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TRICARE fraud cases

Federal prosecutions and settlements involving TRICARE, compiled from Justice Department announcements, with a state-by-state breakdown.

DOJ announcements
47
Since January 20, 2025
Sentencings
8
Civil settlement 25 · Charged 5
Largest amount named
$1.2B
billed · 2025

TRICARE fraud cases by state

Where to report TRICARE fraud

Full steps and reward rules: how to report TRICARE fraud.

Latest announcements

DateAnnouncementStateStageAmount
2026-10-09Medical Supply Company Owner Sentenced to 14 Years in Prison for $30M Medicare, TRICARE, and CHAMPVA FraudMulti-stateSentenced—
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 StatuteNew JerseySentenced$27M
2026-09-25Texas Mental Health Clinic Owner Convicted in $26M Scheme to Defraud Military Health Benefits ProgramTexasConvicted at trial—
2026-08-10Veloxis Pharmaceuticals Agrees to Pay Over $46M to Resolve Criminal and Civil Liability for Kickback SchemesMassachusettsCivil settlement$46M
2026-08-10United States Intervenes in False Claims Act Lawsuit Against Colorado Medical CompaniesColoradoOther—
2026-07-22Medical Supply Company Owner Convicted of $30M Medicare Fraud SchemeMulti-stateConvicted at trial$30M
2026-07-17Watertown Pharmaceutical Company to Pay Nearly $4.7 Million to Resolve False Claims Act AllegationsMassachusettsCivil settlement$4.7M
2026-06-30Civil Complaint Filed Over False Laboratory ClaimsDelawareCharged—
2026-06-24Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents ConspiracyNorth CarolinaCharged—
2026-06-23Warren County Physician and Nurse Practitioner Pay $500,000 to Resolve Unlawful Opioid Prescribing and Fraudulent Conveyance Actions; Barred from DEA Registration for 20 YearsNew YorkCivil settlement$500K
2026-06-23Nine charged in SDTX as part of national health care fraud takedownTexasCharged—
2026-06-01Laboratory Executives, Marketers, and Physician to Pay Over $2M to Settle Allegations of Illegal Kickbacks to DoctorsTexasCivil settlement$2M
2026-05-01O.C. Medical Scan Provider Agrees to Pay $8.3 Million to Resolve False Claims Allegations It Unlawfully Paid Doctors KickbacksCaliforniaCivil settlement$8.3M
2026-05-01Mobile PET Scan Provider to Pay $8.33 Million to Resolve Allegations of False Claims Act Violations Based on Unlawful Kickbacks to Medical PracticesCaliforniaCivil settlement$8.3M
2026-04-20Former Pharmacy President Sentenced to 24 Months in Prison for Health Care Fraud and Kickback Scheme Involving Compounded MedicationsNew JerseySentenced—
2026-04-14Behavioral therapist pleads guilty to health care fraud for submitting inflated insurance reimbursement claimsGeorgiaPleaded guilty—
2026-03-26OB/GYN Physician Agrees to Pay $507,500 to Resolve False Claims Act Allegations Connected to Fraudulent Prescription SchemeMarylandCivil settlement$508K
2026-03-20Health Care Management Corporation Agrees to Pay $4 Million to Resolve False Claims Act AllegationsMarylandCivil settlement$4M
2026-03-19Mississippi Man Ordered to Pay $31 Million for Role in Healthcare Kickback SchemeAlabamaOther—
2026-03-05Waukesha Medical Equipment Company Agrees to Pay Nearly $7 Million to Resolve Allegations of False Billings to Federal Healthcare ProgramsWisconsinCivil settlement$6.9M
2026-02-25South Texas doctors agree to pay nearly $5 million to settle False Claims Act liabilityTexasCivil settlement$4.9M
2026-01-08Oklahoma Medical Supply Company Owner Indicted for $30M Health Care Fraud SchemeOklahomaCharged$133K
2026-01-07South Carolina Laboratory Pleads Guilty and Agrees to Pay At Least $6.8M to Settle Allegations of Kickbacks to DoctorsSouth CarolinaPleaded guilty$104K
2025-12-18Connecticut Man Sentenced to 30 Months' Imprisonment for Role in $7.8 Million Health Care Fraud and Kickback SchemeNew JerseySentenced—
2025-12-18Austin Pain Management Doctor and Pain Medicine Practice to Pay $13,625,000 to Settle Civil False Claims Act AllegationsTexasCivil settlement$13.6M

Source: U.S. Department of Justice press releases, classified by WHIP Reward. Each row is one press release; the same case can appear at several stages, so amounts should not be added. Charged cases are allegations. Search all 47 in the database.

Frequently asked questions

Where do I report TRICARE fraud?

Defense Health Agency Program Integrity: TRICARE provider and beneficiary fraud. America.gov/fraud (WHIP reward portal): Required route if you want a WHIP award of $10,000–$30,000.

Can I get a reward for reporting TRICARE fraud?

Yes. Department of War / Defense Health Agency programs are covered by the federal WHIP program, which pays $10,000–$30,000 per tip that leads to criminal charges. Larger cases can be brought under the False Claims Act, which pays 15–30% of what the government recovers.

Sources

  1. U.S. Department of Justice: Whistleblower Rewards Program
  2. Health.mil: TRICARE program integrity
  3. U.S. Department of Justice press releases (justice.gov/news)