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The Justice Department today announced the results of its 2025 National Health Care Fraud Takedown, which resulted in criminal charges against 324 defendants, including 96 doctors, nurse practitioners, pharmacists, and other licensed medical professionals, in 50 federal districts and 12 State Attorneys General’s Offices across the United States, for their alleged participation in various health care fraud schemes involving over $14.6 billion in intended loss. The Takedown involved federal and state law enforcement agencies across the country and represents an unprecedented effort to combat health care fraud schemes that exploit patients and taxpayers.
Demonstrating the significant return on investment that results from health care fraud enforcement efforts, the government seized over $245 million in cash, luxury vehicles, cryptocurrency, and other assets as part of the coordinated enforcement efforts. As part of the whole-of-government approach to combating health care fraud announced today, the Centers for Medicare and Medicaid Services (CMS) also announced that it successfully prevented over $4 billion from being paid in response to false and fraudulent claims and that it suspended or revoked the billing privileges of 205 providers in the months leading up to the Takedown. Civil charges against 20 defendants for $14.2 million in alleged fraud, as well as civil settlements with 106 defendants totaling $34.3 million, were also announced as part of the Takedown.
The U.S. Attorney’s Office for the District of Connecticut contributed significantly to an investigation dubbed “Operation Gold Rush”. As alleged in the forfeiture complaint, a transnational criminal organization based in Russia and elsewhere used straw purchasers to buy small durable medical equipment (DME) companies located in the U.S. After acquiring the companies and their billing information, they used stolen Medicare patient information to bill Medicare for billions of dollars of DME that was not provided. The forfeiture action stemmed from an investigation by the U.S. Department of Health and Human Services – Office of the Inspector General, the Federal Bureau of Investigation, and the U.S. Marshals Service into health care fraud from a company named Medical Home Care, based in Bethel, Connecticut. After it was purchased for $400,000 by a company operated by a Czech national in March 2023, Medical Home Care submitted more than $152,000 in fraudulent claims to Medicare and other organizations. Money from Medical Home Care was sent to Malaysia and Hong Kong. As the investigation expanded, 28 bank accounts associated with a variety of companies and containing more than $17 million were seized by law enforcement. The civil forfeiture proceeding is being prosecuted by Money Laundering and Asset Recovery Section Trial Attorneys Emily Cohen and Chelsea Rooney, and by Assistant U.S. Attorney David C. Nelson of the District of Connecticut.
“Operation Gold Rush revealed a breathtaking exploitation of important federal and private health care programs, and the U.S. Attorney’s Office for the District of Connecticut is gratified to be working to recover millions of dollars in stolen funds,” said David X. Sullivan, U.S. Attorney for the District of Connecticut. “Civil asset forfeiture is a critical tool that permits the government to recover money from bad actors all over the world, especially when criminal prosecution proves more difficult. While the Justice Department continues to pursue those responsible for these health care fraud schemes, we and our law enforcement partners will use our skill and resources to identify and seize bank accounts in order to make their crimes significantly less profitable.”
Also in the District of Connecticut, on June 23, 2025, Michele Rene Luzzi Muzyka, 60, of Cheshire, was arrested on a federal criminal complaint charging her with unlawful distribution of controlled substances and making false statements in connection with health care matters. The complaint alleges that Muzyka, an Advanced Practice Registered Nurse (APRN), unlawfully distributed amphetamines and benzodiazepines to individuals who did not have a legitimate medical need. Muzyka charged patients $200 in cash for visits in which she prescribed Schedule II and IV controlled substances, including to an undercover agent who posed as a Medicaid beneficiary. Muzyka declined to accept the undercover agent’s Medicaid plan and instead charged her $200 cash fee. Medicaid paid $257.58 for the unlawful prescriptions written for the undercover agent. This case is being prosecuted by Assistant U.S. Attorney Katherine E. Boyles.
Today’s Takedown was led and coordinated by the Health Care Fraud Unit of the Department of Justice Criminal Division’s Fraud Section and its core partners from U.S. Attorneys’ Offices, the Department of Health and Human Services Office of Inspector General (HHS-OIG), the Federal Bureau of Investigation (FBI), and the Drug Enforcement Administration (DEA). The cases were investigated by agents from HHS-OIG, FBI, DEA, and other federal and state law enforcement agencies. The cases are being prosecuted by Health Care Fraud Strike Force teams from the Criminal Division’s Fraud Section, 50 U.S. Attorneys’ Offices nationwide, and 12 State Attorneys General Offices.
“This record-setting Health Care Fraud Takedown delivers justice to criminal actors who prey upon our most vulnerable citizens and steal from hardworking American taxpayers,” said Attorney General Pamela Bondi. “Make no mistake – this administration will not tolerate criminals who line their pockets with taxpayer dollars while endangering the health and safety of our communities.”
"As part of making healthcare accessible and affordable to all Americans, HHS will aggressively work with our law enforcement partners to eliminate the pervasive health care fraud that bedeviled this agency under the former administration and drove up costs,” said Secretary Robert F. Kennedy Jr. of the Department of Health and Human Services.
“The Criminal Division is intensely committed to rooting out health care fraud schemes and prosecuting the criminals who perpetrate them because these schemes: (1) often result in physical patient harm through medically unnecessary treatments or failure to provide the correct treatments; (2) contribute to our nationwide opioid epidemic and exacerbate controlled substance addiction; and (3) do all of that while stealing money hardworking Americans contribute to pay for the care of their elders and other vulnerable citizens,” said Matthew R. Galeotti, Head of the Justice Department’s Criminal Division. “The Division’s Health Care Fraud Unit and U.S. Attorneys’ Offices stand united with our law enforcement partners in this fight, and we will continue to use every tool at our disposal to protect the integrity of our health care programs for the American people.”
“Health care fraud drains critical resources from programs intended to help people who truly need medical care,” said Director Kash Patel of the FBI. “Today’s announcement demonstrates our commitment to pursuing those who exploit the system for personal gain. With more than $13 billion in fraud uncovered, this is the largest takedown for this initiative to date. Together, the FBI and our law enforcement partners will continue to hold those accountable who steal from the American people and undermine our health care systems.”
You can find a complete list of case descriptions on the DOJ's website, along with the relevant court documents.
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