Healthcare Fraud

Cardiology Group to Pay $4.75M to Settle Allegations of Unnecessary Vein Procedures

By the Constantine Cannon Whistleblower Team  On March 12, an Arizona-based physician group Tri-City Cardiology, P.C. and three physicians agreed to pay $4.75 million to resolve allegations that they violated the False Claims Act by performing medically unnecessary vein procedures. [1]

What Does the Civil Settlement Address?

The civil settlement resolves claims that from January 1, 2017, through April 27, 2022,...

Former NFL Player Turned Lab Owner Convicted in $328 Million Genetic Testing Fraud Scheme

By the Constantine Cannon Whistleblower Team  In February, a federal jury in Texas convicted lab owner Keith J. Gray, a former NFL player, for his role in a $328 million genetic testing fraud scheme involving two clinical labs he owned and operated: Axis Professional Labs LLC (Axis) and Kingdom Health Laboratory LLC (Kingdom).[1] The jury found Gray guilty of (1) conspiracy to defraud the United States and to...

Top 10 Healthcare-Related False Claims Act Recoveries in 2025

By the Constantine Cannon Whistleblower Team Last year was a record year for False Claims Act recoveries.  As the Department of Justice (DOJ) reported in its 2025 False Claims Act Roundup, the $6.9 billion the Government recovered in 2025 was the most for any single year under the statute. Unsurprisingly, more than 80% of this amount (or $5.7 billion) came from matters involving healthcare-related fraud.  It...

Florida Nursing Assistant Convicted in $11.4M Medicare Fraud Scheme

By the Constantine Cannon Whistleblower Team On January 22, a federal jury convicted Florida-based nursing assistant and durable medical equipment (DME) supplier owner Christian “Chris” Cruz for his role in an $11.4 million healthcare fraud and wire fraud conspiracy.[1]

What Was the Alleged Scheme?

According to prosecutors, Cruz  submitted false claims for hundreds of Medicare beneficiaries and they were...

Healthcare Employees Sentenced to Prison for Multimillion Dollar Adult Daycare Fraud Scheme

By the Constantine Cannon Whistleblower Team A Texas physician and a clinic employee have been sentenced to prison for their roles in a multimillion dollar healthcare fraud and kickback scheme involving unnecessary lab tests and prescriptions. Dr. Osama Nahas, owner and physician at Crosspoint Medical Clinic, and medical assistant Isabel Pruneda were convicted on March 1, 2024 by a federal jury of conspiracy to...

Recent Enforcement Actions Target Two Healthcare Fraud Schemes Totaling Over $180M

By the Constantine Cannon Whistleblower Team The government is committed to cracking down on healthcare fraud schemes as evident in two recent sentencing announcements involving more than $180 million in losses.

Missouri Resident Sentenced to Prison for $174M Healthcare Fraud Conspiracy

A court sentenced Missouri resident Jamie P. McNamara to 10-years in prison on October 23 for orchestrating a scheme to defraud...

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...

Mindpath Pays $1.9M To Settle False Claims Act Allegations of Healthcare Fraud

By the Constantine Cannon Whistleblower Team Last week (December 2), the Department of Justice (DOJ) announced that North Carolina’s largest behavioral practice Mindpath Care Centers -- along with its former officers Jeff Williams, Abigail Sheriff, and Sarah Williams -- paid $1.9 million to settle allegations they violated the False Claims Act by fraudulently billing Medicare for Psychotherapy and medication...

Zakia Khan Pleads Guilty to $68M Adult Social Day Care and Home Health Care Medicaid Fraud Scheme in New York

By the Constantine Cannon Whistleblower Team On August 6, the government announced that Zakia Khan pleaded guilty in federal court to conspiring to defraud Medicaid of roughly $68 million through kickbacks and bribes at two New York-based social adult day care centers that she owned in Coney Island called Happy Family Social Adult Day Care Center Inc. (Happy Family) and Family Social Adult Day Care Center Inc....