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Hard fraudFederal · MedicareCharged

$10.6 billion billed: Fake catheter claims using a million stolen identities

Prosecutors say one network billed Medicare $10.6 billion for medical supplies nobody needed or received.

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Medicare
  1. Fraudulent claims billed to Medicare$10.6B1
  2. Stolen identities used1M+ Americans, all 50 states1
  3. Claims scheduled for payment≈$4.45B1
  4. Stopped by Medicare before paymentAll but ≈$41M1
  5. Paid by Medicare supplemental insurers≈$900M1
  6. Defendants charged191
  7. Recovered so far████████████████
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What happened

Prosecutors say a transnational ring bought medical supply companies and used them to bill Medicare for urinary catheters and other equipment. They used the stolen identities of more than a million Americans.

It was the largest scheme in the Justice Department's June 2025 health care fraud takedown, which charged 324 people over $14.6 billion in alleged fraud.

Why nobody caught it

  • Each claim used a real person's Medicare number, so one at a time they looked routine.
  • Medicare stopped most of the money. Supplemental insurers still paid out about $900 million.

How sure are we?

Charged

Prosecutors filed charges. These are accusations; everyone charged is presumed innocent until proven guilty.

These are charges. Everyone charged is presumed innocent until proven guilty in court.

Sources

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