Medicare Law
 
United States of America v. Dashawn Dawkins

Lexington, Kentucky, criminal defense lawyer represented the Defendant charged with health care fraud and engaging in a conspiracy to pay kickbacks. Dashawn Dawkins, 34, was a peer support specialist at Serenity Keeper’s, LLC (“Serenity Keepers”), a sober home company based in Fayette County, Ky., that purported to provide mental health and substance abuse treatment services and housing f

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Untied States of America v. American Health Companies, LLC, dba American Health Partners

Nashville, Tennessee, commercial litigation lawyers represented the Defendant accused of violating the False Claims Act. American Health Companies, LLC (“AHC”), doing business as American Health Partners (“AHP”), was accused to violating the False Claims Act allegations related to billing Medicare and TennCare for grossly substandard nursing home services from Lewis County Nursing and R

More...   $2090309 (04-03-2026 - TN)

United States of America v. Dr. Jitesh Patel and Advanced Urology, Inc.

Atlanta, Georgia commercial litigation lawyers represented Advanced Urology, Inc. and Dr. Jitesh Patel accused of violation the False Claims Act by billing Medicare and Medicaid for services that were either unnecessary or never performed. The government’s investigation began after a former Advanced Urology employee filed a whistleblower complaint alleging that Advanced Urology performed unn

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United States of America v. Dashawn Dawkins

Lexington, Kentucky, criminal defense lawyer represented the Defendant charged with conspiracy to commit health care fraud and violating the anti-kickback statute. Dashawn Dawkins, 34, was a peer support specialist at Serenity Keeper’s, LLC (“Serenity Keepers”), a sober home company based in Fayette County, Ky., that purported to provide mental health and substance abuse treatment servic

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United States of America v. Jahangeer Ali

Portland, Oregon, criminal defense lawyers represented the Defendant charged with health care fraud. From June 2025 through January 2026, Oregon Clinical Laboratory submitted more than $46 million in fraudulent claims to Medicare Advantage plans. However, no providers actually ordered testing services and none of the Medicare Advantage beneficiaries on the claims actually received testing servi

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United States of America v. Christopher Harwood

Fort Lauderdale, Florida, criminal defense lawyer represented the Defendant charged with health care fraud and conspiracy to commit mail fraud. Christopher Harwood, 43, of Fort Lauderdale, Florida, admitted that he owned and operated a telemedicine company called TelevisitMD. Harwood and his co-conspirators targeted Medicare patients through aggressive telemarketing campaigns, inducing them to

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United States of America v. Craig A. Spiegel

St. Louis, Missouri, criminal defense lawyers represented the Defendant charged with prescribing pain pills and other controlled substances in exchange for sex acts, nude photos or cash. Craig A. Spiegel, now 70, exploited his position to obtain cash, sexual acts or sexual photographs from at least 19 patients, many of whom he began treating as children. Spiegel illegally distributed an “astr

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United States of America v. Robert "Bobby" Leon Smith, III

Archer City, Texas, criminal defense lawyer represented the Defendant charged with health care fraud and wire fraud conspirac. Robert “Bobby” Leon Smith III, 50, of Archer City, Texas, owned and operated seven durable medical equipment (DME) supply companies based in Florida, Texas, and Maryland through which he submitted millions of dollars in false claims to Medicare for orthotic braces a

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United States of America v. Team Rehabilitation Services, LLC (“Team Rehab”)

Detroit, Michigan, qui tam lawyer represented the Plaintiff on a whistleblower claim. Team Rehabilitation Services, LLC (“Team Rehab”), operates approximately 140 physical therapy clinics in Michigan, Illinois, Indiana, Wisconsin, and Georgia, agreed to pay $4,969,494 to settle allegations that it violated the False Claims Act by submitting false claims for payment for physical therapy serv

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United States of America v. Anar Rustamov

San Francisco, California, criminal defense lawyer represents the Defendant charged with large scale fraud. Anar Rustamov, age 38, formerly of Sunnyvale, California and a national of Azerbaijan, was part of a scheme to submit thousands of fraudulent claims to Medicare Advantage Organizations (“MAOs”) on behalf of unsuspecting beneficiaries for medical equipment such as blood glucose monitor

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United States of America v. Tiffany Haney, Anne Warren, and Tina Roper

Knoxville, Tennessee, criminal defense lawyer represented the Defendants charged with conspiracy to commit wire fraud. Tiffany Haney, 43, Anne Warren, 45, and Tina Roper, 40, all of Knoxville, were accused of engaging in a conspiracy to commit wire fraud in violation of 18 U.S.C. § 1349. The jury also convicted Haney and Warren of committing specific acts of wire fraud in violation of 18 U.S.C

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United States of America v. Teflyon Cameron

Newark, New Jersey, criminal defense lawyer represented the Defendant charged with health care fraud and engaging in an illegal kickback conspiracy. Teflyon Cameron, 59, of Powder Springs, Georgia, conspired to defraud health insurers, including Medicare, by causing the submission of claims for medically unnecessary Durable Medical Equipment (DME) and Cancer Genetic Tests (CGx). In total, Came

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United States of America v. Dr. Scott Taggart Roethle

St. Louis, Missouri, criminal defense lawyer represented the Defendant charged with conspiracy and health care fraud. From 2017 to 2020, Dr. Scott Taggart Roethle, 48, played a central role in a massive telemarketing scheme that billed Medicare for medically unnecessary orthotic braces. Overseas call centers collected Medicare information from unsuspecting elderly patients. Doctors, including

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United States of America v. Aaron Hertel and Michael Brown

Erie, Pennsylvania, criminal defense lawyer represented the Defendant charged with conspiracy to commit wire and health care fraud. Aaron Hertel, 47, of North East, Pennsylvania, and Michael Brown, 49, of Erie, Pennsylvania led, managed, and supervised a conspiracy involving numerous employees at Hertel & Brown Physical and Aquatic Therapy that involved the use of unlicensed technicians to trea

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United States of America v. Reinaldo Wilson

Newark New Jersey criminal defense lawyer represented the Defendant charged with fraudulently billing Medicare for unnecessary durable medical equipment.

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United States of America v. Burhan Mirza and Kashif Iqbal

Chicago, Illinois, criminal defense lawyers represent the Defendants charged with health care fraud and money laundering. In 2023 and 2024, BURHAN MIRZA and KASHIF IQBAL, along with several co-schemers, used nominee-owned laboratories and durable medical equipment providers to submit fraudulent claims to Medicare and private healthcare benefit programs for items and services that were not prov

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United States of America v. Joel Rufus French

Tampa, Florida, criminal defense lawyer represented the Defendant charged for his role in a yearslong scheme to bilk Medicare and the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) out of nearly $200 million by selling patient information and sham doctors’ orders for orthotic braces that patients did not want or need. “This defendant’s conduct was egr

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United States of America ex rel., et a.l v. Arthritis & Rheumatology Center, P.C., et al.

Atlanta, Georgia, commercial litigation lawyers represented the Defendant accused of using medical assistants to perform infusion services in violation of Georgia law and submitted claims for those services to Medicare in violation of the False Claims Act. “Physicians who disrega

More...   $2180000 (01-30-2026 - GA)

United States of America v. Sean J. Alterman

Miami, Florida, criminal defense lawyer represented the Defendant charged with conspiracy to commit healthcare fraud and conspiracy to offer and pay health care kickbacks. Sean Alterman, 38, of Lake Worth, owned and operated two laboratories, Live Beyond Medical MGMT, LLC and Dynix Diagnostics LLC, through which he purchased doctors’ orders for expensive genetic testing from patient recruiter

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United States of America v. Traditions Health, LLC

Muskogee, Oklahoma, qui tam lawyers represented the Defendant accused of violating the False Claims Act. From 2021 to 2024, Traditions Health, LLC, of McAlester, Oklahoma, submitted claims to Medicare from its McAlester, Oklahoma, location for home health services that were not medically necessary. It also resolves claims that, between 2019 and 2024, Traditions paid remuneration to physician-me

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United States of America v. Dr. Brian August

El Paso, Texas criminal defense lawyer Solomon Wisenberg represented the Defendant charged with violating the Controlled Substances Act, the False Claims Act, and the Texas Health Care Program Fraud Prevention Act. The allegations involved the issuance of 255 controlled substance prescriptions to 15 individuals between Dec. 23, 2017, and May 22, 2021. These included various prescriptions for t

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United States of America v. Timothy Sutton

Cleveland, Ohio, criminal defense lawyerS represented the Defendant charged with healthcare billing conspiracy scheme that was intended to fraudulently bill Medicare for more than $14.5 million. imothy Sutton, 44, of North Ridgeville, Ohio, deliberately lied about performing patient examinations and then used his role as a trusted medical professional to line his pockets at the expense of taxp

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Dr. James Taylor, ex rel. United States of America v. Kaiser Permanente

San Francisco, California, qui tam lawyers represented the Plaintiffs who sued the Defendant on a False Claims Act violation theory. Under the Medicare Advantage (MA) Program, also known as Medicare Part C, Medicare beneficiaries may opt out of traditional Medicare and enroll in private health plans offered by insurance companies known as Medicare Advantage Organizations, or MAOs. The Centers f

More...   $556000000 (01-15-2026 - CA)

United States of America v. Michael Kochen and Sandra Herek

Miami, Florida, criminal defense lawyers represented the Defendants charged with Medicare Fraud. Michael Kochen, 42, and Sandro Herek, 56, targeted Medicare Advantage beneficiaries through deceptive telemarketing practices, pressuring elderly individuals to accept medical equipment they did not need — and in some cases, did not want. Over the course of the scheme, more than $17 million was pa

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United States of America et al. ex rel Kevin G. Murphy, New York-Presbyterian Hudson Valley Hospital

New York, New York commercial litigation lawyer represented the plaintiff on a qui tam claim. NEW YORK-PRESBYTERIAN HUDSON VALLEY HOSPITAL (“NYPHV”), which, prior to 2015, was known as Hudson Valley Hospital Center (“Hudson Valley”). The settlement resolves allegations that NYPHV improperly paid millions of dollars to a Westchester-based oncology practice (the “Oncology Practice”

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