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California Medicare fraud cases

Every Justice Department announcement of Medicare fraud prosecuted in California since January 20, 2025.

All announcements

DateAnnouncementStageAmount
2026-10-06AIDS Healthcare Foundation Agrees to Pay $1.44M to Settle False Claims Act AllegationsCivil settlement$1.4M
2026-09-08Foreign National Pleads Guilty To Health Care Fraud Scheme Targeting Medicare Advantage ProgramsPleaded guilty$137M
2026-08-26DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer TestsCivil settlement—
2026-08-24Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act SuitCivil settlement$2.4M
2026-07-07Founder/CEO and Clinical President of Digital Health Company Sentenced to 72 Months and 24 Months, Respectively, for $90 Million Scheme to Distribute over 37 Million Pills of AdderallSentenced$90M
2026-06-23Mother-Daughter Duo Charged in $9.5 Million Medicare Fraud Scheme; Part of National Healthcare Fraud TakedownCharged—
2026-05-19California Doctor Convicted of $45M Botox Fraud Scheme Targeting MedicareConvicted at trial$45M
2026-05-14Takeda Agrees to Pay $13.6M to Resolve False Claims Allegations Relating to Improper Payments to PhysiciansCivil settlement$13.7M
2026-05-01O.C. Medical Scan Provider Agrees to Pay $8.3 Million to Resolve False Claims Allegations It Unlawfully Paid Doctors KickbacksCivil settlement$8.3M
2026-05-01Mobile PET Scan Provider to Pay $8.33 Million to Resolve Allegations of False Claims Act Violations Based on Unlawful Kickbacks to Medical PracticesCivil settlement$8.3M
2026-04-28United States Seizes More Than $2 Million from Pasadena-Based Advanced Wound Care Clinic Accused of Medicare FraudCharged$46.6M
2026-04-13Podiatrist and Pharmaceutical Sales Representative Sentenced in $3.2 Million Healthcare Fraud Conspiracy Involving Unlicensed Person Performing Skin GraftsSentenced$3.2M
2026-04-028 Arrested in Health Care Fraud Takedown, Including Owners of Hospices that Billed Taxpayers Millions of Dollars to Serve the 'Dying'Charged—
2026-03-24Larchmont Woman Sentenced to Nearly 3 Years in Federal Prison for Her Role in Hospice and Diagnostic Testing Fraud that Conned MedicareSentenced$14.1M
2026-03-20Foreign National Charged with Orchestrating Health Care Fraud Scheme Targeting Medicare Advantage ProgramsCharged$100M
2026-01-14Kaiser Permanente Affiliates Pay $556m To Resolve False Claims Act AllegationsCivil settlement$556M
2025-11-19Founder/CEO and Clinical President of Digital Health Company Convicted in $100M Adderall Distribution and Health Care Fraud SchemeConvicted at trial$100M
2025-11-18Four California Residents Sentenced to Prison in Connection with $16M Hospice Fraud and Money Laundering SchemeSentenced$1.8M
2025-09-22Fresno County Podiatrist and Sales Representative Plead Guilty to Conspiracy to Submit False Claims Related to Skin GraftsPleaded guilty—
2025-08-29Blood Test Lab Owner Pleads Guilty to Evading Over $11.2 Million in Federal Taxes by Using Shill to Illegally Collect Medicare PaymentsPleaded guilty$100K
2025-08-19California Behavioral Medicine Provider Agrees To Pay $2.75 Million To Resolve Alleged False Claims For Psychotherapy ServicesCivil settlement$2.6M
2025-07-14California Man Pleads Guilty in Connection with $16M Hospice Fraud Scheme and Money Laundering SchemePleaded guilty$16M
2025-06-30Five Defendants Charged For Their Roles In Health Care Fraud And Illegal Drug Diversion SchemesCharged—
2025-06-23California Man Pleads Guilty in Connection with Laundering Proceeds of $16M Hospice Fraud SchemePleaded guilty—
2025-06-06Southern California Nurse Indicted for Multi-Million Dollar Hospice Fraud in Fresno and Kern CountiesCharged—
2025-06-03Two West Covina Women Arrested on Indictment Alleging $4.8 Million Hospice Services Scheme to Defraud MedicareCharged$4.8M
2025-05-27Chula Vista Man Pleads Guilty in $51 Million Medicare Fraud SchemePleaded guilty$51M
2025-05-14Fresno-Based Community Health System Agree to Pay $31.5 Million to Resolve Allegations of False Claims Act ViolationsCivil settlement$31.5M
2025-05-06California Man Sentenced to 12 Years' Imprisonment in Connection with $17M Medicare Fraud SchemesSentenced$17.1M
2025-04-10Fresno County Podiatrist and Sales Representative Indicted for Conspiracy to Submit Millions of Dollars in False Claims Related to Skin GraftsCharged—
2025-03-21Hollywood Hills Man Sentenced to Nearly 3½ Years in Federal Prison for Paying Nearly $2.9 Million in Kickbacks for Drug Addiction Patient ReferralsSentenced—
2025-03-20Two California Doctors Agree to Settlements Totaling $375,000 to Resolve Allegations of Fraud Schemes Related to "Electroacupuncture" DevicesCivil settlement$290K
2025-01-28Woman Sentenced for Fraud Scheme Involving Claims for Unnecessary Respiratory Tests Submitted with COVID-19 TestsSentenced$46.7M

Source: U.S. Department of Justice press releases. Amounts should not be added: one case can appear at several stages. Charged cases are allegations.

Where to report Medicare fraud in California

Medicare fraud is covered by the federal WHIP program: a tip that leads to criminal charges can earn $10,000–$30,000. More on reporting Medicare fraud, all fraud cases and reward laws in California, and Medicare cases in every state.

Frequently asked questions

How many Medicare fraud cases has the DOJ announced in California?

33 announcements since January 20, 2025, or 8.3% of all Medicare announcements in our database. Each press release is counted separately, so one case can appear at charge, plea and sentencing.

How do I report Medicare fraud in California?

HHS Office of Inspector General (1-800-HHS-TIPS (1-800-447-8477)); Medicare (1-800-MEDICARE (1-800-633-4227)); Senior Medicare Patrol; America.gov/fraud (WHIP reward portal). To be eligible for a federal WHIP award, submit the tip in writing at America.gov/fraud.

Sources

  1. U.S. Department of Justice press releases (justice.gov/news)
  2. Medicare.gov: Reporting Medicare fraud and abuse
  3. HHS-OIG: Report fraud
  4. DOJ: National Fraud Enforcement Division Criminal Tip Rewards Pilot Program, terms and conditions (updated Oct. 20, 2026)