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Pennsylvania Medicare fraud cases

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

All announcements

DateAnnouncementStageAmount
2026-06-23Scranton Woman Charged With Conspiracy To Commit Bank Fraud With Funds Derived From Federal Health Care ProgramsCharged$300K
2026-06-10Ahold Delhaize USA Inc. to Pay $40M for Allegedly Reporting Inflated Drug Prices on Claims to Federal Healthcare ProgramsCivil settlement$40M
2026-04-03Florida Man Pleads Guilty In Health Care Fraud And Kickback Scheme Involving "Foot Baths"Pleaded guilty—
2026-03-18Consent Judgment Entered Against Bucks County Company Resolving Allegations of False Claims for Billing Group Art Classes in Assisted Living and Adult Day Facilities as Occupational TherapyCivil settlement$200K
2026-03-11Aetna Agrees to Pay $117.7 Million to Resolve False Claims Act AllegationsCivil settlement$117.7M
2026-02-27Founders/Owners of Hertel & Brown Physical and Aquatic Therapy Each Sentenced to Six Years in Prison and Fined $250,000 for Wire and Healthcare Fraud ConspiracySentenced$250K
2025-12-16RST-Sanexas, Inc. and Its Owners Agree to Pay $1.5 Million to Resolve Allegations That They Caused False Claims and Accepted and Paid Illegal KickbacksCivil settlement$1.5M
2025-11-17Aesculap Implant Systems Agrees to Pay $38.5 Million to Resolve False Claims Act Allegations Related to Knee Implant FailuresCivil settlement$38.5M
2025-05-20Pittsburgh-Area Nursing Home Companies Ordered to Pay More Than $15 Million in Restitution for Health Care FraudSentenced$15M
2025-04-23Genetic Testing Marketing Companies Genexe, LLC and Immerge, Inc. and Two Executives Agree to Pay $6 Million to Resolve Allegations of Fraudulent Medicare ClaimsCivil settlement$6M
2025-04-07CEO of Local IT Staffing Company Charged With Tax and Bankruptcy FraudCharged—

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 Pennsylvania

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 Pennsylvania, and Medicare cases in every state.

Frequently asked questions

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

11 announcements since January 20, 2025, or 2.8% 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 Pennsylvania?

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)