Healthcare fraud cases

Guilford County Woman

A Guilford County woman pleaded guilty to health care fraud in connection with an alleged million dollar urine drug testing scheme.

• Healthcare fraud

Two Ohio state employees

Two Ohio state employees are alleged to have billed $30 million for undelivered services in a Medicaid fraud scheme. The case is part of a broader federal investigation into alleged Medicaid scams totaling approximately $100 million.

• Healthcare fraud

Tera Marie Campbell, Tayler Ann Krauss

Tera Marie Campbell and Tayler Ann Krauss were sentenced for conspiracy to commit healthcare fraud and ordered to pay restitution exceeding $800,000.

• Healthcare fraud

Saad Aziz, Zabed Chowdhury

Saad Aziz and Zabed Chowdhury are charged with conspiracy to commit health care fraud, health care fraud, conspiracy to defraud the United States and pay health care kickbacks, paying health care kickbacks, and money laundering conspiracy. The defendants allegedly offered and paid health care kickbacks and submitted fraudulent claims to Medicaid for ambulette services to medical appointments that were not performed, or the costs were artificially inflated.

• Healthcare fraud
• Money laundering

Julianna C. Lung

Julianna C. Lung pleaded guilty to health care fraud for marketing and selling hearing protection devices to federal employees and their family members, then falsely billing insurance providers under the Federal Employees Health Benefits program by submitting approximately 385 fraudulent claims misrepresenting beneficiaries as having hearing loss or tinnitus.

• Healthcare fraud

Four individuals in New Hampshire and Georgia are charged with allegedly operating a $3 billion healthcare fraud and money laundering scheme tied to a Russian transnational criminal organization, involving fraudulent Medicare claims, identity theft, and distribution of unnecessary medical equipment with proceeds laundered through U.S. banks and overseas accounts.

• Healthcare fraud
• Identity theft
• Money laundering
• Wire fraud

The owner of two pharmacies in Celina, Tennessee was sentenced to federal prison for an alleged years-long scheme involving illegal distribution of opioids and was ordered to pay $1.4 million in healthcare fraud restitution.

• Healthcare fraud
• Other

Giorgi Kimeridze

Giorgi Kimeridze and 454 other individuals are charged in a federal healthcare fraud conspiracy involving over $6.5 billion in alleged fraudulent billing to Medicare, including schemes involving durable medical equipment companies, impersonation of a deceased doctor, and kickbacks for medical equipment. Kimeridze is alleged to have facilitated fraudulent durable medical equipment companies that billed Medicare for unnecessary supplies.

• Healthcare fraud
• Wire fraud
• Money laundering

The District of New Hampshire and the New England Strike Force charged defendants in a money laundering operation allegedly tied to a healthcare fraud scheme resulting in approximately 3 billion dollars in losses.

• Healthcare fraud
• Money laundering

Twelve defendants are charged in connection with alleged schemes to defraud Medicare, Medicaid, the Federal Employees Health Benefit Program, and private insurers through fraudulent claims for medical equipment, wound care products, laboratory testing, and mental health services, involving over four billion dollars in allegedly medically unnecessary or unprovidedservices procured through kickbacks.

• Healthcare fraud
• Wire fraud
• Money laundering

A woman from McLeansville, North Carolina is charged with health care fraud as part of a national health care fraud takedown.

• Healthcare fraud

Federal charges were announced in a multi-million dollar Medicaid fraud scheme and prescription drug diversion conspiracy as part of the Justice Department's national health care fraud takedown.

• Healthcare fraud
• prescription_fraud

Marizel Yukee

Marizel Yukee is accused of providing medically unnecessary allografts to patients in Pearland while receiving kickbacks as part of an alleged multi-million-dollar healthcare scheme.

• Healthcare fraud

Two Georgia men are charged with health care fraud for allegedly billing Medicare, Medicaid, and health care providers for services not rendered or services misrepresented, obtaining approximately 2.7 million dollars through the scheme.

• Healthcare fraud

[10 unnamed Southern California defendants]

The DOJ charged 10 Southern California defendants with healthcare fraud involving approximately $270 million in allegedly fraudulent Medi-Cal claims and $27 million in Medicare fraud, as part of a nationwide operation targeting 455 defendants in schemes totaling over $6.5 billion in alleged fraud.

• Healthcare fraud

Two defendants are charged in connection with schemes to defraud Medicare, the Department of Health and Human Services, the Veterans Health Administration, and private insurance companies as part of a national health care fraud takedown.

• Healthcare fraud

Henry Quan

Henry Quan is charged in connection with an alleged scheme to defraud Medicare through fraudulent billing resulting in approximately 1.5 million dollars in losses.

• Healthcare fraud

A former doctor from Clarksville is charged in a nationwide Department of Justice healthcare fraud crackdown. Specific details regarding the charges and allegations are not provided in this press release.

• Healthcare fraud

A Houston man was indicted in Louisiana for alleged involvement in a healthcare fraud scheme involving fraudulent obtaining of prescription drugs.

• Healthcare fraud

The Justice Department charged 455 individuals in a healthcare fraud crackdown involving alleged false claims totaling over $6.5 billion. Alleged schemes include billing Medicaid for unnecessary procedures, exploiting homeless patients through mental health services, paying kickbacks related to hospice care, and defrauding insurers through unnecessary medical tests.

• Healthcare fraud
• Wire fraud

Alabama Provider

An Alabama healthcare provider is alleged to have submitted false claims and settled the matter by paying $300,000 as part of a 2026 national health care fraud takedown.

• Healthcare fraud

Five individuals and two companies are charged as part of a Department of Justice national health care fraud takedown, but no specific allegations, loss amounts, or victim counts are provided in the press release body.

• Healthcare fraud

Unknown Mother, Unknown Daughter

A mother and daughter are charged with conspiring to defraud Medicare by allegedly billing millions of dollars for wound care services while the mother, a licensed nurse practitioner listed as the provider, was serving time in federal prison.

• Healthcare fraud
• Wire fraud

The DOJ announced charges against 455 defendants, including 90 doctors and other licensed medical professionals, for alleged participation in healthcare fraud and opioid abuse schemes involving over 6.5 billion dollars in false claims and significant patient harm.

• Healthcare fraud

A national coordinated enforcement action by the Department of Justice resulted in charges against 455 defendants alleged to have participated in health care fraud schemes resulting in over 6.5 billion dollars in intended fraud loss.

• Healthcare fraud

Jason Finkelstein

Jason Finkelstein, a Texas doctor, is charged with healthcare fraud for allegedly billing insurers for unnecessary cardiovascular screening tests on college athletes and falsifying test results without review, an alleged scheme that resulted in a patient death.

• Healthcare fraud
• Wire fraud

Seven Minnesota health care providers

Seven Minnesota health care providers are among 455 individuals charged nationwide in an alleged $6.5 billion health care fraud and opioid abuse scheme. The Minnesota Fraud Control Unit alleges the local providers fraudulently billed over $700,000 through methods including fake services, unlicensed practice, and billing for services not provided.

• Healthcare fraud

Khalid Ahmed Satary

Khalid Ahmed Satary is indicted in Louisiana and charged with healthcare fraud, wire fraud, and money laundering in connection with an alleged $547 million Medicare fraud scheme involving diagnostic testing labs. He has been a fugitive since December 2022 and was added to the FBI's Most Wanted Fraudsters list.

• Healthcare fraud
• Wire fraud
• Money laundering

Edward Scott Morrison

Dr. Edward Scott Morrison is charged with illegally distributing and dispensing controlled substances as part of a national health care fraud enforcement action.

• Healthcare fraud

Four defendants are charged in connection with two separate schemes to commit health care fraud as part of the Department of Justice's 2026 National Health Care Fraud Takedown.

• Healthcare fraud

Two convenience store employees in Pittsburgh are charged with food stamp trafficking as part of a nationwide health care fraud takedown. Details of the alleged conduct, specific charges, and loss amounts are not provided in the available text.

• Healthcare fraud

90 doctors and other licensed medical professionals, 365 other defendants, One defendant in Kyrenia · +2 more

The Department of Justice charged 455 defendants, including 90 doctors and licensed medical professionals, in connection with alleged health care fraud and opioid abuse schemes involving over 6.5 billion dollars in false claims and significant patient harm, including death. The takedown resulted in the apprehension of defendants across 56 federal districts and involved international cooperation.

• Healthcare fraud
• Wire fraud

A Texas doctor is charged with conducting an $89 million healthcare fraud scheme involving billing insurers for allegedly medically unnecessary cardiovascular screening tests for college student-athletes and approving results without proper review.

• Healthcare fraud

A Texas doctor is charged with allegedly billing insurers for unnecessary cardiovascular tests on college athletes and falsifying results between 2019 and 2022, resulting in approximately $89 million in alleged losses. The indictment alleges the scheme included deceptive marketing and kickbacks, with one patient later dying from undetected heart issues.

• Healthcare fraud
• Wire fraud

Jason Finkelstein

Jason Finkelstein, a Texas doctor, is charged with healthcare fraud involving an alleged scheme to bill for medically unnecessary cardiovascular tests on college athletes and to certify test results as normal without proper review, allegedly resulting in an undetected heart condition that led to a patient's death.

• Healthcare fraud

Ibrahim Khaldoon Hilmi

Ibrahim Khaldoon Hilmi is accused of orchestrating a $3.7 billion Medicare fraud scheme. Hilmi fled the U.S. in May 2025 and was captured in Turkey before being returned to the U.S.

• Healthcare fraud

Herbert Leon Kimble

Herbert Leon Kimble is alleged to have participated in a $1.2 billion Medicare fraud scheme involving call centers that directed patients to obtain medically unnecessary orthopedic braces. Kimble was apprehended as a fugitive in the Philippines.

• Healthcare fraud
• Wire fraud

Seung Han Lim

Seung Han Lim was convicted of fraudulently billing Blue Cross Blue Shield of Illinois over $600,000 for chiropractic services not rendered.

• Healthcare fraud

A Louisiana nurse practitioner was sentenced to 87 months in prison for submitting over 12 million dollars in false and fraudulent claims to Medicare for medically unnecessary cancer genetic tests.

• Healthcare fraud

Three individuals from East Tennessee were sentenced to prison in connection with an alleged multi-million-dollar prescription fraud scheme.

• Healthcare fraud

Sean Rondeau

Sean Rondeau, a chiropractor, was sentenced to one year and one day in federal prison for defrauding health insurance companies of more than a quarter million dollars. His convictions include healthcare fraud, three counts of mail fraud, and five counts of wire fraud.

• Healthcare fraud
• Wire fraud
• mail_fraud

[Texas Rheumatologist]

A Texas rheumatologist was sentenced to 10 years in prison and three years of supervised release for perpetrating a health care fraud scheme involving falsely diagnosed patients and approximately $118 million in fraudulent health care claims.

• Healthcare fraud

KBWB Operations LLC, Kevin Breslin

KBWB Operations LLC and Kevin Breslin, former chief executive officer and managing member of KBWB-Atrium, pleaded guilty to health care fraud and tax conspiracy and were subsequently sentenced.

• Healthcare fraud
• Tax fraud

A former Michigan pharmacist was sentenced to 46 months in prison for his role in a health care fraud scheme at a pharmacy he operated involving approximately $4 million in fraudulent claims.

• Healthcare fraud

A laboratory owner and former NFL player was convicted of conducting a $328 million cardiovascular genetic testing fraud scheme.

• Healthcare fraud
• Wire fraud

AP of South Florida LLC

AP of South Florida LLC, an insurance brokerage company, agreed to plead guilty to its role in an Affordable Care Act enrollment fraud scheme and to pay over $135 million.

• Healthcare fraud
• Wire fraud

Said Awil Ibrahim

Said Awil Ibrahim pleaded guilty to defrauding Minnesota Medicaid of nearly $11 million, and his plea requires him to cooperate with authorities to locate fugitive co‑defendant Abdirashid Ismail Said.

• Healthcare fraud

Reyad Salahaldeen, Mohamad Mustafa

The United States Department of Justice sentenced Reyad Salahaldeen and Mohamad Mustafa for alleged roles in a $522 million fraud scheme that targeted Medicare, Medicaid, and private insurers. The defendants pleaded guilty to charges of healthcare fraud and wire fraud, including kickbacks, fake medical orders, and fraudulent DNA testing.

• Healthcare fraud
• Wire fraud

The California Attorney General charged 21 individuals with alleged Medi‑Cal hospice fraud that used stolen identities to enroll fake patients and bill the state for non‑existent care.

• Healthcare fraud
• Insurance fraud
• Identity theft

Federal and state authorities are alleged to have targeted fraudulent hospice providers in an alleged Medicare fraud scheme involving over $50 million in bad claims.

• Healthcare fraud

Five individuals are alleged to have committed a hospice fraud scheme that defrauded California's Medi-Cal system, involving fraudulent billing and stolen identities, with losses of $267 million.

• Healthcare fraud
• Identity theft

A Georgian citizen was sentenced to 37 months in prison for allegedly laundering more than $1.1 million in illicit health care fraud proceeds to co-conspirators located abroad.

• Money laundering
• Healthcare fraud