DOJ Charges 324 in $16.4 Billion Healthcare Fraud Scheme

The Department of Justice has charged 324 individuals, including 100 medical professionals, in a record-breaking $16.4 billion healthcare fraud scheme. This marks the largest takedown in DoJ history, affecting all 50 states and resulting in the seizure of over $245 million in assets, including cash, cryptocurrency, and luxury vehicles. In Arizona, a United Arab Emirates-based company allegedly defrauded Medicaid of $650 million, targeting vulnerable populations such as Native Americans and the homeless with addiction treatment scams. Nationally, $10.6 billion of the fraud involved Medicare claims using stolen identities of over a million people. Attorney General Pam Bondi emphasized the impact on taxpayers, stating, "This administration will not tolerate criminals lining their pockets with taxpayer dollars." FBI Deputy Director Dan Bongino described the bust as the largest healthcare fraud investigation by financial losses. Dr. Joel Durinka, a Buffalo-based doctor, is accused of creating fake medical records and billing Medicare for telehealth visits that did not occur. The government seized $324,683 from him, and his medical license is at risk. U.S. Attorney Michael DiGicomo highlighted the role of doctors in these frauds, stating, "Without their prescription, nothing happens." CMS Administrator Mehmet Oz announced a "fraud war room" to detect and prevent future fraud using AI tools. This significant increase in efforts under President Trump contrasts with the previous administration, which uncovered $2.75 billion in false claims the prior year. The case underscores the need for stringent measures to protect public healthcare funds and ensure accountability.

Published: 6/30/2025