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 June 25, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.

DOJChargedJun 25, 2026WI

Federal Charges Announced in Multi-Million Dollar Medicaid Fraud Scheme and Prescription Drug Diversion Conspiracy; Announcement Made as Part of Justice Department’s National Health Care Fraud Takedown

Cooper submitted over $5.8 million in false claims to Wisconsin Medicaid for prenatal care coordination services that beneficiaries never received and used another person's means of identification, while Jones conspired to distribute controlled substances outside the usual course of professional practice.

$5.8M alleged$295K orderedMedicaid
DOJCivil settlementApr 17, 2026WI

Appleton Clinic to Pay Over $380,000 to Resolve False Claims Act Allegations Relating to the Marketing and Use of Electric Stimulation Devices

Apple Medical Clinic and its principal caused the submission of false claims to Medicare for electrical muscle stimulation, vitamin injections, and other related services that were not medically reasonable or necessary, and marketed the Sanexas device outside its FDA clearance and contrary to coverage determinations.

$382K orderedMedicare1 provider in Verity
DOJSentencedMar 23, 2026WI

Owner of Now-Closed Milwaukee Prenatal Care Coordination Company Sentenced to 60 Months’ Imprisonment for Healthcare Fraud Scheme

Jackson offered women kickbacks in exchange for their Medicaid numbers and falsely billed Wisconsin Medicaid for prenatal care coordination services, almost always at the monthly maximum, when she and her employees provided few to no covered services.

$2.7M alleged$2.4M orderedMedicaid
DOJCivil settlementMar 5, 2026WI

Waukesha Medical Equipment Company Agrees to Pay Nearly $7 Million to Resolve Allegations of False Billings to Federal Healthcare Programs

From 2019 through 2024, Kinex provided patients covered by federal programs with medical braces the patients did not need and billed Medicare, TRICARE, FEHBP, and OWCP as if the braces had been necessary, inducing patients to accept them by waiving co-pays and giving free equipment.

$6.9M orderedMedicare, TRICARE, private insurance4 providers in Verity
DOJSentencedFeb 3, 2026WI

Delafield Man Sentenced to 18 Months’ Imprisonment for Conspiracy to Pay Healthcare Kickbacks

Johnson paid kickbacks to companies purporting to provide marketing services in exchange for signed prescriptions and doctors' orders for durable medical equipment that his company Kestrel Medical submitted to Medicare.

$2.0M alleged$2.0M orderedMedicare1 provider in Verity
DOJSentencedJan 22, 2026WI

Owner of Defunct Prenatal Care Coordination Company Sentenced to 111 Months’ Imprisonment for Healthcare Fraud Scheme

Cruse, owner of a prenatal care coordination company, stole $780,600.07 from a Medicaid benefit meant to help at-risk pregnant women and women with young children through a healthcare fraud scheme involving false statements, kickbacks, money laundering, and identity theft.

$781K alleged$1.6M orderedMedicaid1 provider in Verity
DOJConvictedNov 21, 2025WI

Federal Jury Finds Markita Barnes Guilty of Healthcare Fraud, Aggravated Identity Theft, Providing Unlawful Kickbacks, Obstruction, and Money Laundering

Barnes and her employees recruited pregnant women and young mothers into her prenatal care coordination company with cash enrollment bonuses and free baby items, then used the women's personal information to submit Medicaid claims for services that were never provided, including backdated claims.

Medicaid1 provider in Verity
DOJSentencedNov 18, 2025WI

Corporation and Former Chief Executive Officer Sentenced for Health Care Fraud and Tax Conspiracy

The defendants diverted CMS funds intended for the operation and care of residents at 23 Wisconsin skilled nursing facilities for personal expenses and owner distributions, failed to disclose this to CMS, diverted employee health insurance premiums and 401(k) contributions and resident account money, and directed that withheld employment taxes not be paid to the IRS.

$146.0M orderedMedicare, Medicaid
DOJConvictedSep 15, 2025WI

Federal Jury Finds Former Prenatal Care Coordinator Guilty of Healthcare Fraud, Aggravated Identity Theft, Providing Unlawful Kickbacks, and Money Laundering

Cruse lured pregnant women and young mothers into her prenatal care coordination company with kickbacks of free baby items and then used their personal information to submit Medicaid claims for services that were never provided.

Medicaid2 providers in Verity
DOJSentencedJun 3, 2025WI

Florida Man Sentenced to 22 Months’ Imprisonment for Conspiracy to Pay and Receive Healthcare Kickbacks

Comino provided signed doctors' orders as leads to a durable medical equipment company he co-owned in exchange for kickback payments concealed as invoices for marketing hours, resulting in Medicare paying over $2 million to the company.

$2.0M alleged$2.0M orderedMedicare
DOJSentencedMar 24, 2025WI

River Hills Man Sentenced to 21 Months’ Imprisonment for Paying Healthcare Kickbacks

Hanson and his co-defendant, owners of clinical laboratory Noah Associates, paid over $400,000 in kickbacks to the owner of a substance use treatment clinic in exchange for referrals of Medicaid and Medicare patients for urine drug testing that was not ordered by a physician or medically necessary, resulting in over $2.2 million in payments.

$2.2M alleged$2.3M orderedMedicare, Medicaid1 provider in Verity
DOJSentencedJan 27, 2025WI

Greenfield Man Sentenced to 15 Months’ Imprisonment for Paying Healthcare Kickbacks

Ali and his co-defendant, owners of clinical laboratory Noah Associates, paid over $400,000 in kickbacks to the owner of a substance use treatment clinic for referrals of Medicaid and Medicare patients for urine drug tests that were not ordered by a physician and not medically necessary, resulting in over $2.2 million in payments.

$2.2M alleged$2.3M orderedMedicare, Medicaid1 provider in Verity
DOJPleaded guiltyJan 24, 2025WI

Corporation and Former Chief Executive Officer Plead Guilty to Health Care Fraud and Tax Conspiracy

KBWB-Atrium and its former CEO diverted CMS funds intended for the operation, management, maintenance, and care of residents of 23 Wisconsin skilled nursing facilities for other purposes and personal expenses, and directed that taxes withheld from employees' paychecks not be paid to the IRS.

Medicare, Medicaid
DOJIndictedOct 18, 2024WI

Milwaukee Woman Indicted for Multimillion Dollar Health Care Fraud and Kickback Scheme

Jackson allegedly provided kickbacks to induce women to sign up for prenatal care coordination services with her agency We Care Services and submitted millions of dollars of claims to Medicaid for services never provided.

$3.7M allegedMedicaid1 provider in Verity
DOJIndictedJun 27, 2024WI

Eastern District of Wisconsin Participates in National Health Care Fraud Law Enforcement Action

Through her company, Butts billed Wisconsin Medicaid and CMS for the staffing of adult family homes that was not provided, receiving approximately $1.4 million to which the company was not entitled.

$1.4M allegedMedicaid, Medicare
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