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New Jersey Medicare fraud cases

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

All announcements

DateAnnouncementStageAmount
2026-10-08Massachusetts Doctor Sentenced to 36 Months in Prison for Participation in Multimillion-Dollar Medicare Fraud Scheme and for Violating the Federal Anti-Kickback StatuteSentenced$27M
2026-07-29Fraud Division Resolves Fraud Investigation of Eye Care Group Under New Corporate Enforcement Policy; Health Care Executive Charged for Alleged Fraud and KickbacksCharged$1M
2026-07-29Founder And Former CEO of New Jersey Based Eye Care Group Charged with Health Care Fraud Conspiracy and Paying Illegal KickbacksCharged—
2026-04-20Former Pharmacy President Sentenced to 24 Months in Prison for Health Care Fraud and Kickback Scheme Involving Compounded MedicationsSentenced—
2026-04-17New Jersey Pharmacy Owner Sentenced To 24 Months In Prison For Health Care Fraud SchemeSentenced—
2026-01-20Four Hudson County Pharmacies Pay $4.3 Million To Resolve False Claims Act Allegations of Billing for Drugs Not DispensedCivil settlement$4.3M
2025-12-19New Jersey Business Owner Sentenced to 87 Months for $172 Million Fraud and Money Laundering SchemeSentenced$172M
2025-12-18Florida Man Pleads Guilty to Health Care Fraud and Kickback ConspiracyPleaded guilty—
2025-12-18Connecticut Man Sentenced to 30 Months' Imprisonment for Role in $7.8 Million Health Care Fraud and Kickback SchemeSentenced—
2025-11-24New Jersey Pharmacy Owner Pleads Guilty to Health Care Fraud Scheme Involving Billing Medicare for Undispensed MedicationPleaded guilty—
2025-09-26Owner of Mail Order Pharmacies Settles False Claims Act Investigation Involving Allegations of Fraudulent Billing Practices and KickbacksCivil settlement$600K
2025-09-10Florida Man Sentenced to 24 Months for Laundering Proceeds of Health Care Fraud SchemeSentenced—
2025-07-16Florida Man Admits Role in $4.8 Million Health Care Fraud and Kickback SchemePleaded guilty—
2025-04-11Union City Pharmacy Agrees To Resolve False Claims Act Allegations Of Billing For Drugs Not DispensedCivil settlement$995K
2025-03-28Diopsys Inc. Agrees to Pay up to $14.25 Million to Resolve Alleged Federal False Claims Act and State Law Violations Relating to Vision TestingCivil settlement—
2025-03-20New Jersey Pain Clinic Admits Health Care Fraud And Agrees To Criminal And Civil PenaltiesPleaded guilty—
2025-03-06Owner Of Marketing Companies And DME Company Convicted For Role In $100 Million Scheme To Defraud Medicare And Other Insurers And To Violate The Anti-Kickback StatuteConvicted at trial—

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 New Jersey

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 New Jersey, and Medicare cases in every state.

Frequently asked questions

How many Medicare fraud cases has the DOJ announced in New Jersey?

17 announcements since January 20, 2025, or 4.3% 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 New Jersey?

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)