing scheme in which Desert Imaging used Foundation Surgical Hospital's National Provider Identifier to submit claims for medical imaging services for patients with no connection to the hospital, billing them as hospital outpatient services for higher reimbursement, with the hospital retaining 17% of payments.
Convicted Nurse Practitioner to Forfeit over $40 million from Foreign Accounts for Health Care Fraud, Money Laundering
Reddy and co-conspirators created false patient bills using the provider numbers of six doctors as treating physicians for services never provided to his medical clinics, manufactured fake medical records, and laundered the proceeds to nearly 200 bank accounts in India.
Doctor Agrees to Pay $468,000 to Settle Civil False Claims Act Allegations
A physician received kickbacks from a hospice care company to falsely certify patients as eligible for hospice services, causing false claims to be submitted to federal health care programs.
Texas Pharmacist Sentenced to Over 17 Years in Prison and Ordered to Forfeit $405M in Assets for Defrauding the Department of Labor
Nourian and others paid doctors bribes and kickbacks to prescribe medically unnecessary compound creams that his three pharmacies billed to the Department of Labor's Office of Workers' Compensation Programs and Blue Cross Blue Shield for more than $145 million, and then laundered the proceeds and evaded taxes.
Texas Pharmacist Sentenced to Over 17 Years in Prison and Ordered to Forfeit $405M in Assets for Defrauding the Department of Labor
Nourian and others paid doctors bribes and kickbacks to prescribe medically unnecessary compound creams that his three pharmacies billed to the Department of Labor's Office of Workers' Compensation Programs and Blue Cross Blue Shield for more than $145 million, and laundered the proceeds through shell companies while evading taxes.
Skilled Nursing Facility and Acute Care Hospital to Pay $6.5 Million to Settle Civil False Claims Act Allegations
Providence Park allegedly submitted medically unnecessary Ultra-High Resource Utilization Group therapy claims, and Ascension Providence allegedly submitted false claims for individual outpatient therapy when group therapy was provided and for therapy services without a plan of care signed by a physician.
U.S. Attorney’s Office Recovers More Than $55 Million in Civil Settlements and Judgments in Calendar Year 2024
The U.S. Attorney's Office for the Western District of Texas recovered $55,969,678.60 in over 25 civil enforcement cases in 2024, including False Claims Act settlements over inflated Average Wholesale Prices for compound prescription ingredients, hospice claims for patients who were not terminally ill, inflated acupuncture bills to the Department of Veterans Affairs, kickbacks and medically unnecessary tests, and Controlled Substances Act penalties for unlawful prescriptions and recordkeeping violations.
Anesthesiology service provider pays almost $1M to settle False Claims Act liability
NWAP paid bonuses to its independently contracted pain management practices calculated from lab referral revenue, alleged as kickbacks for referrals, and submitted claims to Medicare for services resulting from those referrals in violation of the False Claims Act and Stark Law.
Local woman sentenced for embezzling funds from dental office
Thornton, a financial coordinator at a Houston dental office, created a shell company called SGS Healthcare and diverted insurance company checks payable to the dental practice into her own accounts and manipulated company books to take cash received from patients.