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Health Care Fraud

The prosecution and prevention of health care fraud is an important priority for the U.S. Attorney's Office. We are dedicated to protecting the public fisc by identifying and bringing to justice those who defraud the health care system, and reducing the potential for health care fraud and abuse in the future.

The U.S. Attorney's Office focuses on fraud matters involving false billings, COVID-19 fraud, violations of the Anti-Kickback Statute, and other schemes that victimize patients, health care providers, private insurers, and government insurers, such as Medicare, TRICARE, and Medicaid.

The U.S. Attorney's Office investigates fraud by both corporate and individual defendants, including hospitals, telemedicine companies and providers, nursing home chains, pharmacies and pharmaceutical manufacturers, durable medical equipment suppliers, individual physicians, therapists, and affiliated health care professionals.

The U.S. Attorney's Office leads the Western District's Health Care Fraud Working Group, which coordinates the resources and expertise of federal and state law enforcement agencies to ensure that fraudsters and fraudulent schemes are uncovered and prosecuted effectively and efficiently. In appropriate cases involving health care fraud and fraud on government agencies, the Office's Criminal Division coordinates with the Affirmative Civil Enforcement Program.

If you suspect Medicare or Medicaid fraud, please report it by phone at 1-800-HHS-TIPS (1-800-447-8477), or via email at To report Medicaid fraud in North Carolina, call the North Carolina Medicaid Investigations Division at 919-881-2320 or fill out an online complaint form. TRICARE fraud can be reported hereFraud against the U.S. Department of Veterans Affairs healthcare system can be reported at

Recent Heath Care Fraud Cases:

Aspirar Medical Lab, LLC & Pick Chay Civil Setllement

U.S. v. Sudipta Mazumder

U.S. v. Aljihad Shabazz

U.S. v. Donald Booker

U.S. v. Delores Jordan

U.S. v. Colby Joyner

Updated November 14, 2023