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 June 23, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
U.S. Attorney’s Office announces charges against three defendants in the Eastern District of Virginia as part of national health care fraud takedown
Three defendants were charged with fraudulently billing Medicaid for mental health services that were not provided and with submitting false claims to Medicare through a straw-owned durable medical equipment company.
Medicaid service providers sentenced for false statements resulting in overbilling
Wright and Winfield instructed CCR employees to falsely claim in progress notes that children received therapeutic day treatment services from 2:00pm to 7:00pm, including providing prefilled progress note templates, resulting in overbilling to Medicaid.
Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations
Tri-Area Community Health billed Medicare for Annual Wellness Visits provided by pharmacists without appropriate physician supervision that were billed under the names of physicians not involved with the visits.
Six Sentenced in Healthcare Fraud Conspiracy that Stole $10 Million from Medicaid Over Six-Year Period
Six defendants conspired to submit false claims to Virginia Medicaid on behalf of 1st Adult N Pediatric Healthcare Services for nursing and personal care services that were not provided, including falsifying records and paying parents or guardians of patients for blank, signed nursing notes.
Victim Advisory- Divine Youth Case Updates
Divine Youth Counseling submitted more than $11 million in fraudulent Medicaid claims for Crisis Stabilization and Mobile Crisis services by falsely claiming two mental health professionals provided Team Treatment services and paid more than $470,000 in kickbacks in the form of hotel rooms for Medicaid recipients.
Pain Clinic Owner Sentenced, L5 Medical Holdings to Pay Nearly $5 Million in Restitution
Barnes and L5 Medical Holdings operated pain clinics that billed Medicare and Virginia Medicaid for patient interactions with non-medical professionals and under providers who had not seen the patient, and ordered the maximum amount of urine drug tests insurance would pay for regardless of medical need, along with illegally prescribing Suboxone and opioids.
Federal jury convicts North Chesterfield man for billing Medicaid for services he did not provide
Boykins, a Qualified Mental Health Professional authorized to bill Medicaid for Mental Health Skill-Building Services, caused his employers to submit false Medicaid claims for services he did not provide, including on dates he was outside the United States.
Adult residential group homes operator settles healthcare fraud claims
Sola, Inc. billed Virginia Medicaid for skilled and other nursing services for its group home residents that exceeded the total number of hours worked by its nurses as reported on nurses' time sheets.
Three More Plead Guilty In 1st Adult N Pediatric Healthcare Fraud Case
Owners and employees of a Medicaid-enrolled home health agency conspired to submit false claims to Medicaid for nursing and personal care services that were not provided, including paying patients' family members for blank signed nursing notes that were filled out to support the claims.
Roanoke Home Health Care Attendant Pleads Guilty to Health Care Fraud
Dowdy submitted fraudulent timesheets and billed Medicaid for 1,970.5 hours of personal home health care and respite services that were not rendered to two Medicaid recipients.
Media Advisory- Chesapeake Regional Medical Center (CRMC) Case Updates
CRMC was charged with conspiracy to defraud the United States and health care fraud related to its billing to insurance companies for Dr. Javaid Perwaiz's performance of surgeries and other procedures at its facility, including unnecessary hysterectomies, elective inductions before 39 weeks without medical justification, and sterilizations of Medicaid patients without consent forms signed 30 days in advance.
Owners of 1st Adult N Pediatric Healthcare Pled Guilty
Owners and employees of a Medicaid-enrolled home health agency conspired to submit false claims to Medicaid for services not provided, including falsifying records and paying parents or guardians of patients for blank, signed nursing notes used to support billing.
Maryland Woman Pleads Guilty to Conspiracy to Commit Healthcare Fraud
The defendants conspired to submit false claims to Medicaid for nursing services that were not provided or were in excess of services provided, including paying parents or guardians of patients for blank, signed nursing notes and falsifying records to support the claims.
Danville Woman Sentenced for Health Care Fraud
Farrish submitted and approved fraudulent timesheets claiming 9,819 hours of personal care attendant services from her estranged husband that were never performed, causing a loss to Virginia Medicaid of $116,536.
Richmond psychotherapist convicted of healthcare fraud to pay over $1M
A licensed clinical social worker submitted at least $335,824.31 in fraudulent claims to Virginia Medicaid and Medicare for services that were not rendered, including billing for more than 16 hours of services in one day and using billing codes for more complex services than provided, supported by false psychotherapy progress notes.
Former Chief Operating Officer of Pain Care Centers Sentenced
The former chief operating officer of L5 Medical Holdings, doing business as Pain Care Centers, helped conceal illegal prescribing and healthcare fraud at the clinics, including directing medical decisions by non-medical staff, using doctors' prescribing credentials for patients they had not seen, and implementing drug testing policies that inflated bills to medical insurers.
U.S. Attorney Erik S. Siebert announces charges as part of DOJ’s national health care fraud enforcement action
Six defendants were charged with schemes including billing Medicare and Medicaid for FDA-unapproved ozone injections falsely billed as nerve blocks and for ultrasound guidance not used, overcharging Medicaid for environmental modifications by hiding profit margins in subcontractor costs, billing Medicaid for group home services when recipients were absent, submitting claims to CareFirst BlueCross BlueShield using physicians' NPIs for services not provided or prescribed, and tampering with a Pyxis machine by substituting fentanyl and Versed syringes.
Doctor at L5 Pain Clinic Sentenced to 40 Months in Prison, Ordered to Pay $35,000 Fine and $200,000 in Forfeiture
Dixon pre-signed blank prescriptions for Schedule II opioids at L5 pain clinics, shared his controlled substance identification number with unqualified providers, approved and signed patient files for patients he had not treated to obtain insurance payments, and failed to report a pattern of health care fraud.
Three people sentenced to prison for scheme to bill Medicare for millions of dollars in unnecessary medical equipment
Three people created and operated a durable medical equipment supplier, NOVA DME, that concealed its true owner from Medicare and billed Medicare approximately $13.5 million for unnecessary and unwanted equipment based on unvetted leads from foreign co-conspirators, laundering proceeds through a shell company.
Hampton man sentenced to over nine years in prison for defrauding Virginia Medicaid and Virginia Unemployment
Burch targeted Medicaid recipients to enroll in consumer directed personal and respite care services, used the personal identifying information of recipients and purported personal care attendants to submit and approve fraudulent timesheets for services never provided, and also submitted fraudulent unemployment applications using PCAs' identities.
Danville Woman Pleads Guilty to Health Care Fraud
Farrish claimed 9,819 hours of personal care attendant services purportedly provided by her estranged husband that were never rendered, submitting fraudulent timesheets and causing a Medicaid loss of $116,536.
Chesapeake hospital indicted for healthcare fraud involving unnecessary surgical procedures
A federal grand jury indicted Chesapeake Regional Medical Center for healthcare fraud and conspiracy, alleging it granted and renewed privileges to Javaid Perwaiz despite knowing of his prior privilege termination for unnecessary surgeries and felony convictions, and billed health care benefit programs for medically unnecessary surgeries, pre-39-week elective inductions, misclassified inpatient surgeries, and sterilizations without valid consent forms.
Pharmacy Owner Sentenced to Imprisonment for Health Care Fraud
Yost dispensed cheaper generic medications while billing government health care programs for more expensive brand name drugs, billed for medications not dispensed, and rebilled returned medications without reversing the original charges.
Virginia Beach doctor agrees to $625,000 False Claims Act settlement
Saffold and Chesapeake Bay ENT billed federal and state payors for balloon sinus dilations that were not medically necessary, staged procedures to increase reimbursement, and billed endoscopies with sphenoid sinusoscopy under CPT Code 31235 when that service was not performed.
Virginia hospital system agrees to $2.37M False Claims settlement
Inova submitted claims to Medicaid for sterilization and hysterectomy procedures that contained documentation improperly modified by or at the request of one or more Inova employees, resulting in claims containing falsified information.
Virginia Contractor Settles False Claims Act Liability for Failing to Secure Medicare Beneficiary Data
AFDS and a subcontractor stored screenshots from CMS systems containing personally identifiable information and potentially personal health information of Medicare beneficiaries on the subcontractor's server without individually encrypting the files, in violation of AFDS' contractual cybersecurity requirements, and AFDS knowingly billed CMS in violation of those requirements.
Four defendants plead guilty to defrauding Virginia Medicaid
Defendants signed up Medicaid recipients for consumer directed personal and respite care services and submitted fraudulent timesheets for services that were never provided, causing Medicaid to pay at least $936,950.70.
Suffolk services provider pleads guilty to healthcare fraud
Guyton billed Virginia Medicaid through her company Synergy Health Systems for personal care, respite, and mental health skill building services using falsified records, forged RN and LCSW signatures on assessments, and inflated time, obtaining approximately $1,320,088.
Powhatan man convicted of federal healthcare fraud
Davis directed employees of his Medicaid-enrolled company to bill the maximum allowable service units per day for non-reimbursable activities, resulting in billing Medicaid for five hours of therapeutic day treatment when only two or three hours of care were provided.
National Health Care Fraud Enforcement Action Results in 193 Defendants Charged and Over $2.75 Billion in False Claims
The Justice Department charged 193 defendants, including 76 licensed medical professionals, in 32 federal districts for participation in health care fraud schemes involving approximately $2.75 billion in intended losses, including amniotic wound graft billing, unlawful distribution of Adderall and other stimulants, distribution of adulterated and misbranded HIV medication, addiction treatment fraud, and telemedicine and laboratory fraud.
Doctor at L5 Pain Clinic Sentenced to 18 Months in Prison, Ordered to Pay Over $200,000
Randall allowed other medical providers at L5's pain clinics to use his DEA registration number to prescribe Suboxone in his name for patients he never saw, and was paid over $300,000 for renting out his DEA credentials and for supposed supervision of nurses.
Nine Indicted in Federal Health Care Fraud Probe
Nine defendants, including owners and employees of a Medicaid-enrolled home health agency, are alleged to have conspired to submit false claims to Medicaid for services that were not provided to patients, including falsifying records and documentation in support of the fraudulent claims.