Healthcare Fraud

Health Wealth Will Pay $1.29M to Resolve Whistleblower-Initiated False Claims Act Lawsuit

By the Constantine Cannon Whistleblower Team Georgia-based Health Wealth Safe, Inc. (Health Wealth) and its owner, Dr. Subodh Agrawal, have agreed to pay $1.29 million to settle allegations that they knowingly caused the submission of false claims to Medicare.

Whistleblower Lawsuit Filed by Former Employee

This lawsuit was brought under the whistleblower or qui tam provisions of the False Claims Act (FCA) by a...

Assertio to Pay $3.6M in False Claims Act Settlement over Fentanyl Marketing Practices

By the Constantine Cannon Whistleblower Team  On May 9, the government announced that Assertio Therapeutics Inc., (formerly Depomed Inc.) (“Assertio”), agreed to pay $3.6 million to resolve False Claims Act allegations stemming from its marketing of Lazanda, its transmucosal immediate-release fentanyl (TIRF) drug. This case was initiated by whistleblowers.¹ Lazanda is a nasal spray solely approved by the...

Genexe and Its Entities Will Pay $6M to Settle False Claims Act Allegations, Case Brought by Four Whistleblowers

By the Constantine Cannon Whistleblower Team On April 23, the government announced that Genexe LLC, its marketing company Immerge, Inc., and two of its owners, Jason Green and Jason Gross, will pay $6 million to settle allegations that they violated the False Claims Act and Anti-Kickback Statute. The now-defunct Genexe once billed itself as a “one-stop-shop” for genetic and pharmacogenetic profiling,...

NJ Rehab Center Will Pay $19.75M to Resolve False Claims Act Allegations

On April 30, a New Jersey-based drug and alcohol rehabilitation facility, Summit BHC New Jersey, LLC, d/b/a Seabrook, agreed to pay $19.75 million to resolve allegations that it violated the False Claims Act by billing for services it was not authorized to provide. This case was initiated by a former Seabrook employee who filed suit under the whistleblower or qui tam provisions of the False Claims Act. According to...

$127M Health Care Fraud and Kickback Scheme: Business Operators Sentenced, Settle False Claim Act Allegations

By the Constantine Cannon Whistleblower Team The government continues to prioritize healthcare fraud enforcement. As we detailed in our round-up of top healthcare-related False Claims Act recoveries from 2024, more than $1.67 billion (58% of all FCA recoveries that year) came from healthcare fraud cases alone. With several settlements already announced this year, 2025 is shaping up to be another active year in...

Government Files False Claims Act Complaint Against Vohra Wound Physicians Management and Its Owner

On April 4, the government announced it filed a complaint under the False Claims Act against Vohra Wound Physicians Management LLC (Vohra), its entities, and its founder Dr. Ameet Vohra. Among other violations, the government alleged the company submitted false claims to Medicare for upcoded and medically unnecessary wound care services. Vohra, one of the country’s largest wound care providers, has contracts...

Texas Nursing Facility and Hospital Agree to Pay $6.5 Million to Resolve False Claims Act Allegations

On February 28, the government announced that the Texas-based skilled nursing facility, Providence Park, Inc., (DBA Ascension Living Providence Village) and acute care hospital, Ascension Providence, (FKA Providence Health Services of Waco), settled allegations that the Federal False Claims Act and the Texas Health Care Program Fraud Prevention Act were violated. The total amount paid to resolve the claims is...

A $5.4M Health Care Fraud Scheme: Louisiana Doctor Sentenced for Illegally Distributing Over 1.8M Opioid Doses

On February 6, 2025, the government announced that Louisiana physician, Adrian Dexter Talbot M.D., 59, was sentenced to 87 months in prison for conspiring to illegally distribute 1.8+ million doses of Schedule II controlled substances (including oxycodone, hydrocodone, and morphine), and for defrauding health care benefit programs of over $5.4 million. Talbot owned and operated Medex Clinical Consultants (Medex),...

A $1.2B+ Health Care Graft Grift! Arizona Couple Pleads Guilty to Fraud

On January 31, 2025, the government announced an update in a case involving a Phoenix, Arizona couple pleading guilty to causing the submission of over $1.2 billion of fraudulent claims to Medicare and other health insurance programs. The couple submitted claims for costly, medically unnecessary wound grafts applied to elderly and terminally ill patients. Alexandra Gehrke, 39, and her husband, Jeffrey King, 46,...

California Woman Sentenced in $369M Fraud Scheme Involving Billing for Medically Unnecessary Respiratory Tests

On January 28, the government announced that California resident Lourdes Navarro, 66, was sentenced to nine years in prison for her involvement in submitting fraudulent claims to both government and private insurance companies during the COVID-19 pandemic. Navarro and her co-conspirator, Imran Shams, illegally bundled COVID-19 screening tests with expensive and medically unnecessary respiratory pathogen panel (RPP)...