Enforcement Actions

• Doctor Sentenced to Seven Years in Prison for $24 Million Medicare Fraud

  Dec. 12, 2025

  • Criminal and Civil Actions

• Missouri Man Sentenced to 10 Years in Prison for $174 Million Health Care Fraud Conspiracy

  Dec. 12, 2025

  • Criminal and Civil Actions

• Pharmacist Sentenced to Over Six Years in Prison for $6 Million Health Care Fraud Scheme

  Dec. 12, 2025

  • Criminal and Civil Actions

• Wound Graft Company Owners Sentenced for $1.2 Billion Health Care Fraud and Agree to Pay $309 Million to Resolve Civil Liability Under the False Claims Act

  Dec. 12, 2025

  • Criminal and Civil Actions

• PAI Participant 1 Agreed to Pay $749,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Not Provided as Billed or Not Medically Necessary

  Dec. 12, 2025

  • Fraud Self-Disclosures

• Summit Healthcare Association Agreed to Pay $2.8 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying and Receiving Improper Remuneration in the Form of Excessive Rental Fees, Excessive Compensation, and Free Staffing Services

  Dec. 12, 2025

  • Fraud Self-Disclosures

• University Medical Center of Southern Nevada Agreed to Pay $945,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Upcoded Services and Paying Improper Remuneration

  Dec. 12, 2025

  • Fraud Self-Disclosures

• Parkville Mother and Daughter Sentenced in $3.6 Million Medicaid Fraud Scheme

  Dec. 12, 2025

  • State Enforcement Agencies

• Canton Man Sentenced for Multi-Million-Dollar Health Care Fraud Scheme

  Dec. 11, 2025

  • Criminal and Civil Actions

• Former St. Louis Area Pediatrician Admits Exchanging Prescriptions for Sex Acts

  Dec. 11, 2025

  • Criminal and Civil Actions

• Owner Of Physical Rehabilitation Company Pleads Guilty To Submitting More Than $20 Million In Fraudulent Medical Bills To Health Benefit Programs

  Dec. 11, 2025

  • Criminal and Civil Actions

• Community Hospital San Bernadino Agreed to Pay $112,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  Dec. 11, 2025

  • Fraud Self-Disclosures

• St. John's Regional Medical Center Agreed to Pay $357,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  Dec. 11, 2025

  • Fraud Self-Disclosures

• Telehealth Company Agrees to Pay $300,000 to Resolve False Claims Act Allegations

  Dec. 10, 2025

  • Criminal and Civil Actions

• Canton Man Sentenced to more than 3 Years in Federal Prison for Wire Fraud and Money Laundering

  Dec. 10, 2025

  • Criminal and Civil Actions

• Recovery Centers of America Agrees to Pay $2 Million to Resolve Allegations That It Violated the Controlled Substances Act and the False Claims Act by Mishandling Controlled Substances and Providing Inadequate Treatment Services

  Dec. 10, 2025

  • Criminal and Civil Actions

• Spokane Physician Pays $120,000 to Resolve Allegations He Prescribed Controlled Substances Without Legitimate Medical Purpose

  Dec. 10, 2025

  • Criminal and Civil Actions

• Central Emergency Medical Services Agreed to Pay $20,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  Dec. 10, 2025

  • Fraud Self-Disclosures

• AG’s Office Secures Guilty Plea From Haverhill Defendant For Defrauding PCA Program

  Dec. 10, 2025

  • State Enforcement Agencies

• H. Brady Millican, III Agreed to Be Excluded for 3 Years for Allegedly Paying Improper Remuneration

  Dec. 9, 2025

  • CMP and Affirmative Exclusions

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