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Texas Medicaid fraud cases

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

All announcements

DateAnnouncementStageAmount
2026-06-23Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 MillionCharged—
2026-06-23Nine charged in SDTX as part of national health care fraud takedownCharged—
2026-06-01Laboratory Executives, Marketers, and Physician to Pay Over $2M to Settle Allegations of Illegal Kickbacks to DoctorsCivil settlement$2M
2026-05-04Texas Doctor Convicted for Illegally Distributing More than a Million PillsConvicted at trial—
2026-03-06Mexican Man Sentenced to 14 Years in Federal Prison for Leading a $6.85M Healthcare Fraud SchemeSentenced$4.7M
2026-03-04Mother Sentenced to 17 Years in Federal Prison for Fraud Scheme Involving Quadriplegic SonSentenced$227K
2026-02-25South Texas doctors agree to pay nearly $5 million to settle False Claims Act liabilityCivil settlement$4.9M
2026-01-22El Paso Doctor Enters $200,000 Settlement Following State and Federal Fraud AllegationsCivil settlement$200K
2025-12-18Austin Pain Management Doctor and Pain Medicine Practice to Pay $13,625,000 to Settle Civil False Claims Act AllegationsCivil settlement$13.6M
2025-09-08Laboratory CEO, Marketers, and Physicians to Pay Over $6M to Settle Allegations of Management Service Organization and other Lab Testing KickbacksCivil settlement$6M
2025-07-01Four Individuals Charged in Northern District of Texas with Health Care Fraud Schemes Totaling over $210 Million as part of National TakedownCharged—
2025-05-21Texas Doctor Who Falsely Diagnosed Patients Sentenced to 10 Years' Imprisonment in Connection with $118M in Fraudulent Health Care ClaimsSentenced$118M
2025-04-25Two former laboratory sales executives sentenced to federal prison for roles in health care kickback conspiracySentenced—
2025-04-17Pharmacist indicted in $2 million health care fraud schemeCharged$2M

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 Texas

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 Texas, and Medicaid cases in every state.

Frequently asked questions

How many Medicaid fraud cases has the DOJ announced in Texas?

14 announcements since January 20, 2025, or 4.6% 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 Texas?

Medicaid Fraud Control Unit ((512) 371-4700); 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)