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New York Medicare fraud cases

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

All announcements

DateAnnouncementStageAmount
2026-08-17Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegationsCivil settlement$9M
2026-06-25U.S. Attorney Announces $2.2 Million Settlement With Urologists For Submitting False Claims To MedicareCivil settlement$2.2M
2026-06-23Clifton Park Telehealth Company to Pay $300,000 to Resolve Allegations of Improper Billing for No-Show Visits and Other ServicesCivil settlement$300K
2026-06-03United States Announces $36.5 Million Settlement Of Medicare Fraud Lawsuit Against Matrix Medical NetworkCivil settlement$36.5M
2026-05-28Clinic Manager Convicted of $8 Million Medicare Fraud SchemeConvicted at trial—
2026-05-26Rochester man sentenced for defrauding MedicareSentenced—
2026-04-24Queens Pharmacy Owner Sentenced to 63 Months in Prison for Money Laundering SchemeSentenced$24.4M
2026-04-17New York Physician Pleads Guilty To Multimillion-Dollar Covid-19 Insurance Fraud SchemePleaded guilty$24M
2026-03-18Florida Man Sentenced To Five Years For Orchestrating Multimillion-Dollar Medicare Billing Fraud SchemeSentenced—
2026-03-02Long Island Medical Doctor Sentenced to 7 Years in Prison for Operating Oxycodone Pill Mill Out of her Great Neck OfficeSentenced—
2026-02-12St. Margaret's Center Pays $1.3 Million Under the False Claims ActCivil settlement$1.3M
2026-01-27Syracuse area man pleads guilty to operating kickback scheme involving Medicare And MedicaidPleaded guilty—
2025-12-02U.S. Attorney Announces $37.76 Million Settlement With CVS For Over-Dispensing Insulin Pens To PatientsCivil settlement$37.8M
2025-07-01Centers Healthcare Pays Over $6 Million for False Statements on Medicare Cost ReportsCivil settlement$6M
2025-06-30Nurse Practitioner Pleads Guilty to Health Care Fraud, Unlawful Drug DistributionPleaded guilty—
2025-06-24Florida Man Convicted In Multimillion-Dollar Medicare Fraud SchemeConvicted at trial—
2025-05-06Leader Of $48 Million Healthcare Fraud Scheme Sentenced To 14 Months In PrisonSentenced$48M
2025-04-29U.S. Attorney Announces $202 Million Settlement With Gilead Sciences For Using Speaker Programs To Pay Kickbacks To Doctors To Induce Them To Prescribe Gilead's DrugsCivil settlement$202M
2025-04-29Statement Of U.S. Attorney Jay Clayton On The Verdict In U.S. V. Omnicare And CVS Health CorporationOther—
2025-03-27Leader Of $23 Million Health Care Fraud Scheme Pleads GuiltyPleaded guilty$23M
2025-03-18Former Long Island Business Owner Charged with Orchestrating $22 Million Health Care Fraud, Kickback and Money Laundering SchemeCharged$22M
2025-02-19WNY Medical agrees to pay $250,000 to resolve allegations of improper Medicare billing for chronic care management servicesCivil settlement$251K
2025-01-24Pfizer agrees to pay nearly $60 million to resolve false claims allegations relating to improper physician payments by subsidiaryCivil settlement$59.7M

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 New York

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 York, and Medicare cases in every state.

Frequently asked questions

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

23 announcements since January 20, 2025, or 5.8% 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 New York?

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)