Medicare

New York Doctor Receives Seven-Year Prison Sentence for $24M Medicare Fraud

By the Constantine Cannon Whistleblower Team The government remains persistent in its efforts to combat healthcare fraud, actively pursuing and prosecuting those who exploit the system. This ongoing commitment is evident in its recent enforcement actions, including the case we are analyzing in this post. New York doctor Alexander Baldonado, M.D., 69, received a seven-year prison sentence for submitting more than...

Owners of Wound Graft Companies Pay Big for False Claims Act and Kickback Violations -- DOJ Reinforces Zero Tolerance for Healthcare Fraud

By the Constantine Cannon Whistleblower Team Last Friday (December 12), the Department of Justice (DOJ) announced the major sentencing, forfeitures, and penalties imposed on the owners of several Arizona wound graft companies for a $1.2 billion healthcare fraud scheme.[1]  DOJ described the action -- against Alexandra Gehrke and her husband Jeffrey King -- as “the first prosecution of its kind.”

What Was the...

Semler Scientific and Bard Pay $37 Million to Settle False Claims Act Allegations of Defrauding Medicare -- With Two Whistleblowers Leading the Charge

By the Constantine Cannon Whistleblower Team Last Friday (September 26), the Department of Justice (DOJ) announced that Semler Scientific and its former distributor Bard Peripheral Vascular agreed to pay a combined $37 million to settle charges they violated the False Claims Act.¹  The allegations center around their sale and distribution of the FloChec and QuantaFlo devices used to diagnose peripheral arterial...

Busted: DOJ Announces $14.6B Health Care Fraud in Historic Takedown

By the Constantine Cannon Whistleblower Team On June 30, the DOJ announced what prosecutors are calling the "2025 National Health Care Fraud Takedown" and it’s one for the books. The government dismantled a healthcare fraud scheme that involved over 300 defendants and totaled an eye-popping $14.6 billion in alleged false claims. ¹

Surpassing Previous Records

This figure towers over prior record-setting 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...

Brace Yourself: Jury Finds Co-Conspirator Guilty in $1.4B Medicare DME Fraud Scheme

By the Constantine Cannon Whistleblower Team The first week of June is Medicare Fraud Prevention Week, geared toward raising awareness and safeguarding the integrity of a crucial healthcare system on which many Americans rely. While this initiative and this case do not expressly call out to whistleblowers, we are! This recent government enforcement action concerning a Medicare fraud scheme serves as a reminder...

$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...

A “Saad” Case of Medicare Fraud: Saad Healthcare Pays $3M to Settle False Claims Act Allegations

On February 21, the government announced that Saad Enterprises Inc. (DBA Saad Healthcare) will pay $3 million to settle allegations that it violated the False Claims Act from 2013-2020 by submitting false claims for the care of 21 Alabama-based Medicare ineligible hospice patients who were not terminally ill. Hospice is end-of-life palliative care for terminally ill patients who move away from traditional curative...

$1B Medicare Scam: Kansas Resident Pleaded Guilty to Illegal Kickback Fraud Scheme

On February 20, the DOJ announced that Johnson County, Kansas resident Gregory Schreck (50) pleaded guilty to operating DMERx, a web-based platform that created phony doctors’ orders to defraud Medicare and other federal health care benefit programs of over $1 billion. He will receive a maximum penalty of 10 years in prison. Schreck admitted that he and his accomplices targeted 100,000+ Medicare beneficiaries to...