From the Justice Department charging 455 defendants as part of its 2026 National Healthcare Fraud Takedown to an Oklahoma hospital CEO pleading guilty to $30 million in Medicare fraud, here are 10 healthcare billing fraud cases Becker’s reported since June 15.
1. Two urologists agreed to pay a combined $2.2 million to resolve False Claims Act allegations of performing medically unnecessary surgical procedures involving an implantable neurostimulation device and billing Medicare for the unnecessary procedures.
2. The former CEO of a now-closed Oklahoma hospital pleaded guilty to conspiracy charges involving five companies he owned. Madhukar Sharma, who served as CEO of Valley Community Hospital in Pauls Valley, Okla., submitted 340,553 fraudulent claims to Medicare totaling approximately $51.3 million, of which Medicare paid approximately $30.1 million.
3. A Fort Worth, Texas cardiologist was charged in an $89 million healthcare fraud scheme involving medically unnecessary cardiovascular screening tests on college student athletes, including one who died of sudden cardiac arrest approximately 24 days after the physician allegedly approved his test results as normal in about 11 seconds.
4. Daniel Robinson, CEO of Oak Lawn, Ill.-based ODA Solutions, was charged with one count of healthcare fraud and one count of money laundering in connection with an alleged scheme to defraud the Illinois Medicaid program.
5. The Justice Department charged 455 defendants, including 90 physicians, nurses and other licensed medical professionals, for allegedly participating in healthcare fraud and opioid abuse schemes. The charges are part of the department’s 2026 National Healthcare Fraud Takedown, which is addressing over $6.5 billion in alleged false claims and patient harm and deaths.
6. A man charged in connection with one of the largest Medicare fraud schemes in U.S. history is back in American custody after being apprehended in Northern Cyprus and flown to South Florida. Ibrahim Khaldoon Hilmi has been charged in the Southern District of Florida in connection with $3.7 billion in false claims for urinary catheters and other durable medical equipment that was never provided.
7. A Louisiana nurse practitioner who authored books on Medicare regulations was sentenced to 87 months in prison for causing more than $12 million in fraudulent Medicare claims for medically unnecessary cancer genetic tests.
8. An Arkansas pathology laboratory that set up in-office labs at gastroenterology practices nationwide agreed to pay $30 million to resolve False Claims Act allegations of paying illegal kickbacks and ordering medically unnecessary testing.
9. The Justice Department filed a lawsuit against New York officials and the company Public Partnerships LLC over alleged fraud involving Medicaid funds for a $10 billion home care program.
10. An Ohio physician was sentenced to five years of probation for her role in a healthcare fraud conspiracy that fraudulently billed Medicare for more than $1.8 million in medically unnecessary durable medical equipment and genetic testing
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