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Massachusetts Medicare fraud cases

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

All announcements

DateAnnouncementStageAmount
2026-09-11Eye Practice and Physician Owner Agree to Pay $350,000 to Resolve Allegations of False Claims to MedicareCivil settlement$350K
2026-09-10Dompé U.S. Agrees to Pay $32M to Resolve False Claims Act Liability Relating to Self-Disclosure of Patient KickbacksCivil settlement$32M
2026-08-20Former Owner of Telemedicine Companies Sentenced to Two Years in Prison for $110 Million Medicare Fraud SchemeSentenced$110M
2026-08-10Veloxis Pharmaceuticals Agrees to Pay Over $46M to Resolve Criminal and Civil Liability for Kickback SchemesCivil settlement$46M
2026-08-10CFO of Boston-Area Spinal Device Company Sentenced to Four Months in Prison for Kickback SchemeSentenced—
2026-07-31Massachusetts Ophthalmology Practice to Pay Nearly $4 Million to Resolve False Claims Act AllegationsCivil settlement$3.9M
2026-07-17Watertown Pharmaceutical Company to Pay Nearly $4.7 Million to Resolve False Claims Act AllegationsCivil settlement$4.7M
2026-07-15Labcorp Agrees to Pay $14.5M to Resolve False Claims Act AllegationsCivil settlement$14.5M
2026-07-15Labcorp Agrees to Pay $14.5 Million for Testing FraudCivil settlement$14.5M
2026-07-14Medical Device Company to Pay Over $550,000 to Resolve False Claims Act AllegationsCivil settlement$551K
2026-06-23Massachusetts Man Charged in $5 Million Medicare Fraud Scheme as Part of National Health Care Fraud TakedownCharged—
2026-05-18Behavioral Health Companies and Physician-Owner Agree to Pay $1.4 Million for Allegedly Billing for Psychotherapy Services that Clinicians Did Not PerformCivil settlement$1.4M
2026-04-22Eye Practice and Physician Owner Agree to Pay $415,000 to Resolve Allegations of False Claims to MedicareCivil settlement$415K
2026-04-15United States Sues Illinois Doctor for Fraudulent Billing in Durable Medical Equipment SchemeOther$630K
2026-03-06Illinois Man Sentenced to Two Years in Prison for Durable Medical Equipment SchemeSentenced$2M
2026-03-06AmerisourceBergen Subsidiary Agrees to Pay $1 Million for Allegedly Paying Kickbacks to Health Care Providers and Medical Practice ExecutivesPleaded guilty—
2026-03-05Former ExThera Medical Corporation Executive Admits to Concealing Patient Deaths from FDA and Company Enters Deferred Prosecution AgreementPleaded guilty—
2026-02-27Former New York National Sales Director Sentenced to Three Years in Prison For Kickback SchemeSentenced$27.2M
2026-02-18New York Man Sentenced to Eight Months in Prison for Kickback SchemeSentenced$17.6M
2026-01-30Florida Man Pleads Guilty to Conspiracy to Violate the Anti-Kickback StatutePleaded guilty$6.5M
2026-01-22Worcester Pharmacy Agrees to Pay $750,000 to Resolve False Claims Act AllegationsCivil settlement$750K
2025-12-19Former New York Doctor Sentenced for Receiving KickbacksSentenced—
2025-12-15Medical Software Company Agrees to Pay $500,000 to Resolve Allegations of Causing Medically Unnecessary Breast Cancer Screening ClaimsCivil settlement$529K
2025-12-12Former New York Doctor Sentenced for Receiving KickbacksSentenced—
2025-12-11Canton Man Sentenced for Multi-Million-Dollar Health Care Fraud SchemeSentenced$3M
2025-09-16U.S. Attorney's Office Collects $48 Million Restitution Ordered Against Insys Executives Convicted of Health Care Racketeering ConspiracySentenced$48.3M
2025-08-18Alabama Doctor Charged with $6 Million Telemedicine Health Care Fraud SchemeCharged$6M
2025-08-07Illinois Man Charged in Durable Medical Equipment SchemeCharged$2M
2025-08-05Canton Man Pleads Guilty to Multi-Million-Dollar Health Care Fraud SchemePleaded guilty$4M
2025-06-11New York Man Pleads Guilty to $70 Million Kickback SchemePleaded guilty$27.2M
2025-05-23Owner of Durable Medical Equipment Companies Agrees to Plead Guilty in Nearly $30 Million Fraud SchemePleaded guilty$30M
2025-05-20Director of Mobile Medical Diagnostics Company Agrees to Plead Guilty to Kickback SchemePleaded guilty$27.2M
2025-05-19CEO of Spine Device Company Pleads Guilty to False Statements in Connection with Mandatory Reporting to CMSPleaded guilty—
2025-04-25Massachusetts Doctor Agrees to Plead Guilty to $35.5 Million Medicare Fraud SchemePleaded guilty$3K
2025-04-10Florida Pharmacy Pleads Guilty to Health Care Fraud and Agrees to Pay More than $1 Million SettlementPleaded guilty$82K
2025-04-02National Sales Director for New York-Based Mobile Diagnostic Company Pleads Guilty to Kickback SchemePleaded guilty—
2025-02-25United States Sues Skilled Nursing Company, Executives and Consultant for Fraudulent BillingOther—
2025-02-25National Sales Director for New York-Based Mobile Diagnostic Company Charged in Kickback SchemeCharged—
2025-02-20Owner of Durable Medical Equipment Companies Charged in Nearly $30 Million Fraud SchemeCharged$30M

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 Massachusetts

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 Massachusetts, and Medicare cases in every state.

Frequently asked questions

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

39 announcements since January 20, 2025, or 9.8% 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 Massachusetts?

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)