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North Carolina Medicaid fraud cases

Every Justice Department announcement of Medicaid fraud prosecuted in North Carolina since January 20, 2025.

All announcements

DateAnnouncementStageAmount
2026-10-15Charlotte Man Pleads Guilty to Health Care Fraud for Stealing Hundreds of Thousands from the North Carolina Medicaid ProgramPleaded guilty—
2026-07-09Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing SchemePleaded guilty—
2026-06-23Charlotte Man Charged with Defrauding the North Carolina Medicaid Program Out of Hundreds of Thousands of Dollars; Announcement Made as Part of Justice Department's National Health Care Fraud TakedownCharged—
2026-03-05Over $12 Million Medicaid Fraud Scheme Leads to 14 Years of Prison for Substance Abuse Facility, Owner, Compliance Officer, and Office ManagerOther$12.7M
2026-01-29Yadkinville Woman Sentenced in Connection with Multi-Million Dollar Medicaid Fraud SchemeSentenced$2.5M
2026-01-14KINSTON WOMAN SENTENCED TO 6 YEARS IN FEDERAL PRISON AND ORDERED TO REPAY OVER $15 MILLION IN RESTITUTION FOR HEALTHCARE FRAUDSentenced$15M
2025-12-04U.S. Attorney's Office Hosts Annual Meeting Of The Western District's Health Care Fraud Working GroupOther—
2025-08-25Compliance Director and Office Manager of Substance Abuse Company Convicted in Scheme to Pay Medicaid Kickbacks to PatientsConvicted at trial—
2025-05-05Charlotte Clinic Owner Agrees To Settle Allegations Of Medicaid FraudCivil settlement—
2025-03-14Doctor Sentenced for Health Care Fraud and Money LaunderingSentenced$2M
2025-01-28Greensboro Laboratory and Owner Agree to Pay $850,000 to Resolve Allegations of False Claims for Urine Drug TestingCivil settlement$850K

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 Medicaid fraud in North Carolina

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

Frequently asked questions

How many Medicaid fraud cases has the DOJ announced in North Carolina?

11 announcements since January 20, 2025, or 3.6% of all Medicaid announcements in our database. Each press release is counted separately, so one case can appear at charge, plea and sentencing.

How do I report Medicaid fraud in North Carolina?

Medicaid Investigations Division ((919) 881-2320); HHS Office of Inspector General (1-800-HHS-TIPS (1-800-447-8477)); 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. HHS-OIG: Report fraud
  3. HHS-OIG: Medicaid Fraud Control Units
  4. DOJ: National Fraud Enforcement Division Criminal Tip Rewards Pilot Program, terms and conditions (updated Oct. 20, 2026)