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Source: United States Department of Justice

Good morning.

Thank you all for joining us today as we announce the largest coordinated health care fraud takedown in the history of the Department of Justice.

Today marks a decisive moment in our fight to protect American taxpayers from fraudsters and to defend the integrity of our nation’s health care system.

We are announcing charges against 324 defendants for their alleged participation in health care fraud schemes involving approximately $14.6 billion in false claims submitted to Medicare, Medicaid, and other health care programs.

In a takedown this large, I can’t possibly describe all of the work that went into dismantling each scheme, but there are four key points that bear emphasizing.

First, let me be clear about what these health care fraud schemes mean for every hardworking American family: These criminals didn’t just steal someone else’s money — they stole from you.  Every fraudulent claim, every fake billing, every kickback scheme represents money taken directly from the pockets of American taxpayers, who fund these essential programs through their hard work and sacrifice. And when criminals defraud these programs, they’re not just committing theft — they’re driving up our national deficit and threatening the long-term viability of health care for seniors, disabled Americans, and our most vulnerable citizens.

This enforcement action involves the seizure of cash, as well as luxury vehicles and properties, returning real money to American taxpayers and to our government health care programs.

Second, we are seeing a disturbing trend of transnational criminal organizations engaging in increasingly sophisticated and complex criminal schemes that defraud the American health care system.

As part of this takedown, we’ve identified and charged defendants operating from Russia, Eastern Europe, Pakistan, and other foreign countries who have infiltrated our health care system to steal American taxpayer dollars.

As one example, we dismantled a scheme involving a sophisticated operation run from Russia and Eastern Europe that strategically bought dozens of medical supply companies in the United States and submitted more than 10 billion dollars in fraudulent health care claims to Medicare. To make matters worse, these perpetrators used the stolen identities of more than one million Americans, spanning all 50 states, to submit these false claims.

But I’m pleased to report that federal agents intercepted and arrested key members of that organization at U.S. airports and at the U.S.-Mexico border, cutting off their intended escape routes.

The days of transnational criminal organizations using American health care programs as their personal piggy banks are over.

Third, this takedown resulted in criminal charges against 74 defendants, including medical professionals, who fueled America’s deadly opioid epidemic for personal profit. These are not isolated instances of poor judgment. These are calculated schemes designed to exploit Americans struggling with addiction while enriching the very people who were duty-bound to help them heal.

We charged pill mill operators who prescribed unnecessary opioids.  We dismantled networks of corrupt pharmacies that existed solely to distribute drugs to addicts and dealers, feeding the addiction crisis that has devastated so many American communities.

This is not health care; it is a staggering breach of trust.  And under my leadership, the Criminal Division will prosecute these criminals as aggressively as we would prosecute any drug dealer — because that’s exactly what they are.

Fourth, many of the defendants charged as part of this takedown specifically targeted some of our most vulnerable citizens: elderly Americans in nursing homes, individuals with disabilities, those battling serious illnesses, and more.  For example, our prosecutors charged seven defendants, including five medical professionals, in connection with approximately $1 billion in fraudulent claims to Medicare and other health care benefit programs for performing medically unnecessary skin grafts on dying patients as they were seeking to spend their final days with dignity and grace.

That conduct is exactly as callous and disturbing as it sounds. Patients and their families trusted these providers with their lives.  Instead of receiving care, they became victims of elaborate criminal schemes.

Today’s takedown marks a historic day. In addition to the tireless work of our Fraud Section’s Health Care Fraud Unit, this extraordinary effort would not have been possible without the law enforcement agencies with me here today: Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Federal Bureau of Investigation (FBI), Drug Enforcement Administration (DEA).

And of course, countless other partners across the federal, state, and local law enforcement community and dozens of United States Attorneys’ Offices. Thank you to all who made today possible.

Despite these historic achievements, we aren’t resting on our laurels. We’re making advancements to stay ahead of criminals and their illicit schemes.

That is why, today, I am also announcing that we are working with our partners at FBI, HHS-OIG, and other federal agencies to create a Health Care Fraud Data Fusion Center to revolutionize how we detect, investigate, and prosecute health care fraud.  These efforts will be led by the Criminal Division, specifically, the Fraud Section’s Health Care Fraud Unit and comprised of data specialists from the Unit’s Data Analytics Team. The Fusion Center will break down information silos, using coordinated data analysis to enable our investigative teams to quickly identify and dismantle emerging fraud schemes.

This takedown represents the largest health care fraud takedown in American history.

But it’s not the end—it’s the beginning of a new era of aggressive prosecution and data-driven prevention.

Thank you.

I will now turn it over to Acting Inspector General Juliet T. Hodgkins, Department of Health and Human Services Office of Inspector General.

Source: United States Department of Justice Criminal Division

A Florida man was sentenced today to 12 years in prison and three years of supervised release for conspiring to defraud Medicare with false reimbursement claims for durable medical equipment (DME). He was also ordered to pay $21,195,540.18 in restitution and forfeiture in the amount of $2,514,040.

According to court documents, Peter Roussonicolos, 64, of Port Saint Lucie, Florida, owned and operated five DME suppliers as a silent partner. Roussonicolos hid his involvement in the companies from Medicare because he had one or more felony convictions, making him ineligible to enroll with the government program. To further conceal his involvement, he recruited and paid co-conspirators to serve as nominee owners of the DME suppliers and caused others to falsify Medicare enrollment forms, bank records, and other documents to conceal the true ownership and control of the DME suppliers. He also knew that a co-conspirator paid kickbacks and bribes to patient recruiters in exchange for beneficiary referrals. As part of the scheme, the DME companies submitted approximately $61.5 million in false and fraudulent claims to Medicare for medically unnecessary DME that was ineligible for reimbursement and were paid approximately $26.7 million of these claims.

“Through lies and deceit, the defendant and his co-conspirators orchestrated a $61 million fraud on Medicare,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division. “The defendant’s fraud drained critical government resources that could have been used to help vulnerable Americans. Today’s sentencing demonstrates the Department’s steadfast commitment to protecting taxpayer dollars and ensuring accountability for those who seek to defraud our health care programs.”

“Today’s sentence underscores HHS-OIG’s firm commitment to thoroughly investigating individuals who engage in illegal kickback schemes to prescribe medically unnecessary durable medical equipment for their own personal financial gain,” said Deputy Inspector General for Investigations Christian J. Schrank with the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG). “We remain steadfast in our mission to protect the integrity of Medicare and other federal healthcare programs as well as the people served by those programs.”

“This defendant and his co-conspirators orchestrated an elaborate scheme to steal millions from Medicare through kickbacks and sham billing,” said Assistant Director Jose A. Perez of the FBI Criminal Investigative Division. “Today’s sentencing demonstrates that those who exploit our healthcare system for personal gain will be held accountable. The FBI is committed to working with our partners to protect taxpayer dollars and ensure the integrity of healthcare programs.”

In November 2024, Roussonicolos pleaded guilty to conspiracy to commit health care fraud and wire fraud.

The FBI and HHS-OIG investigated the case.

Trial Attorney Jennifer Burns and Assistant Chiefs Jamie de Boer and Emily Gurskis of the Criminal Division’s Fraud Section prosecuted the case. Trial Attorneys Joanna Bowman and Lindita Ciko Torza of the Special Matters Unit assisted in the prosecution.

The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this program, currently comprised of 9 strike forces operating in 27 federal districts, has charged more than 5,800 defendants who collectively have billed federal health care programs and private insurers more than $30 billion. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes. More information can be found at www. justice. gov/criminal-fraud/health-care-fraud-unit.

Source: United States Department of Justice Criminal Division

Note: View the indictment here and detention letter here.

WASHINGTON — A dual Canadian American citizen was arrested on Sunday, June 15, for his role in a deadly human smuggling conspiracy that left a family of four, including two children under the age of three, dead in the St. Lawrence River. Oakes was arrested as he attempted to enter the United States via the Massena, New York, Port of Entry.

Timothy Oakes, 34, from the Akwesasne Mohawk Indian Reservation (AMIR), Canada, was previously arraigned on numerous human smuggling offenses in the Northern District of New York District Court and had his detention hearing earlier today and will remain detained. Oakes was indicted on April 9 for conspiring with others to engage in alien smuggling, four counts of alien smuggling for profit, and four counts of alien smuggling resulting in death. United States based co-conspirators Dakota Montour, 31, and Kawisiiostha Celecia Sharrow, 43, both of Akwesasne-Mohawk, New York, and Janet Terrance, 45, of Hogansburg, New York, entered guilty pleas on Jan. 23, Oct. 8, 2024, and March 6, respectively.

“As alleged, Oakes and his co-conspirators profited from a human smuggling operation with a singular, cold-hearted aim: making money by bringing illegal aliens into the United States, regardless of the danger to human life involved,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division. “Their greed resulted in the deaths of a mother, a father, and two small children, as well as one of the defendants’ own brothers. The Criminal Division will continue to disrupt and dismantle these organizations and bring justice to smugglers whose actions result in senseless deaths.”

“This case shows the terrible perils of illegally crossing the border,” said U.S. Attorney John A. Sarcone III for the Northern District of New York. “Four family members died because a smuggling network put them in harm’s way. My office is proud to partner with Joint Task Force Alpha to continue to combat dangerous human smuggling and trafficking organizations that operate on our northern border.”

“Oakes’ arrest comes as part of our nearly two-year long investigation into a transnational criminal organization responsible for the large-scale smuggling of aliens from Canada into the United States,” said U.S. Immigration and Customs Enforcement Homeland Security Investigations (ICE HSI) Buffalo Special Agent in Charge Erin Keegan. “ICE HSI leverages its full range of authorities to combat and dismantle the heinous networks of greedy criminals who illicitly sell dangerous, sometimes fatal, passage through our nation’s northern border. We are extremely grateful for a multitude of law enforcement agency partners on the Border Enforcement Security Taskforce who join us in this fight to bring smugglers to justice.”

“Two toddler aged children and their parents were the tragic victims of an alien smuggling attempt gone horribly wrong,” said Chief Patrol Agent Robert Garcia of the U.S. Border Patrol’s Swanton Sector. “Their deaths were a direct result of callous smugglers who exploited the vulnerable. Due to unrelenting perseverance and investigative efforts by multiple law enforcement agencies, those responsible will be held accountable. Our pursuit of justice persists until justice is served.”

According to court documents, Oakes was a key facilitator in a human smuggling organization (HSO) that smuggled aliens from Canada into northern New York. Oakes, working with the HSO, routinely smuggled aliens into the United States by piloting boats across the St. Lawrence River. Additionally, Oakes used his home as a staging area for aliens before the HSO smuggled them into the United States. Oakes earned approximately $1,000 for every alien whom he smuggled across the St. Lawrence River into the United States.

In March 2023, Oakes housed a Romanian family of four, together with other aliens, for about 24 hours. He then transported the family and a boat to a public boat launch. His brother, Casey Oakes, attempted to use the boat to smuggle the Romanian family into the United States, but the boat capsized, killing all four members of the family, as well as Casey Oakes.    

Terrance, Montour, and Sharrow admitted in their plea agreements that in late March 2023, they were employed to illegally transport a Romanian family of four — a mother, father, one-year-old boy, and two-year-old girl — from Canada into New York. Specifically, Montour admitted that he was aware of the dangerous weather conditions on the day of the tragedy — high winds, freezing temperatures, and limited visibility — yet another co-conspirator still loaded the family of four into the small boat to attempt to cross the St. Lawrence River.

HSI Massena engaged in an extensive years-long investigation of the case, with assistance from the U.S. Border Patrol, U.S. Customs and Border Protection (CBP), HSI’s Human Smuggling Unit in Washington, D.C., CBP’s National Targeting Center International Interdiction Task Force, New York State Police, Canada Border Services Agency, Akwesasne Mohawk Police Service, St. Regis Mohawk Tribal Police Department, Ontario Provincial Police, Sûreté du Québec, St. Lawrence County Sheriff’s Department, Royal Canadian Mounted Police, and the Cornwall Police Service. The Justice Department’s Office of International Affairs provided significant support with foreign legal assistance requests.

The defendant’s vehicle with light blue boat in tow on March 29, 2023, at 9:29 p.m., consistent with the boat found in the river during recovery efforts.

The investigation is a result of the coordinated efforts of Joint Task Force Alpha (JTFA). JTFA, a partnership with the Department of Homeland Security (DHS), has been elevated and expanded by the Attorney General with a mandate to target cartels and other transnational criminal organizations and eliminate human smuggling and trafficking networks operating within the Americas that impact public safety and the security of our borders. JTFA currently comprises detailees from U.S. Attorneys’ Offices along the border, including the Northern District of New York. Dedicated support is provided by numerous components of the Justice Department’s Criminal Division, led by the Human Rights and Special Prosecutions Section (HRSP) and supported by the Money Laundering and Asset Recovery Section, the Office of Enforcement Operations and the Office of International Affairs, among others. JTFA also relies on substantial law enforcement investment from DHS, FBI, and the Drug Enforcement Administration, and other partners. To date, JTFA’s work has resulted in more than 380 domestic and international arrests of leaders, organizers, and significant facilitators of alien smuggling; more than 340 U.S. convictions; more than 290 significant jail sentences imposed; and forfeitures of substantial assets.

The investigation is being conducted under the Extraterritorial Criminal Travel Strike Force (ECT) program, a joint partnership between the Justice Department’s Criminal Division and HSI. The ECT program focuses on human smuggling networks that may present particular national security or public safety risks, or present grave humanitarian concerns. ECT has dedicated investigative, intelligence and prosecutorial resources. ECT coordinates and receives assistance from other U.S. government agencies and foreign law enforcement authorities.

Trial Attorney Jenna E. Reed of the Criminal Division’s HRSP and Assistant U.S. Attorney Jeffrey Stitt for the Northern District of New York are prosecuting the case.

This case is part of Operation Take Back America, a nationwide initiative that marshals the full resources of the Department of Justice to repel the invasion of illegal immigration, achieve the total elimination of cartels and transnational criminal organizations and protect our communities from the perpetrators of violent crime. Operation Take Back America streamlines efforts and resources from the Department’s Organized Crime Drug Enforcement Task Forces and Project Safe Neighborhoods.

Source: United States Department of Justice Criminal Division

WASHINGTON – United States Attorney General Pamela Bondi announced today that the Department of Justice is now accepting nominations to Honor the Honorable: The Attorney General’s Award for Distinguished Service in Policing. This award represents the Department of Justice’s reaffirmed commitment to uplifting the valor and exceptional contributions to policing of our great nation’s law enforcement personnel. It is the mission of the Department of Justice to recognize individuals in law enforcement who exhibit remarkable courage, innovation, and outstanding performance in making America safe again.

The Attorney General’s Honor the Honorable Award recognizes individual or teams of rank-and-file officers from state, local, Tribal or territorial law enforcement agencies for exceptional efforts in policing. The awarded officers, deputies and troopers will have demonstrated exceptional service in one of three areas: criminal investigations, field operations or exemplary community involvement. Within each category, an award will be given to law enforcement agencies serving small, medium and large jurisdictions. Those agency sizes are defined as:

• Small: agencies serving populations of fewer than 50,000;
• Medium: agencies serving populations of 50,000 to 250,000;
• Large: agencies serving populations of more than 250,000.

By acknowledging and rewarding these efforts, the Department strives to advance and reaffirm its dedication to policing and to promote proactive law enforcement methods that support public safety within our nation’s communities. Through this Award, the Attorney General recognizes that the nation’s law enforcement agencies, officers, deputies and troopers continue to work tirelessly to make American communities safe places to live and work again.

The deadline for nominations is July 14, 2025, at 8:00 p.m. EDT. More information and the application for nominees can be found at: https://www.justice.gov/ag/policing-award

Source: United States Department of Justice Criminal Division

Law Enforcement Actions Across 16 States Result in Charges, Arrest, and Seizures of 29 Financial Accounts, 21 Fraudulent Websites, and Approximately 200 Computers

Source: United States Department of Justice Criminal Division

Today, the Department of Justice filed a lawsuit against the City of Los Angeles, California, Los Angeles Mayor Karen Bass, and the Los Angeles City Council over policies that Los Angeles enacted shortly after President Donald J. Trump’s reelection to interfere with the federal government’s enforcement of its immigration laws.

Not only are Los Angeles’s “sanctuary city” policies illegal under federal law, but, as alleged in the complaint, Los Angeles’s refusal to cooperate with federal immigration authorities contributed to the recent lawlessness, rioting, looting, and vandalism that was so severe that it required the federal government to deploy the California National Guard and the United States Marines to quell the chaos.

“Sanctuary policies were the driving cause of the violence, chaos, and attacks on law enforcement that Americans recently witnessed in Los Angeles,” said Attorney General Pamela Bondi. “Jurisdictions like Los Angeles that flout federal law by prioritizing illegal aliens over American citizens are undermining law enforcement at every level – it ends under President Trump.”

“Today’s lawsuit holds the City of Los Angeles accountable for deliberately obstructing the enforcement of federal immigration law,” said U.S. Attorney Bill Essayli for the Central District of California. “The United States Constitution’s Supremacy Clause prohibits the City from picking and choosing which federal laws will be enforced and which will not. By assisting removable aliens in evading federal law enforcement, the City’s unlawful and discriminatory ordinance has contributed to a lawless and unsafe environment that this lawsuit will help end.”

On her first day in office, Attorney General Bondi instructed the Department’s Civil Division to identify state and local laws, policies, and practices that facilitate violations of federal immigration laws or impede lawful federal immigration operations, and, where appropriate, to take legal action to challenge such laws, policies, and practices. Today’s lawsuit is the latest in a series of lawsuits brought by the Civil Division targeting illegal sanctuary city policies across the country, including in New York and New Jersey.

Source: United States Department of Justice Criminal Division

Largest Justice Department Health Care Fraud Takedown in History
More than Doubles Prior Record of $6 Billion

The Justice Department today announced the results of its 2025 National Health Care Fraud Takedown, which resulted in criminal charges against 324 defendants, including 96 doctors, nurse practitioners, pharmacists, and other licensed medical professionals, in 50 federal districts and 12 State Attorneys General’s Offices across the United States, for their alleged participation in various health care fraud schemes involving over $14.6 billion in intended loss. The Takedown involved federal and state law enforcement agencies across the country and represents an unprecedented effort to combat health care fraud schemes that exploit patients and taxpayers.

Demonstrating the significant return on investment that results from health care fraud enforcement efforts, the government seized over $245 million in cash, luxury vehicles, cryptocurrency, and other assets as part of the coordinated enforcement efforts. As part of the whole-of-government approach to combating health care fraud announced today, the Centers for Medicare and Medicaid Services (CMS) also announced that it successfully prevented over $4 billion from being paid in response to false and fraudulent claims and that it suspended or revoked the billing privileges of 205 providers in the months leading up to the Takedown. Civil charges against 20 defendants for $14.2 million in alleged fraud, as well as civil settlements with 106 defendants totaling $34.3 million, were also announced as part of the Takedown.

Today’s Takedown was led and coordinated by the Health Care Fraud Unit of the Department of Justice Criminal Division’s Fraud Section and its core partners from U.S. Attorneys’ Offices, the Department of Health and Human Services Office of Inspector General (HHS-OIG), the Federal Bureau of Investigation (FBI), and the Drug Enforcement Administration (DEA). The cases were investigated by agents from HHS-OIG, FBI, DEA, and other federal and state law enforcement agencies. The cases are being prosecuted by Health Care Fraud Strike Force teams from the Criminal Division’s Fraud Section, 50 U.S. Attorneys’ Offices nationwide, and 12 State Attorneys General Offices.

“This record-setting Health Care Fraud Takedown delivers justice to criminal actors who prey upon our most vulnerable citizens and steal from hardworking American taxpayers,” said Attorney General Pamela Bondi. “Make no mistake – this administration will not tolerate criminals who line their pockets with taxpayer dollars while endangering the health and safety of our communities.”

“As part of making healthcare accessible and affordable to all Americans, HHS will aggressively work with our law enforcement partners to eliminate the pervasive health care fraud that bedeviled this agency under the former administration and drove up costs,” said Secretary Robert F. Kennedy Jr. of the Department of Health and Human Services.

“The Criminal Division is intensely committed to rooting out health care fraud schemes and prosecuting the criminals who perpetrate them because these schemes: (1) often result in physical patient harm through medically unnecessary treatments or failure to provide the correct treatments; (2) contribute to our nationwide opioid epidemic and exacerbate controlled substance addiction; and (3) do all of that while stealing money hardworking Americans contribute to pay for the care of their elders and other vulnerable citizens,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division. “The Division’s Health Care Fraud Unit and U.S. Attorneys’ Offices stand united with our law enforcement partners in this fight, and we will continue to use every tool at our disposal to protect the integrity of our health care programs for the American people.”

“The scale of today’s Takedown is unprecedented, and so is the harm we’re confronting. Individuals who attempt to steal from the federal health care system and put vulnerable patients at risk will be held accountable,” said Acting Inspector General Juliet T. Hodgkins of HHS-OIG. “Our agents at HHS-OIG work relentlessly to detect, investigate, and dismantle these fraud schemes. We are proud to stand with our law enforcement partners in protecting taxpayer dollars and safeguarding patient care.”

“Health care fraud drains critical resources from programs intended to help people who truly need medical care,” said FBI Director Kash Patel. “Today’s announcement demonstrates our commitment to pursuing those who exploit the system for personal gain. With more than $13 billion in fraud uncovered, this is the largest takedown for this initiative to date. Together, the FBI and our law enforcement partners will continue to hold those accountable who steal from the American people and undermine our health care systems.”

Transnational Criminal Organizations

29 defendants were charged for their roles in transnational criminal organizations alleged to have submitted over $12 billion in fraudulent claims to America’s health insurance programs.

For instance, a nationwide investigation known as Operation Gold Rush resulted in the largest loss amount ever charged in a health care fraud case brought by the Department. These charges were announced in the Eastern District of New York, the Northern District of Illinois, the Central District of California, the Middle District of Florida, and the District of New Jersey against 19 defendants. Twelve of these defendants have been arrested, including four defendants who were apprehended in Estonia as a result of international cooperation with Estonian law enforcement and seven defendants who were arrested at U.S. airports and the U.S. border with Mexico, cutting off their intended escape routes as they attempted to avoid capture.

The organization allegedly used a network of foreign straw owners, including individuals sent into the United States from abroad, who, acting at the direction of others using encrypted messaging and assumed identities from overseas, strategically bought dozens of medical supply companies located across the United States. They then rapidly submitted $10.6 billion in fraudulent health care claims to Medicare for urinary catheters and other durable medical equipment by exploiting the stolen identities of over one million Americans spanning all 50 states and using their confidential medical information to submit the fraudulent claims. As alleged, the organization exploited the U.S. financial system by laundering the fraudulent proceeds and deploying a range of tactics to circumvent anti-money laundering controls to transfer funds into cryptocurrency and shell companies located abroad. The arrests announced today also include a banker who facilitated the money laundering of fraud proceeds on behalf of the organization through a U.S.-based bank.

The Health Care Fraud Unit’s Data Analytics Team and its partners detected the anomalous billing through proactive data analytics, and HHS-OIG and CMS successfully prevented the organization from receiving all but approximately $41 million of the approximately $4.45 billion that was scheduled to be paid by Medicare. HHS and CMS intend to seek to return the $4.41 billion in escrow to the Medicare trust fund for needed medical care. The scheme nonetheless resulted in payments of approximately $900 million from Medicare supplemental insurers. To date, law enforcement has seized approximately $27.7 million in fraud proceeds as part of Operation Gold Rush.

In another action involving foreign influence, charges were filed in the Northern District of Illinois against five defendants, including two owners and executives of Pakistani marketing organizations, in connection with a $703 million scheme in which Medicare beneficiaries’ identification numbers and other confidential health information were allegedly obtained through theft and deceptive marketing. The defendants allegedly used artificial intelligence to create fake recordings of Medicare beneficiaries purportedly consenting to receive certain products. According to court documents, the beneficiaries’ confidential information was then illegally sold to laboratories and durable medical equipment companies, which used this unlawfully obtained and fraudulently generated data to submit false claims to Medicare. Certain defendants controlled dozens of nominee-owned durable medical equipment companies and laboratories that allegedly submitted fraudulent claims for products and services the beneficiaries did not request, need, or receive. Certain defendants also allegedly conspired to conceal and launder the fraud proceeds from bank accounts they controlled in the United States to bank accounts overseas. In total, the defendants caused approximately $703 million in alleged fraudulent claims to Medicare and Medicare Advantage plans, which paid approximately $418 million on those claims. The government seized approximately $44.7 million from various bank accounts related to this case.

Finally, a defendant based in Pakistan and the United Arab Emirates who owned a billing company allegedly orchestrated a scheme to prey upon vulnerable individuals in need of addiction treatment by conspiring with treatment center owners to fraudulently bill Arizona Medicaid approximately $650 million for substance abuse treatment services. According to court documents, some of the services billed were never provided, while other services were provided at a level that was so substandard that it failed to serve any treatment purpose. As part of the conspiracy, treatment center owners allegedly paid illegal kickbacks in exchange for the referral of patients recruited from the homeless population and Native American reservations. The defendant received at least $25 million of ill-gotten Arizona Medicaid funds as a result of the conspiracy and is charged with a money laundering offense for his alleged use of those funds to purchase a $2.9 million home located on a golf estate in Dubai.

Fraudulent Wound Care

Charges were filed in the District of Arizona and the District of Nevada against seven defendants, including five medical professionals, in connection with approximately $1.1 billion in fraudulent claims to Medicare and other health care benefit programs for amniotic wound allografts. As alleged, certain defendants targeted vulnerable elderly patients, many of whom were receiving hospice care, and applied medically unnecessary amniotic allografts to these patients’ wounds. Many of the allografts allegedly were applied without coordination with the patients’ treating physicians, without proper treatment for infection, to superficial wounds that did not need this treatment, and to areas that far exceeded the size of the wound. Certain defendants allegedly received millions in illegal kickbacks from the fraudulent billing scheme.

“Today’s unprecedented enforcement action demonstrates that CMS and our federal partners are united in our mission to protect the integrity of Medicare and Medicaid by crushing waste, fraud, and abuse,” said CMS Administrator Dr. Mehmet Oz. “Every dollar we prevent from going to fraudsters is a dollar that stays in the system to serve legitimate beneficiaries. Through advanced data analytics, real-time monitoring, and swift administrative action, CMS is leading the fight to protect Medicare, Medicaid, and the trust Americans place in these vital programs. We’re not waiting for fraud to happen—we’re stopping it before it starts.”

Prescription Opioid Trafficking

74 defendants, including 44 licensed medical professionals, were charged across 58 cases in connection with the alleged illegal diversion of over 15 million pills of prescription opioids and other controlled substances. For example, five defendants associated with one Texas pharmacy were charged with the unlawful distribution of over 3 million opioid pills. As alleged, the defendants conspired to distribute massive quantities of oxycodone, hydrocodone, and carisoprodol, which were subsequently trafficked by street-level drug dealers, generating large profits for the defendants. This coordinated action is a continuation of the Health Care Fraud Unit’s systematic approach to stopping drug trafficking organizations and their pharmaceutical wholesale suppliers, which together have fueled an epidemic of prescription opioid abuse for nearly a decade.

DEA also announced today that in the last six months, DEA charged 93 administrative cases seeking the revocation of pharmacies, medical practitioners, and companies authority to handle and/or prescribe controlled substances.

“Health care fraud isn’t just theft — it’s trafficking in trust. Today’s announcement shows that when doctors become drug dealers and treatment centers become profit-driven fraud rings, DEA will act,” said Acting Administrator Robert Murphy of the DEA. “We’re targeting the entire ecosystem of fraud — from pill mills in Texas to kickback clinics exploiting Native communities. If you abuse your medical license to push poison or pad your pockets, we will hold you accountable.”

Telemedicine and Genetic Testing Fraud

In today’s Takedown, 49 defendants were charged in connection with the submission of over $1.17 billion in allegedly fraudulent claims to Medicare resulting from telemedicine and genetic testing fraud schemes. For example, in the Southern District of Florida, prosecutors charged an owner of telemedicine and durable medical equipment companies with a $46 million scheme in which Medicare beneficiaries were allegedly targeted through deceptive telemarketing campaigns and then fraudulent claims were submitted to Medicare for durable medical equipment and genetic tests for these beneficiaries. The Department continues to focus on eliminating health care fraud schemes that depend on telemedicine, including schemes involving fraudulent claims for genetic testing, durable medical equipment, and COVID-19 tests.

Other Health Care Fraud Schemes

The other cases announced today charge an additional 170 defendants with various other health care fraud schemes involving over $1.84 billion in allegedly false and fraudulent claims to Medicare, Medicaid, and private insurance companies for diagnostic testing, medical visits, and treatments that were medically unnecessary, provided in connection with kickbacks and bribes, or never provided at all. For example, in the Western District of Tennessee, prosecutors charged three defendants, including business owners and a pharmacist, with a $28.7 million scheme to defraud the Federal Employees’ Compensation Fund by allegedly billing for medications for injured United States Postal Service employees that were never prescribed by a licensed practitioner and largely were not dispensed as claimed. And in the Western District of Washington and the Northern District of California, prosecutors charged medical providers with allegedly stealing fentanyl and hydrocodone, respectively, that was meant for the providers’ patients, including child patients in need of anesthesia.

“VA’s Integrated Veteran Care Programs provide critical community-based health care to our nation’s disabled veterans and their dependents,” said Acting Inspector General David Case of the Department of Veterans Affairs Office of Inspector General (VA-OIG). “Robust oversight of VA’s health care system is one of VA-OIG’s highest priorities. VA-OIG is committed to holding accountable those who defraud government benefits programs intended to care for our nation’s heroes.”

Breaking Down Silos in the Fight Against Health Care Fraud

In connection with the coordinated nationwide law enforcement operation, the Department is announcing that it is working closely with HHS-OIG, FBI, and other agencies to create a Health Care Fraud Data Fusion Center to bring together experts from the Department’s Criminal Division, Fraud Section, Health Care Fraud Unit Data Analytics Team; HHS-OIG; FBI; and other agencies to leverage cloud computing, artificial intelligence, and advanced analytics to identify emerging health care fraud schemes. The Health Care Fraud Unit’s Data Analytics Team was established in 2018 to enhance the Unit’s ability to detect, investigate, and prosecute complex health care fraud schemes. Joining forces with data analysts from HHS-OIG, FBI, and other partners will increase efficiency, detection, and rapid prosecution of emerging health care fraud schemes. It will also implement the President’s Executive Order Stopping Waste, Fraud, and Abuse by Eliminating Information Silos (Exec. Order No. 14243, 3 C.F.R. 294 (2025)) by reducing duplicative data teams, increasing operational efficiency through a whole-of-government approach, and leveraging cloud computing, artificial intelligence, and other agency resources.

Principal Assistant Deputy Chief Jacob Foster, Assistant Deputy Chief Rebecca Yuan, Trial Attorney Miriam L. Glaser Dauermann, and Data Analyst Elizabeth Nolte, all of the Health Care Fraud Unit of the Criminal Division’s Fraud Section, led and coordinated this year’s Takedown. The cases are being prosecuted by the Health Care Fraud Unit’s National Rapid Response, Florida, Gulf Coast, Los Angeles, Midwest, New England, Northeast, and Texas Strike Forces; U.S. Attorneys’ Offices for the District of Arizona, Central District of California, Northern District of California, Southern District of California, District of Columbia, District of Connecticut, District of Delaware, Middle District of Florida, Northern District of Florida, Southern District of Florida, Middle District of Georgia, District of Idaho, Northern District of Illinois, Eastern District of Kentucky, Western District of Kentucky, Eastern District of Louisiana, Middle District of Louisiana, District of Maine, District of Massachusetts, Eastern District of Michigan, Western District of Michigan, Northern District of Mississippi, Southern District of Mississippi, District of Montana, District of Nevada, District of New Hampshire, District of New Jersey, Eastern District of New York, Northern District of New York, Southern District of New York, Western District of New York, Eastern District of North Carolina, Western District of North Carolina, District of North Dakota, Northern District of Ohio, Southern District of Ohio, Northern District of Oklahoma, Western District of Oklahoma, District of Oregon, Eastern District of Pennsylvania, District of South Carolina, Middle District of Tennessee, Western District of Tennessee, Northern District of Texas, Southern District of Texas, Western District of Texas, District of Vermont, Eastern District of Virginia, Western District of Washington, and Northern District of West Virginia; and State Attorneys General’s Offices for California, Illinois, Indiana, Louisiana, Massachusetts, Michigan, Missouri, New York, Ohio, Pennsylvania, South Carolina, and Wisconsin. The Health Care Fraud Unit’s Data Analytics Team used cutting-edge data analytics to identify and support the investigations that led to these charges.

In addition to FBI, HHS-OIG, DEA, and CMS, HSI, VA-OIG, IRS Criminal Investigation, Defense Criminal Investigative Service, Department of Labor, United States Postal Service Office of Inspector General, Office of Personnel Management Office of Inspector General, and other federal, state, and local law enforcement agencies participated in the operation. The Medicaid Fraud Control Units of California, the District of Columbia, Florida, Georgia, Illinois, Indiana, Louisiana, Massachusetts, Michigan, Missouri, New York, North Carolina, North Dakota, Ohio, Pennsylvania, South Carolina, Texas, Virginia, and Wisconsin also participated in the investigation of many of the federal and state cases announced today.

The Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Forces. Prior to the charges announced as part of today’s nationwide Takedown and since its inception in March 2007, the Health Care Fraud Strike Force, which operates in 27 districts, charged more than 5,400 defendants who collectively billed Medicare, Medicaid, and private health insurers more than $27 billion.

The following materials related to today’s announcement are available on the Health Care Fraud Unit’s website through these links:

•  Graphics and Resources

•  Case Descriptions

•  Court Documents

An indictment, information, or complaint is merely an allegation. All defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

Source: United States Department of Justice Criminal Division

WASHINGTON — Achieving a result otherwise unavailable through litigation, earlier today the Justice Department advised the court it had reached a settlement with HPE and Juniper that allows their merger to continue. This novel approach by the Justice Department reflects a commitment to solving unique challenges in mergers. Under the leadership of Attorney General Pam Bondi the laws of this country will be zealously enforced.

“Thank you to the hardworking men and women of the Antitrust Division for their work on this case.” — Gail Slater, Assistant Attorney General for the Antitrust Divison

“This marks another key legal victory from the Department of Justice’s Antitrust division. Our attorneys will continue fighting and winning to defend the American people and consumers.” — Department of Justice Chief of Staff Chad Mizelle

The settlement requires HPE to divest its Instant On business and mandates that the merged firm license critical Juniper software to independent competitors. HPE must divest its global “Instant On” campus and branch WLAN business, including all assets, intellectual property, R&D personnel, and customer relationships, to a DOJ-approved buyer within 180 days. The agreement also ensures that key software assets will be available to rivals looking to compete with the merged company. The parties must hold an auction to license Juniper’s AI Ops for Mist source code—an important component in modern WLAN systems. The license will be perpetual, non-exclusive, and include optional transitional support and personnel transfers to facilitate competition.

Source: United States Department of Justice Criminal Division

A Chicago man was convicted today of conspiring to provide material support to the Islamic State of Iraq and al-Sham (ISIS) by using social media to encourage attacks on ISIS’s enemies and recruit new ISIS members.

According to court documents, Ashraf Al Safoo, 41, was a leader of Khattab Media Foundation, a sophisticated online organization that swore allegiance to ISIS and created and disseminated threats and ISIS propaganda on social media and other online platforms. Al Safoo and other members of Khattab created and posted pro-ISIS videos, articles, essays, and infographics at the direction of, and in coordination with, ISIS. Much of Khattab’s propaganda promoted violent jihad on behalf of the terrorist group.

In one posting, Al Safoo encouraged Khattab members to post pro-ISIS information “to cause confusion and spread terror within the hearts of those who disbelieved.” In another posting, Al Safoo wrote, “Work hard, brothers, edit the issue into short clips, take the pictures out of it and publish the efforts of your brothers in the pages of the apostates. Participate in the war, and spread terror, the [Islamic] State does not want you to watch it only, rather, it incites you, and if you are unable to, use it to incite others.”

Many of Khattab’s postings included images of violence, celebrations of terrorist attacks and mass shootings in the United States, and encouragement for “lone wolf” attacks in western countries.

Al Safoo was arrested in Chicago in 2018. After a bench trial in U.S. District Court in Chicago, U.S. District Judge John Robert Blakey found Al Safoo guilty of one count of conspiracy to provide material support to a foreign terrorist organization, one count of conspiracy to transmit threats in interstate commerce, one count of conspiracy to intentionally access a protected computer without authorization, four counts of intentionally accessing a protected computer without authorization, and four counts of providing material support to a foreign terrorist organization.

The convictions carry a maximum penalty of 130 years in prison. Sentencing is scheduled for Oct. 9. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

Assistant Attorney General John A. Eisenberg of the Justice Department’s National Security Division, U.S. Attorney Andrew S. Boutros for the Northern District of Illinois, and Assistant Director Donald M. Holstead of the FBI’s Counterterrorism Division made the announcement.

The FBI Chicago Field Office is investigating the case.

Assistant U.S. Attorneys Melody Wells, Barry Jonas, and Thomas P. Peabody for the Northern District of Illinois, and Trial Attorney Andrew J. Dixon of the National Security Division’s Counterterrorism Section are prosecuting the case.

Source: United States Department of Justice Criminal Division

Defendant Filed False Tax Returns for Others and Himself Causing Nearly $1M in Loss to IRS