health-care-fraud

fraud scheme · schemes · 475 documents · JSON bundle ↺ home

overview

documents
475
monetary total
$7.1B
unique defendants
20
entity mentions
324

EDGAR detection & validation

No EDGAR filing fingerprint — this scheme is prosecuted on the criminal/DOJ side and is detected from case text, not securities filings.

filings per month · top parties

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top defendants

namecases
Bruce M. Perry3
M. Brooks Turkel3
NAVARRO3
NARCO FREEDOM, INC.3
Southwestern Medical Solutions, Inc.3
John R. Hedges3
Richard R. Powell3
Basil J. Meecham3
Thomas B. Mackey2
Richard F. Selden2
Robert Ellensohn2
Carlos Paniagua2
Jose Rafael Paniagua2
Jeremy Blackburn2
Anthony Banas2
M. Keith Ives2
Gordon Freedman2
Mordechai Bar2
Joey Grant Luther2
Richard B. Selden2

top entities

entitymentions
Preet Bharara104
damian williams56
Geoffrey S. Berman46
scott j. lampert22
audrey strauss21
Joon H. Kim10
this morning10
scott lampert9
terrence williams7
Jay Clayton7
naomi gruchacz7
lirr employees7
george venizelos6
diego rodriguez6
insys therapeutics6

largest monetary amounts

caseamount
United States v. Geoffrey S. Berman, et al.$900.0M
United States v. Aleksandr Burman, et al.$809.0M
United States v. Audrey Strauss, et al.$678.0M
Securities and Exchange Commission v. Audit of Provident Capital Indemnity Ltd., et al.$670.0M
SEC v. Victor Jacobowitz (aka Victor Jacobs), et al.$564.0M
USA v. Kevin Lowe et al Detention Memo, llm-upgrade$550.0M
United States v. Related Charges$550.0M
United States v. Judge Edgardo Ramos, et al.$500.0M
United States v. Viera$500.0M
United States v. Charges Against David Correa, et al.$500.0M
United States v. Novartis Pharmaceuticals Corp., et al.$465.0M
Statement Of U.S. Attorney Jay Clayton On The Verdict In U.S. V. Omnicare And CVS Health Corporation$406.8M

documents (475, showing 200)

datetitleagency
Plaintiff, Securities and Exchange Commission ("Plaintiff' or "SEC") allegesSEC-LR
SEC v. Stucke, No. 2:04-cv-00123 (S.D. Ohio Apr. 20, 2004), alleged that Brian J. Stucke aided in concealing a fraud scheme involving unauthorized advances, falsified investor reports, and misappropriation of funds from securities issued by NCFE subsidiaries, resulting in over $1 billion in investor lossesSEC-LR
Anthony Joseph CataldoSEC-PR
2026-04-30United States v. Nydira Adams, S.D.N.Y. (Apr. 30, 2026), pleaded guilty to conspiracy to commit wire fraud for a scheme that caused the Department of Education to forgive over $5 million in federal student loans based on false statements.DOJ-SDNY
2026-04-17United States v. Rashan, No. 26-cr-187 (S.D.N.Y. Apr. 17, 2026), pleaded guilty to orchestrating a multimillion-dollar scheme to defraud insurance programs by billing for fraudulent COVID-19 tests and fabricated medical servicesDOJ-SDNY
2026-04-01United States v. Petrosyants et al. (S.D.N.Y. Apr. 1, 2026), United States indicted Petrosyants et al. for operating a multimillion‑dollar no‑fault insurance fraud scheme and laundering the proceeds.DOJ-SDNY
2026-03-18United States v. Albin, No. 24-cr-387 (S.D.N.Y. Mar. 18, 2026), pleaded guilty to orchestrating a multimillion-dollar Medicare fraud scheme through fraudulent durable medical equipment claims based on kickback-tainted and forged prescriptionsDOJ-SDNY
2026-03-18United States v. Pavlounis, S.D.N.Y. (Mar. 18, 2026), sentenced to 37 months in prison for a scheme to defraud Social Security benefits and evade taxes.DOJ-SDNY
2026-03-17United States v. Faustin, No. 26-057 (S.D.N.Y. Mar. 17, 2026), the defendant pleaded guilty to one count of making false statements to obtain workers’ compensation benefits.DOJ-SDNY
2026-01-15Sumit Rai; Kim deMora; SVN Med LLC; NVS Med Inc.; Onco Filtration, Inc.; Cancer Check Labs, LLCSEC-LR
2025-12-22United States v. New York-Presbyterian Hudson Valley Hospital, No. 25-CV-10234 (S.D.N.Y. Dec. 22, 2025), agreed to pay $6.8 million to resolve allegations that it paid kickbacks to an oncology practice in exchange for Medicare and Medicaid patient referralsDOJ-SDNY
2025-12-11United States v. Nosson Sklar, (S.D.N.Y. Dec. 11, 2025), Nosson Sklar pleaded guilty to submitting more than $20 million in fraudulent medical bills to health benefit programs.DOJ-SDNY
2025-12-02U.S. Attorney Announces $37.76 Million Settlement With CVS For Over-Dispensing Insulin Pens To PatientsDOJ-SDNY
2025-08-21Brooklyn Cardiologist Sentenced to 37 Months in Prison in Connection with Health Care Fraud and Bribery SchemeDOJ-SDNY
2025-08-13United States v. Tcc International LLC et al., S.D.N.Y. (Aug. 13, 2025), Defendants agreed to pay $360,000 and admitted falsely certifying eligibility for Paycheck Protection Program loans and a Restaurant Revitalization Fund grant.DOJ-SDNY
2025-08-07United States v. Estrella et al., No. 25-cr-387 (S.D.N.Y. Aug. 7, 2025), pleaded guilty to conspiracy to commit wire fraud and bank fraud for using stolen personally identifiable information of hospital patients to fraudulently obtain pandemic relief fundsDOJ-SDNY
2025-07-01Doctor Arrested For Multimillion-Dollar COVID-19 Insurance SchemeDOJ-SDNY
2025-06-30Two Men Charged In HIV Medication Fraud And Identity Theft SchemeDOJ-SDNY
2025-06-24United States v. Albin et al., No. [Case Number] (S.D.N.Y. June 24, 2025), Ted Albin was convicted of conspiring to commit health care fraud and wire fraud, health care fraud, wire fraud, and conspiring to violate the Anti-Kickback Statute in connection with a multimillion-dollar Medicare fraud scheme involving fraudulent durable medical equipment claims.DOJ-SDNY
2025-06-23United States v. Lieberman, et al., (S.D.N.Y. June 23, 2025), Menachem Lieberman was sentenced to 52 months in prison for defrauding federal childcare programs through two schemes involving misrepresentation and improper diversion of funds.DOJ-SDNY
2025-05-30United States v. Swiss (S.D.N.Y. May 30, 2025), United States sentenced Swiss to 42 months in prison for a multimillion‑dollar Medicare fraud scheme and ordered him to forfeit and pay $6,650,929.76 in restitution.DOJ-SDNY
2025-05-19United States v. Faustin et al., (S.D.N.Y. May 19, 2025), indicted for healthcare fraud, mail fraud, and false statements related to workers’ compensation claims.DOJ-SDNY
2025-05-06United States v. Patel, No. 25-104 (S.D.N.Y. May 6, 2025), Patel was sentenced to 14 months in prison after pleading guilty to conspiring to commit health care fraud, wire fraud, and violating the Anti‑Kickback Statute, resulting in a $48 million loss to Medicare.DOJ-SDNY
2025-04-29Statement Of U.S. Attorney Jay Clayton On The Verdict In U.S. V. Omnicare And CVS Health CorporationDOJ-SDNY
2025-04-29United States v. Gilead Sciences, Inc., No. 24-cv-3123 (S.D.N.Y. Apr. 29, 2025), pleaded guilty to paying kickbacks to physicians through speaker programs to induce prescriptions of its HIV drugs, resulting in false claims to federal healthcare programsDOJ-SDNY
2025-03-27United States v. Liu, No. 25-cr-123 (S.D.N.Y. Mar. 27, 2025), pleaded guilty to conspiracy to commit health care fraud for orchestrating a scheme to bill insurers over $23 million for unnecessary or unperformed acupuncture and physical therapy servicesDOJ-SDNY
2025-03-26United States v. Community Options, Inc., S.D.N.Y. (Mar. 26, 2025), the government settled a civil fraud lawsuit alleging the defendants fraudulently billed Medicaid for day habilitation services that did not meet program requirements and failed to return overpayments.DOJ-SDNY
2025-03-20United States v. Anand et al., S.D.N.Y. (Mar. 20, 2025), The United States indicted six defendants for allegedly operating a multi‑year check fraud scheme that stole approximately $80 million in government funds, depositing about $50 million.DOJ-SDNY
2025-03-18United States v. Rangott, S.D.N.Y. (Mar. 18, 2025), sentenced to 27 months in prison for conspiring to defraud the federal Head Start program, submitting false documents, and obstructing a federal administrative investigation.DOJ-SDNY
2025-02-05United States v. Seemer, No. 24-cr-123 (S.D.N.Y. Feb. 5, 2025), sentenced to five years in prison for orchestrating an $11.2 million disability loan fraud scheme by stealing medical identities and falsifying disability certificationsDOJ-SDNY
2025-01-22United States v. Luther, S.D.N.Y. (May 5, 2026)DOJ-SDNY
2025-01-22United States v. Luther, No. 25-MJ-00123 (S.D.N.Y. Jan. 22, 2025), indicted for wire fraud and smuggling after allegedly purchasing and injecting counterfeit Botox from China into clients without a licenseDOJ-SDNY
2025-01-17United States v. Stericycle, No. 26-cr-234 (S.D.N.Y. Apr. 20, 2026), indicted for conspiring to violate the Anti-Kickback Statute and engaging in a scheme to pay illegal remuneration to healthcare providers in exchange for patient referralsDOJ-SDNY
2025-01-17United States v. Lettire, No. 23-CR-587 (S.D.N.Y. Apr. 15, 2026), pleaded guilty to conspiring to commit wire fraud and money launderingDOJ-SDNY
2025-01-17United States v. Lettire, S.D.N.Y.DOJ-SDNY
2024-12-13United States v. (S.D.N.Y.)DOJ-SDNY
2024-12-11United States v., No. 23cv2159 (S.D.N.Y. May 5, 2026)DOJ-SDNY
2024-11-25Doctor Sentenced To Five Years In Prison For Defrauding The NBA Players’ Health And Welfare Benefit PlanDOJ-SDNY
2024-10-21United States v. Bar, No. 24-cr-456 (S.D.N.Y. Oct. 21, 2024), pleaded guilty to distributing oxycodone and other controlled substances without legitimate medical purpose for cashDOJ-SDNY
2024-10-17United States v. Tariverdi, et al., No. 24-cr-487 (S.D.N.Y. Oct. 17, 2024), indicted for orchestrating a multi-million dollar no-fault insurance fraud scheme by submitting false claims through nominally owned medical corporations and laundering proceeds through a network of check cashersDOJ-SDNY
2024-10-02United States v. Handler, S.D.N.Y. (Oct. 2, 2024), United States sentenced Handler to 58 months in prison for defrauding the federal Head Start program and tax evasion.DOJ-SDNY
2024-10-02United States v. Barrientos, No. 26-cr-234 (S.D.N.Y. Apr. 15, 2026), indicted for wire fraud and conspiracy to commit money laundering in connection with a scheme to defraud investors through a fraudulent cryptocurrency platformDOJ-SDNY
2024-09-26"UNRECOVERABLE: Timeout During Enrichment"SEC-PR
2024-09-17United States v. Tsui, S.D.N.Y. (Sept. 17, 2024), the defendant was sentenced to 41 months in prison after pleading guilty to wire and mail fraud for selling fabricated allergy tests to over 88,000 customers.DOJ-SDNY
2024-08-30SEC v. JUSTIN D. SMITH and, No. 11 (S.D.N.Y. Aug. 30, 2024), Complaint, llm-upgradeSEC-LR
2024-08-20United States v. Riccardi, No. 22-cr-123 (S.D.N.Y. Aug. 20, 2024), pleaded guilty to conspiring to commit wire fraud and bank fraud by misappropriating $17.87 million in client healthcare funds and defrauding lenders as part of a $40 million schemeDOJ-SDNY
2024-08-19United States v. Orange Medical Care P.C. et al., S.D.N.Y. (Aug. 19, 2024), the United States alleged that Orange Medical Care P.C. and its owners submitted false Medicare and Medicaid claims for services rendered by non‑credentialed providers.DOJ-SDNY
2024-08-05United States v. Rangott, S.D.N.Y. (Aug. 5, 2024), United States convicted Arie Rangott of conspiracy to defraud the federal government, falsifying documents, and obstructing a federal administrative proceeding.DOJ-SDNY
2024-07-09United States v. U.S. Compounding, Inc., No. 24-cr-345 (S.D.N.Y. July 9, 2024), pleaded guilty to mail fraud and violations of the Food, Drug, and Cosmetic Act for distributing prescription drugs using false prescriptions, and its former vice president, Glover, was indicted for conspiring to violate the same statutesDOJ-SDNY
2024-06-28United States v. Washington, No. 23-CR-587 (S.D.N.Y. June 28, 2024), convicted of orchestrating a scheme to defraud the NBA Players’ Health and Welfare Benefits Plan of over $5 million through fraudulent medical claimsDOJ-SDNY
2024-06-26U.S. Attorney Announces Settlement Of Civil Fraud Lawsuit Against VNS Health And Related Entities For Billing For Services They Failed To Provide Or DocumentDOJ-SDNY
2024-06-20United States v. Khaimov et al., No. 21 Cr. 763 (S.D.N.Y. June 20, 2024), three leaders of a $40 million no-fault insurance fraud scheme pleaded guilty to conspiracy to commit healthcare fraud, bribery, and money laundering, and were sentenced to 15, 12, and seven years in prison respectivelyDOJ-SDNY
2024-06-17Former CEO Of Medical Device Company Sentenced To Six Years In Prison For Creating And Selling A Fake Component That Was Implanted Into PatientsDOJ-SDNY
2024-06-13U.S. Attorney Files Civil Fraud Suit Against LabQ And Its CEO For Fraudulently Billing COVID-19 TestingDOJ-SDNY
2024-06-13United States v. Kadirov, No. 22-cr-456 (S.D.N.Y. June 13, 2024), pleaded guilty to conspiracy to commit concealment money laundering for laundering over $6 million in health care fraud proceeds through shell company bank accountsDOJ-SDNY
2024-06-05United States v. Nazirbage et al., No. 24-cr-287 (S.D.N.Y. June 5, 2024), alleged that a pharmacy owner and physician conspired to illegally divert oxycodone and other controlled substances for cash without legitimate medical prescriptions or patient examinationsDOJ-SDNY
2024-06-03United States v. Pierre, No. 22-cr-377 (S.D.N.Y. June 3, 2024), pleaded guilty to conspiracy to commit bribery and conspiracy to defraud the IRS for orchestrating a $60 million no-fault insurance fraud scheme through fraudulent medical clinicsDOJ-SDNY
2024-05-23United States v. RiverSpring Living Holding Corp. et al., No. 23-cv-4567 (S.D.N.Y. May 23, 2024), admitted to submitting false Medicaid claims by failing to provide or adequately document required long-term care services to enrollees while receiving capitation paymentsDOJ-SDNY
2024-05-23United States of America ex rel. Jane DoeDOJ-SDNY
2024-05-23Jane Doe and the State of New YorkDOJ-SDNY
2024-05-15WHEREAS, this Stipulation and Order of Settlement and Dismissal (“Stipulation”) isDOJ-SDNY
2024-05-15United States v. Balance Diagnostics USA, LLC, S.D.N.Y. (May 15, 2024), the United States settled a civil fraud lawsuit alleging the company paid kickbacks to physicians in the form of sham rent payments to induce patient referrals.DOJ-SDNY
2024-05-15USA v. Balance Diagnostics Usa (S.D.N.Y. May 15, 2024), Complaint, llm-upgradeDOJ-SDNY
2024-04-26United States v. Patel, No. 24-cr-123 (S.D.N.Y. Apr. 26, 2024), pleaded guilty to conspiracy to commit health care fraud, wire fraud, and violating the Anti-Kickback Statute for orchestrating a $50 million scheme involving fraudulent prescriptions for durable medical equipment and kickbacks from Medicare providersDOJ-SDNY
2024-04-18United States v. Ilyayev, No. 23-cr-123 (S.D.N.Y. Apr. 18, 2024), pleaded guilty to conspiracy to commit health care fraud and was sentenced to four years in prison for orchestrating a scheme to defraud Medicare, Medicaid, and private insurers by paying kickbacks to HIV patients and submitting fraudulent claims for medications never actually dispensedDOJ-SDNY
2024-04-17Leader Of Black-Market HIV Medication Fraud Scheme Sentenced to Nine Years In PrisonDOJ-SDNY
2024-04-16Former NBA Player William Bynum Sentenced To 18 Months In Prison For Making False Statements To The NBA Players’ Health And Welfare Benefit PlanDOJ-SDNY
2024-03-28U.S. Attorney Announces $3.1 Million False Claims Act Settlement With Radiology Company And Its CEO For Fraudulent Billing PracticesDOJ-SDNY
2024-03-28United States of America et al. ex rel. AllisonDOJ-SDNY
2024-03-06Former CEO Of Medical Device Company Convicted Of Creating And Selling A Fake Component That Was Implanted Into PatientsDOJ-SDNY
2024-02-29United States v. Endo International Plc, No. 22-22549 (S.D.N.Y. Feb. 29, 2024), the United States filed criminal and civil claims against the debtors and subsequently entered into agreements to resolve the DOJ claims.DOJ-SDNY
2024-02-29United States v. Endo Health Solutions, Inc., No. 2:24-cr-20457 (E.D. Mich. Feb. 29, 2024), pleaded guilty to a misdemeanor charge of introducing misbranded drugs into interstate commerce and agreed to pay $1.086 billion in criminal fines and $450 million in criminal forfeiture as part of a global resolution resolving federal claims related to the marketing of Opana ERDOJ-SDNY
2024-02-21United States v. Lira, S.D.N.Y. (Feb. 21, 2024), the defendant was sentenced to three months in prison after pleading guilty to violating the Rodchenkov Anti‑Doping Act by distributing performance‑enhancing drugs to Olympic athletes.DOJ-SDNY
2024-02-15United States of America et al. ex rel. SandraDOJ-SDNY
2024-02-15United States v. Lincare Inc., No. 23-cv-1234 (S.D.N.Y. Feb. 14, 2024), Lincare admitted to fraudulent billing of federal health care programs for non-invasive ventilators by continuing to seek payments for devices not used by patients and waiving coinsurance to induce rentals in violation of the False Claims Act and Anti-Kickback StatuteDOJ-SDNY
2024-02-08Brooklyn Woman Sentenced To Three Years In Prison For COVID-19 Fraud Scheme And Fraud On NYCHADOJ-SDNY
2024-01-30United States v. Swiss, et al., No. 24 Cr. 78 (S.D.N.Y. Jan. 30, 2024), indicted for health care fraud and conspiracy to violate the Anti-Kickback Statute for orchestrating a scheme to fraudulently bill Medicare over $17 million for durable medical equipment through a co-conspirator's billing companyDOJ-SDNY
2024-01-23United States v. Tsui, No. 23 Cr. 789 (S.D.N.Y. Jan. 23, 2024), pleaded guilty to wire fraud and mail fraud for selling over $5.9 million in fabricated allergy and sensitivity tests to more than 88,000 customers without performing any laboratory analysisDOJ-SDNY
2023-12-21United States v. Rabinowitz et al., S.D.N.Y. (Dec. 21, 2023), the defendants were indicted for conspiracy to commit wire fraud and to obtain pre‑retail medical devices and over‑the‑counter drugs by fraud or deception.DOJ-SDNY
2023-12-20Dentist Sentenced To Three Years In Prison For Defrauding The NBA Players’ Health And Welfare Benefit Plan Of More Than $1.1 MillionDOJ-SDNY
2023-12-18United States v. Bradley Pierre, S.D.N.Y. (Dec. 18, 2023), Bradley Pierre pleaded guilty to conspiracy to commit bribery and conspiracy to defraud the Internal Revenue Service in connection with a $60 million no‑fault automobile insurance fraud.DOJ-SDNY
2023-12-11Leader Of Black-Market HIV Medication Fraud Scheme Pleads GuiltyDOJ-SDNY
2023-11-21United States v. Kyle Tsui, S.D.N.Y. (Nov. 21, 2023), the indictment alleged that Tsui orchestrated a $5.9 million wire and mail fraud scheme by selling fabricated hair allergy tests.DOJ-SDNY
2023-11-15United States v. Davis et al., No. 23-395 (S.D.N.Y. Nov. 15, 2023), United States convicted Ronald Glen Davis and William Bynum of a scheme to defraud the NBA Players’ Health and Benefit Welfare Plan, obtaining more than $5 million in illicit profits.DOJ-SDNY
2023-11-03United States v. Gulkarov, No. 23 Cr. 689 (S.D.N.Y. Nov. 3, 2023), pleaded guilty to co-leading a $40 million no-fault insurance fraud scheme by falsifying clinic ownership, bribing witnesses, and obstructing justiceDOJ-SDNY
2023-10-31United States v. Patel, No. 23 Cr. 789 (S.D.N.Y. Oct. 31, 2023), indicted for health care fraud and kickback scheme involving fraudulent prescriptions sold to Medicare providers, causing at least $10 million in lossesDOJ-SDNY
2023-10-2010 Defendants Indicted For Operating $20 Million Black Market HIV Medication Fraud SchemeDOJ-SDNY
2023-09-30United States v. Cigna, M.D. Tenn. (Sept. 30, 2023), The United States settled a civil healthcare fraud lawsuit alleging Cigna submitted false and invalid diagnosis codes to artificially inflate Medicare Advantage payments.DOJ-SDNY
2023-09-18United States v. Rentrop, No. 23-cv-7890 (S.D.N.Y. Sept. 18, 2023), alleged that the cardiologist and his medical practice paid millions in kickbacks to physicians for patient referrals in violation of the False Claims Act and Anti-Kickback StatuteDOJ-SDNY
2023-09-13United States v. Liu et al., No. 23 Cr. 587 (S.D.N.Y. Sept. 13, 2023), indicted for operating a $20 million health care fraud scheme involving unnecessary or unperformed physical therapy and acupuncture services, kickbacks to patients, and fraudulent billing through Medicare and other insurersDOJ-SDNY
2023-08-16United States v. Cracchiolo, S.D.N.Y. (Aug. 16, 2023), the defendant was sentenced to five years in prison for conspiring to defraud Medicare of over $11 million and for illegally possessing an automatic weapon.DOJ-SDNY
2023-08-03Former NBA Player Terrence Williams Sentenced To 10 Years In Prison For Defrauding The NBA Players’ Health And Welfare Benefit PlanDOJ-SDNY
2023-07-27United States v. Advanced Health Partners, Inc. et al., $475,000 Settlement (S.D.N.Y. July 27, 2023), Defendants admitted to submitting false claims to Medicare using the names of physicians who did not perform or supervise the services.DOJ-SDNY
2023-05-17United States v. Morris Park Nursing Home et al., No. 23-cv-3456 (S.D.N.Y. May 17, 2023), alleged that a Bronx nursing home paid cash kickbacks to a hospital supervisor for patient referrals and switched residents’ Medicare coverage without consent to increase reimbursement amountsDOJ-SDNY
2023-04-20United States v. Witkowski, No. 22-cr-456 (S.D.N.Y. Apr. 20, 2023), sentenced to 60 months in prison for conspiracy to commit health care fraud by orchestrating a scheme to defraud Medicare of over $8 million through fraudulent durable medical equipment claimsDOJ-SDNY
2023-03-29United States v. Alvarado, No. 22-CR-456 (S.D.N.Y. Mar. 29, 2023), pleaded guilty to healthcare fraud and was sentenced to 95 months in prison for leading a scheme that defrauded Medicaid of over $8 million through fraudulent transportation claimsDOJ-SDNY
2023-03-23United States v. Ribeiro, S.D.N.Y. Mar. 23, 2023, sentenced to 36 months in prison for a scheme that involved performing medically unnecessary surgeries and filing fraudulent trip‑and‑fall lawsuits to obtain insurance reimbursements.DOJ-SDNY
2023-03-09Former CEO Of Medical Device Company Indicted For Creating And Selling A Fake Medical Component That Was Implanted Into PatientsDOJ-SDNY
2023-03-08Laurence Doud, Former CEO Of Pharmaceutical Distributor, Sentenced To 27 Months In Prison For Conspiring To Unlawfully Distribute Controlled Substances And Defrauding The DEADOJ-SDNY
2023-03-08United States v. Adelglass et al., S.D.N.Y. (Mar. 8, 2023), Howard Adelglass was sentenced to 150 months in prison for illegally prescribing and distributing oxycodone.DOJ-SDNY
2023-03-02Black-Market Medication Wholesaler, Pharmacy Owner, And Three Other Defendants Charged In $15 Million HIV Medication Fraud SchemeDOJ-SDNY
2023-02-21United States v. Anthony Riccardi et al., (S.D.N.Y. Feb. 21, 2023), pleaded guilty to conspiracy to commit wire fraud and bank fraud in a $40 million scheme to misappropriate client healthcare funds and defraud lenders.DOJ-SDNY
2023-02-17Former NBA Players Keyon Dooling And Alan Anderson Sentenced To 30 And 24 Months In Prison For Defrauding NBA Players’ Health And Welfare Benefit PlanDOJ-SDNY
2023-02-07Chiropractor Sentenced To 30 Months In Prison For Defrauding The NBA Players’ Health And Welfare Benefit Plan Of $1,300,000DOJ-SDNY
2023-02-01United States v. Levin, S.D.N.Y. (Feb. 1, 2023), Levin was sentenced to 54 months in prison for her leadership role in a scheme that defrauded Medicaid of more than $100 million.DOJ-SDNY
2023-01-19United States v. Matthew Taylor Witkowski, No. 22-cr-00123 (S.D.N.Y. Apr. 20, 2023), Matthew Taylor Witkowski pled guilty to conspiracy to commit health care fraud by selling fraudulent medical equipment orders to defraud Medicare of more than $8 million.DOJ-SDNY
2023-01-01SEC Charges Former CEO of Medical Device Startup Stimwave with $41 Million FraudSEC-PR
2022-12-20SEC v. NADER POURHASSAN and (S.D.N.Y. Dec. 20, 2022), Complaint, llm-upgradeSEC-LR
2022-12-16United States v. Constantine et al., S.D.N.Y. (Dec. 16, 2022), George Constantine and Andrew Dowd were convicted of a $31 million trip‑and‑fall fraud scheme.DOJ-SDNY
2022-12-02Brooklyn Woman Pleads Guilty To COVID-19 Fraud Scheme And To Separate Fraud Against NYCHADOJ-SDNY
2022-11-30United States v. Panos, No. 20-cr-385 (S.D.N.Y. Nov. 30, 2022), pleaded guilty to health care fraud, wire fraud, and aggravated identity theft for impersonating a licensed surgeon and defrauding peer review companies of nearly $876,000 after a prior conviction for the same conductDOJ-SDNY
2022-11-04United States v. Adelglass et al., S.D.N.Y. (Nov. 4, 2022), a federal jury convicted Howard Adelglass of conspiracy to illegally distribute oxycodone.DOJ-SDNY
2022-10-24United States v. Elefant, No. 21 Cr. 763 (S.D.N.Y. Oct. 24, 2022), pleaded guilty to conspiracy to commit wire fraud for orchestrating a scheme to stage trip-and-fall accidents and file fraudulent personal injury lawsuits to obtain millions in insurance reimbursementsDOJ-SDNY
2022-10-19United States v. Laruelle, S.D.N.Y. (Oct. 19, 2022), Marc Laruelle pleaded guilty to one count of distributing Oxycodone, amphetamines, and Xanax without a legitimate medical purpose.DOJ-SDNY
2022-10-17United States v. Cigna Corporation, No. 22-cv-8475 (S.D.N.Y. Oct. 17, 2022), alleged that Cigna submitted false and unsupported diagnosis codes to Medicare to artificially inflate its Medicare Advantage paymentsDOJ-SDNY
2022-09-29United States v. Ribeiro, S.D.N.Y. (Sept. 29, 2022), the doctor pleaded guilty to conspiracy to commit mail fraud and wire fraud for performing medically unnecessary surgeries to facilitate fraudulent trip‑and‑fall lawsuits.DOJ-SDNY
2022-09-08USA v. Na, defs:bodyDOJ-SDNY
2022-09-08United States v. Cristal, S.D.N.Y. (Sept. 8, 2022), a jury convicted the nurse practitioner of conspiracy to distribute oxycodone and two counts of distributing oxycodone without a legitimate medical purpose.DOJ-SDNY
2022-09-02United States v. Rahmankulov, No. 21-cr-377 (S.D.N.Y. Sept. 2, 2022), convicted of money laundering conspiracy, bank fraud, and conspiracy to operate an unlicensed money transmitting business for laundering millions in proceeds from COVID-19 loan fraud, Medicare and Medicaid fraud, and computer hackingDOJ-SDNY
2022-09-01United States v. Maranatha Human Services, Inc., No. 21-CV-9876 (S.D.N.Y. Sept. 1, 2022), agreed to cease operations and pay $850,000 for falsely reporting millions in personal and for-profit expenses as allowable Medicaid costsDOJ-SDNY
2022-08-26Former NBA Player Terrence Williams Pleads Guilty To Defrauding The NBA Players’ Health And Welfare Benefit PlanDOJ-SDNY
2022-07-22United States v. Witkowski, No. 22-cr-345 (S.D.N.Y. July 22, 2022), indicted for conspiracy and health care fraud in connection with a scheme to illegally purchase and sell fraudulent written orders for durable medical equipment, resulting in at least $10 million in false Medicare claimsDOJ-SDNY
2022-07-11USA v. Navarro, defs:bodyDOJ-SDNY
2022-06-29United States v. Plaza Rehab and Nursing Center et al., No. 22-cv-4875 (S.D.N.Y. June 27, 2022), agreed to pay $7.85 million and admitted to frequently switching Medicare coverage for elderly residents without their consent to increase Medicare paymentsDOJ-SDNY
2022-06-24U.S. Attorney Announces Guilty Plea By A Chiropractor For Defrauding The NBA Players’ Health And Welfare Benefit PlanDOJ-SDNY
2022-05-11USA v. Grasso et al., defs:bodyDOJ-SDNY
2022-04-27U.S. Attorney Announces Charges Against A Doctor, Dentist, And Former NBA Player For Defrauding The NBA Players’ Health And Welfare Benefit PlanDOJ-SDNY
2022-03-28United States v. Verespy, No. 21 Cr. 588 (S.D.N.Y. Mar. 28, 2022), pleaded guilty to orchestrating a $33 million scheme to misappropriate client healthcare funds and defraud lenders by falsifying invoices and diverting funds meant for employee healthcare paymentsDOJ-SDNY
2022-03-03United States v. Goyal, No. 20-cr-489 (S.D.N.Y. Mar. 3, 2022), pleaded guilty to orchestrating a seven-year healthcare fraud scheme by upcoding procedures and fraudulently obtaining COVID-19 relief loans while on pretrial releaseDOJ-SDNY
2022-03-01United States v. Seid et al., No. 22 Cr. 123 (S.D.N.Y. Mar. 1, 2022), indicted for conspiracy, health care fraud, and wire fraud in connection with a scheme to buy and sell fraudulent Medicare prescriptions for durable medical equipment, resulting in over $11 million in false claimsDOJ-SDNY
2022-02-02United States v. Fishman, S.D.N.Y. (Feb. 2, 2022), United States convicted Fishman of two counts of drug adulteration and misbranding with intent to defraud.DOJ-SDNY
2022-02-02Laurence Doud, Former CEO Of Pharmaceutical Distributor, Convicted Of Conspiring To Distribute Controlled Substances And Defrauding The DEADOJ-SDNY
2022-02-02United States v. The Door—A Center of Alternatives, No. 21-CV-10234 (S.D.N.Y. Feb. 2, 2022), pleaded guilty to submitting fraudulent cost reports by inflating threshold visits to obtain excessive reimbursement from the Indigent Care PoolDOJ-SDNY
2022-01-12United States v. Gulkarov, et al., No. 22 Cr. 20 (S.D.N.Y. Jan. 12, 2022), indicted thirteen individuals, including an NYPD officer and physicians, for orchestrating a $100 million healthcare fraud, money laundering, and bribery scheme involving fraudulent no-fault automobile insurance claimsDOJ-SDNY
2021-11-24United States v. Maranatha Human Services, Inc., et al., S.D.N.Y. (Nov. 24, 2021), alleged that the nonprofit and its founder falsely reported millions of costs to inflate Medicaid reimbursements.DOJ-SDNY
2021-11-16United States v. Patrick Ndukwe, David Travers, and Michelle Martin, et al., (S.D.N.Y. Nov. 16, 2021), Former employees of the state administrator of Medicaid transportation and a business owner were indicted for participating in a fraudulent scheme to improperly route Medicaid-funded trips and submit false claims.DOJ-SDNY
2021-10-20United States v. Adrian Alexander, No. 1:21-cr-00678 (S.D.N.Y. Oct. 20, 2021), Adrian Alexander indicted for conspiracy to commit mail and wire fraud in connection with a scheme to obtain fraudulent insurance reimbursements and other compensation for staged trip-and-fall accidents.DOJ-SDNY
2021-10-07United States v. Terrence Williams et al., (S.D.N.Y. Oct. 7, 2021), eighteen former NBA players and one spouse were indicted for conspiracy to commit health care fraud and wire fraud in connection with a scheme to defraud the NBA's Health and Welfare Benefit Plan.DOJ-SDNY
2021-09-28United States v. Liu et al., No. 21 Cr. 678 (S.D.N.Y. Sept. 28, 2021), indicted for operating a $20 million health care fraud scheme by billing Medicare and private insurers for unnecessary or unperformed physical therapy and acupuncture services, with one defendant additionally charged with fraudulently obtaining COVID-19 unemployment benefitsDOJ-SDNY
2021-09-21United States v. Krupkin, S.D.N.Y. (Sep. 21, 2021), former doctor sentenced to 10 years in prison after pleading guilty to conspiring to unlawfully distribute oxycodone.DOJ-SDNY
2021-09-14Ophthalmologist Pleads Guilty To Seven-Year Healthcare Fraud Scheme And To Defrauding SBA Program Intended To Help Small Businesses During COVID-19 PandemicDOJ-SDNY
2021-09-10United States v. Mangini, No. 20 Cr. 215 (S.D.N.Y. Sept. 10, 2021), pleaded guilty to distributing adulterated and misbranded equine performance-enhancing drugs through illegal websites and was sentenced to 18 months in prison and ordered to forfeit over $8 millionDOJ-SDNY
2021-08-26United States v. Lambrakis, No. 19-cr-587 (S.D.N.Y. Aug. 26, 2021), pleaded guilty to conspiring to unlawfully distribute oxycodone and was sentenced to 188 months in prison, three years of supervised release, and ordered to forfeit over $3 million in proceedsDOJ-SDNY
2021-08-25United States v. Constantine et al., No. 21 Cr. 587 (S.D.N.Y. Aug. 25, 2021), indicted for conspiracy to commit mail and wire fraud in connection with a scheme to stage trip-and-fall accidents and file fraudulent insurance claims totaling over $31 millionDOJ-SDNY
2021-08-17SEC v. Arthur Hall and Rising Biosciences, No. 25172 (S.D.N.Y. Aug. 17, 2021), SEC Charges Company and Its CEO with Fraudulent Statements Concerning Covid-19 Products Litigation Release NoSEC-LR
2021-07-23United States v. Navarro et al., No. 20 Cr. 160 (S.D.N.Y. Jul. 23, 2021) — Michael Kegley Jr. pleaded guilty to promoting and selling adulterated and misbranded performance-enhancing drugs for use in horse racingDOJ-SDNY
2021-07-07against Defendants Parallax Health Sciences, Inc. (“Parallax”), Paul R. Arena (“Arena”) andSEC-PR
2021-07-07SEC v. Parallax Health Sciences, No. 25137 (S.D.N.Y. Jul. 7, 2021), SEC Charges Company and Two Executives for Misleading Covid-19 Disclosures Litigation Release NoSEC-LR
2021-06-16United States v. Goldstein, No. 18-cr-494 (S.D.N.Y. June 16, 2021), pleaded guilty to conspiring to violate the Anti-Kickback Statute by accepting nearly $200,000 in bribes from Insys Therapeutics in exchange for prescribing Subsys, a potent fentanyl-based drug, to patientsDOJ-SDNY
2021-06-15Chinese National Pleads Guilty To $20 Million COVID-19 Pandemic Loan Fraud SchemeDOJ-SDNY
2021-06-02United States v. Laufers, et al., No. 21-cv-4873 (S.D.N.Y. June 2, 2021), alleged that eleven skilled nursing facilities and their management company, owner, and senior employee fraudulently billed Medicare for unnecessary and prolonged rehabilitation services by inflating patient stays and prescribing excessive therapy contrary to medical needs.DOJ-SDNY
2021-05-21SEC v. The Premier Healthcare Solution, No. 25094 (S.D.N.Y. May 21, 2021), Complaint, llm-upgradeSEC-LR
2021-05-20United States v. Hameedi, No. 1:18-cr-00123 (S.D.N.Y. May 20, 2021), sentenced to 20 months in prison for orchestrating a decade-long healthcare fraud scheme involving false claims, identity fraud, and HIPAA violationsDOJ-SDNY
2021-05-19SEC v. the Premier Healthcare SolutionSEC-PR
2021-05-19SEC Charges Healthcare Company and Its Founder with Multimillion Dollar FraudSEC-PR
2021-04-27United States v. Seth Andrew, S.D.N.Y. (Apr. 27, 2021), United States alleged that Seth Andrew committed wire fraud, money laundering, and false statements by stealing $218,005 from a charter school network he founded.DOJ-SDNY
2021-04-23United States v. Robinson et al., No. 20 Cr. 162 (S.D.N.Y. Apr. 23, 2021) — Scott Mangini Pleaded Guilty to Conspiring to Distribute Adulterated DrugsDOJ-SDNY
2021-04-13United States v. Spina, No. 19-cr-575 (S.D.N.Y. Apr. 13, 2021), sentenced to 108 months in prison for orchestrating a health care fraud scheme through fraudulent billing by a network of shell medical clinicsDOJ-SDNY
2021-04-06United States v. Fishbein, No. 21 Cr. 245 (S.D.N.Y. Apr. 6, 2021), indicted for theft of government funds, wire fraud, mail fraud, and Medicaid fraud for falsely claiming ownership of 20 properties to fraudulently obtain rental assistance payments from city and federal housing programs while renting substandard units to vulnerable familiesDOJ-SDNY
2021-03-19SEC v. JESSICA RICHMAN and ZACHARY APTE, No. 216114 (S.D.N.Y. Mar. 19, 2021), Complaint, llm-upgradeSEC-LR
2021-03-16United States v. Melissa Panayiota Kanes, S.D.N.Y. (Mar. 16, 2021), indicted for submitting over $800,000 in fraudulent health care claims, money laundering, and aggravated identity theft.DOJ-SDNY
2021-03-09United States v. Robinson, S.D.N.Y. (Mar. 9, 2021), sentenced to 18 months in prison for conspiring to manufacture, sell, and distribute adulterated and misbranded equine performance‑enhancing drugs.DOJ-SDNY
2021-03-08United States v. Feng Qin, S.D.N.Y. (Mar. 8, 2021), the surgeon agreed to pay $800,000, admitted misconduct, and received a four‑year exclusion from federal healthcare programs for fraudulently billing Medicare for medically unnecessary procedures.DOJ-SDNY
2021-03-02Licensed Pharmacist Pleads Guilty To Making False Statements To The DEA About Controlled SubstancesDOJ-SDNY
2021-02-25United States v. Robinson, No. 21 Cr. 123 (S.D.N.Y. Feb. 25, 2021), indicted for forgery and false use of a passport, false statements, and aggravated identity theft for fraudulently posing as a medical professional and Naval Reserve Officer using a stolen identityDOJ-SDNY
2021-01-07Former NYPD Sergeant Charged With 9/11 Benefits FraudDOJ-SDNY
2020-12-21United States v. Apria Healthcare Group, Inc. et al., S.D.N.Y. (Dec. 21, 2020), Apria agreed to pay $40.5 million to settle allegations that it submitted false claims to federal health programs for medically unnecessary ventilator rentals.DOJ-SDNY
2020-12-21United States v. Addiction Care Interventions Chemical Dependency Treatment Centers et al., (S.D.N.Y. Dec. 21, 2020), settlement resolves allegations that defendants provided kickbacks and engaged in fraudulent conduct in connection with the enrollment of Medicaid beneficiaries into inpatient treatment programDOJ-SDNY
2020-12-16United States v. Marianne Levin et al., Indictment, No. 20-cr-00678 (S.D.N.Y. Dec. 16, 2020), Ten defendants indicted for conspiring to commit mail, wire, and healthcare fraud by billing Medicaid for home-health and personal-care services that were not actually rendered.DOJ-SDNY
2020-11-24United States v. Ramesh Taduvai, S.D.N.Y. Nov. 24, 2020, Taduvai agreed to pay $600,000 to resolve allegations that he submitted false claims to Medicare and Medicaid for prescriptions that were never dispensed.DOJ-SDNY
2020-11-19United States v. Howard Adelglass et al., Indictment, No. 20-cr-00678 (S.D.N.Y. Nov. 19, 2020), Howard Adelglass and Marcello Sansone were indicted for conspiring to illegally distribute oxycodone from a Midtown Manhattan clinic.DOJ-SDNY
2020-10-30United States v. Spyros Panos, pled guilty to wire fraud, health care fraud, and aggravated identity theft in connection with a scheme to impersonate a licensed orthopedic surgeon to obtain over $876,000 in paymentsDOJ-SDNY
2020-10-23United States v. Sajid Javed, 20-cr-245 (S.D.N.Y. Oct. 23, 2020), Sajid Javed was sentenced to 30 months in prison for conspiring to commit health care fraud by submitting over $7.1 million in fraudulent claims to Medicare and Medicaid.DOJ-SDNY
2020-10-06United States v. Behiry, No. 1:13-cr-00678 (S.D.N.Y. Apr. 20, 2026), Physical therapist Hatem Behiry was sentenced to 2 years in prison for participating in a $30 million scheme to defraud Medicare and Medicaid.DOJ-SDNY
2020-09-24United States v. Krupkin, S.D.N.Y. (Sep. 24, 2020), pleaded guilty to a conspiracy to illegally distribute large quantities of oxycodoneDOJ-SDNY
2020-09-22United States v. Bio-Reference Laboratories, Inc., (S.D.N.Y. Sep. 22, 2020), the settlement resolves False Claims Act allegations that the company fraudulently billed federal health programs and provided illegal kickbacks to physicians.DOJ-SDNY
2020-09-14SEC Charges Cassava Sciences, Two Former Executives for Misleading Claims About Alzheimer’s Clinical TrialSEC-PR
2020-07-29United States v. New York City et al., (S.D.N.Y. July 29, 2020), settled allegations that defendants knowingly failed to take reasonable measures to obtain private insurance coverage before billing Medicaid for early intervention program servicesDOJ-SDNY
2020-07-23United States v. Dmitry Donsky, No. 1:20-cr-00123 (S.D.N.Y. Jul. 23, 2020), Doctor pled guilty to conspiring to illegally distribute large quantities of oxycodone from a medical clinic in Brooklyn, New York.DOJ-SDNY
2020-07-23United States v. Progenity, Inc., No. 1:20-cv-04865 (S.D.N.Y. July 23, 2020), Progenity Inc. admitted to fraudulently using wrong billing codes and paying kickbacks to physicians, resulting in a $49 million settlement.DOJ-SDNY
2020-07-08United States v. Purificacion Cristobal, Criminal Complaint, No. 20-mj-00001 (S.D.N.Y. July 8, 2020), The United States alleged that Purificacion Cristobal, a nurse practitioner operating a Bronx clinic, illegally distributed tens of thousands of oxycodone tablets in exchange for cash payments from patients who had no legitimate medical need for the prescriptions.DOJ-SDNY
2020-07-06Judgment As to Defendants Zvi Feiner, Fnr Healthcare, LLCSEC-LR
2020-07-01United States v. Novartis Pharmaceuticals Corp., et al., (S.D.N.Y. July 1, 2020), United States and various States announced a $678 million settlement with Novartis Pharmaceuticals Corp. for operating sham speaker programs to unlawfully induce doctors to prescribe Novartis drugs.DOJ-SDNY
2020-05-28United States v. Joseph Olivieri, No. 1:20-cr-00117 (S.D.N.Y. May 28, 2020), Joseph Olivieri was sentenced to 40 months in prison for conspiring to illegally distribute oxycodone and other controlled substances outside the scope of professional practice.DOJ-SDNY
2020-05-26New Jersey Man Arrested For $45 Million Scheme To Defraud And Price Gouge New York City During COVID-19 PandemicDOJ-SDNY
2020-05-26United States v. Richard Schirripa, No. [Case Number Pending] (S.D.N.Y. May 26, 2020), indicted for violating the Defense Production Act by hoarding and price gouging N95 masks, making false statements to law enforcement, committing healthcare fraud, and committing aggravated identity theftDOJ-SDNY
2020-05-14SEC v. Applied BioSciences Corp., No. 88627 (S.E.C. Apr. 13, 2020), temporarily suspended trading in the company’s securities due to concerns about the accuracy and adequacy of publicly available information regarding claims made in a March 31, 2020 press release about selling coronavirus test kits for home useSEC-LR
2020-05-14SEC v. Applied Biosciences Corp. (S.D.N.Y. May 14, 2020), Complaint, llm-upgradeSEC-LR
2020-04-02United States v. Fpr Specialty Pharmacy Llc et al., 20-CV-XXXX (S.D.N.Y. Apr. 2, 2020), Defendants agreed to pay a total of $426,000 and admitted to and accepted responsibility for submitting fraudulent claims for reimbursement to federal healthcare programs for compounded prescription drugs in violation of the False Claims Act and the Anti-Kickback Statute.DOJ-SDNY
2020-03-27United States v. Anthem, Inc., (S.D.N.Y. Mar. 27, 2020), United States filed a civil fraud lawsuit alleging that Anthem, Inc. falsely certified the accuracy of diagnosis data submitted to the Centers for Medicare and Medicaid Services to obtain millions of dollars in Medicare funds.DOJ-SDNY
2020-02-18United States v. Greg Miller, 20 Cr. 345 (S.D.N.Y. Feb. 18, 2020), Miller pled guilty to participating in a $9 million health care fraud scheme by submitting fraudulent bills for durable medical equipment that was never provided to patients or was medically unnecessary.DOJ-SDNY
2020-02-14United States v. Abreu Gil et al., <Court> <Date>, <one-sentence narrative summarizing the allegations or outcome>DOJ-SDNY
2020-01-27United States v. Alexandru Burducea, 20-cr-00123 (S.D.N.Y. Jan. 27, 2020), Doctor sentenced to 57 months in prison for conspiring to violate the Anti-Kickback Statute by prescribing fentanyl-based drug Subsys in exchange for bribes and kickbacks from manufacturer Insys Therapeutics.DOJ-SDNY
2019-12-18United States v. Freedman, S.D.N.Y. (Dec. 18, 2019), pleaded guilty to distributing oxycodone and fentanyl that resulted in a patient’s overdose.DOJ-SDNY
2019-12-17Manhattan U.S. Attorney Files Lawsuit Against Omnicare, Country’s Largest Long-Term Care Pharmacy, And Parent Company CVS For Fraudulently Billing For Drugs Dispensed To Elderly And Disabled Individuals Without Valid PrescriptionsDOJ-SDNY
2019-12-12United States v. Mathieu et al., S.D.N.Y. Dec. 12, 2019, sentenced to prison for participating in a $30 million scheme to defraud Medicare and MedicaidDOJ-SDNY
2019-12-05United States v. Freedman, (S.D.N.Y. Dec. 5, 2019), the jury convicted the physician of accepting bribes and kickbacks from Insys Therapeutics in exchange for prescribing Subsys fentanyl sprayDOJ-SDNY
2019-11-27United States v. Lambrakis, S.D.N.Y. (Nov. 27, 2019), Dr. Emmanuel Lambrakis pleaded guilty to conspiring to unlawfully distribute oxycodone.DOJ-SDNY
2019-11-22United States v. Ameet Goyal, S.D.N.Y. (Nov. 22, 2019), the indictment alleged that the ophthalmologist fraudulently billed Medicare, Medicaid and private insurers for surgeries and procedures that were not performed, including upcoding and falsifying patient records.DOJ-SDNY
2019-11-08United States v. Lenox Hill Hospital et al., (S.D.N.Y. Nov. 8, 2019), the government settled a civil fraud lawsuit alleging false‑claims violations for Medicare billing and agreed to a $12.3 million paymentDOJ-SDNY
complaint litigation release press release pdf judgment · SEC-LR SEC litigation releaseSEC-PR SEC press releaseDOJ-SDNY DOJ — S.D.N.Y.