| Philip Esformes |
Health Care Executive |
Medicare Fraud, Medicaid Fraud, Kickbacks, Money Laundering, Bribery |
Medicare and Medicaid fraud (kickbacks, money laundering, bribery) |
$1.3 billion |
NBC News |
| Salomon Melgen |
Physician |
Medicare Fraud, Unnecessary Treatments, False Claims |
Medicare fraud (unnecessary treatments and false claims) |
$73 million (billed; actual loss $42 million) |
U.S. Department of Justice |
| Judith Negron |
Health Care Executive |
Medicare Fraud, Conspiracy, Kickbacks, Money Laundering |
Medicare fraud (conspiracy, kickbacks, money laundering) |
$87 million |
Miami Herald |
| Lawrence Duran |
Health Care Executive |
Medicare Fraud, Money Laundering |
Medicare fraud and money laundering |
$205 million |
Truthout |
| John Davis |
Health Care Executive |
Medicare Fraud, Bribes, Kickbacks |
Medicare fraud (illegal bribes and kickbacks) |
$15.6 million |
PBS |
| Faustino Bernadett |
Physician/Hospital Owner |
Insurance Fraud, Workers' Compensation, Kickback Scheme |
Workers' compensation insurance fraud (kickback scheme) |
$900 million |
Department of Justice |
| Daniela Gozes-Wagner |
Health Care Professional |
Medicare Fraud, Conspiracy, Health Care Fraud |
Medicare fraud (conspiracy to commit health care fraud) |
$50 million |
Department of Justice |
| Todd S. Farha |
Health Insurance Executive |
Medicaid Fraud, Health Care Fraud, False Statements |
Medicaid fraud (health care fraud and false statements) |
$35 million |
WUSF |
| William L. Kale |
Health Insurance Executive |
Medicaid Fraud, Health Care Fraud, False Statements |
Medicaid fraud (health care fraud and false statements) |
$35 million |
WUSF |
| Paul L. Behrens |
Health Insurance Executive |
Medicaid Fraud, Health Care Fraud, False Statements |
Medicaid fraud (health care fraud and false statements) |
$35 million |
WUSF |
| Thaddeus M. S. Bereday |
Health Insurance Executive |
Medicaid Fraud, False Statements |
Medicaid fraud (false statements) |
$35 million |
WUSF |
| Peter E. Clay |
Health Insurance Executive |
Medicaid Fraud, False Statements |
Medicaid fraud (false statements) |
$35 million |
WUSF |
| Alfonso Antonio Costa |
Health Care Professional |
Health Care Fraud, False Insurance Billing |
Health care fraud (false insurance billing) |
$44,000 |
Mother Jones |
| Rickey Ivan Kanter |
Business Owner |
Medicare Fraud, Mail Fraud |
Medicare fraud (mail fraud) |
$27 million |
Department of Justice |
| Theodore E. (Ted) Suhl |
Business Owner |
Medicaid Fraud, Bribery |
Medicaid fraud (bribery to inflate payments) |
Not specified (companies received ~$125 million in reimbursements during indictment period) |
White House Archives |
| William E. "Ed" Henry |
Politician |
Medicare Fraud, Theft of Government Property |
Medicare fraud (theft of government property) |
Not specified |
Associated Press |
| Duncan Fordham |
Pharmacist |
Health Care Fraud, Kickbacks |
Health care fraud (kickbacks) |
$1 million (restitution ordered) |
Augusta Chronicle |
| Frederick J. Nahas |
Physician |
Obstruction of Justice, Health Care Fraud Investigation |
Obstruction of justice in health care fraud investigation |
Not specified (no underlying fraud found) |
Medscape |