Source: US FBI

CONCORD- Acting U.S. Attorney Jay McCormack, together with Acting U.S. Attorneys Michael P. Drescher of the District of Vermont and Craig M. Wolff of the District of Maine, announces a sweeping enforcement action aimed at combatting health care fraud across New England. The enforcement action is a result of the collaboration and partnership between the Districts of New Hampshire, Vermont, and Maine, and the New England Strike Force.

The New England Strike Force charged six defendants in connection with unrelated allegations including conspiracies to defraud the State of New Hampshire’s Medicaid program (NH Medicaid), Medicare, and other federal benefit programs, totaling over $14 million. The charges filed in federal court throughout New England are part of the Department of Justice’s 2025 National Health Care Fraud Takedown. The charges stem from various schemes, including a previously convicted social worker who submitted claims to NH Medicaid following his disbarment from billing federal health care programs, a conspiracy to submit false and fraudulent claims to Medicare for wrist, knee, and back braces and other equipment that were medically unnecessary, and a conspiracy to fulfill illegitimate prescriptions for drugs including Ozempic.

The schemes charged in the District of New Hampshire include:

Previously Convicted Felon Charged in New Scheme Fraudulently Billing Medicaid and Exploiting a Vulnerable Patient

• United States v. Erik Alonso: Erik Alonso, age 54, of Miami, Florida, was charged by indictment with eight counts of health care fraud in connection with an alleged scheme to submit claims to NH Medicaid, despite being barred from billing federally funded health care programs following a previous heath care fraud related conviction in 2015. Alonso failed to disclose his exclusion to his employer, a Laconia, New Hampshire-based telehealth psychotherapy provider, and purportedly provided psychotherapy treatments to NH Medicaid beneficiaries between March 2022 and July 2024 via telehealth. In addition, Alonso allegedly exploited a psychotherapy patient by using purported psychotherapy sessions to seek and obtain assistance from that client with personal tasks, including preparing an application for a presidential pardon of his prior conviction and assisting him with applying for licensure in other New England states.  The case is being prosecuted by DOJ Trial Attorneys Danielle Sakowski, Thomas Campbell, and John Howard, and Assistant United States Attorney Matthew Vicinanzo of the U.S. Attorney’s Office for the District of New Hampshire.

Straw Owner of Health Care Company Used to Commit Fraud and Launder Illicit Proceeds

• United States v. Leo Anzivino Jr.: Leo Anzivino, Jr., age 34, of Teaticket, MA, was charged by indictment with conspiracy to commit health care fraud, conspiracy to commit money laundering, and four counts of money laundering in connection with an alleged scheme to fraudulently obtain over $6 million in Medicare funds. According to the indictment, Anzivino, Jr. acted as the straw owner of a durable medical equipment (“DME”) company, Advanced Medical Supply (Advanced), and conspired with others to cause the submission of false and fraudulent claims to Medicare for DME.  The indictment further alleges that Anzivino falsified bank account documents, including beneficial ownership information, and conspired to launder fraudulent funds from the DME scheme to conceal and disguise the nature, source, origin, and control of the proceeds of the DME fraud.  Anzivino, Jr., made four transfers from one Advanced account at a New Hampshire bank to another Advanced account at a Massachusetts bank, totaling over $3 million dollars, to conceal a co-conspirator’s control over the funds. The government seized approximately $353,768.29 in assets tied to the alleged scheme.  This case is being prosecuted by DOJ Trial Attorneys Danielle Sakowski, Thomas Campbell, and Tiffany Wynn, and Assistant United States Attorney Matthew Vicinanzo of the U.S. Attorney’s Office for the District of New Hampshire.

The schemes charged in the District of Vermont include:

Global Pharma and Money Laundering Scheme

• United States v. Manthan Rohit Shah: Manthan Rohit Shah, 37, of Mumbai, India, was charged by indictment with misbranding prescription medication, conspiring to import controlled substances, and conspiring to commit international concealment money laundering.  As alleged in the indictment, Shah owned and operated Company-1, a pharma company based in Mumbai, India. Company-1 allegedly shipped controlled substances and misbranded pharmaceutical drugs, including drugs that contained potentially potent, dangerous, and/or addictive substances, into New England and across the United States.  Shah and Company-1 used fake prescriptions to provide a veneer of legitimacy for customer orders, despite the customers never obtaining such prescriptions.  Shah undertook various acts in furtherance of the drug conspiracy. For example, on or about May 6, 2025, Shah sent a text message to an undercover law enforcement agent regarding Company-1’s fulfillment of illegitimate prescriptions for 50 pens of the drug Ozempic, costing approximately $6,200, to be shipped from a location outside the United States to an address in Vermont.  Shah also conspired with others to direct the shipment of pharmaceutical drugs without valid prescriptions to a network of online pharmacies and call centers that fulfilled orders placed by customers in New England and across the United States. Shah then conspired with others to launder the funds from financial accounts in the United States, through shell companies, and to Shah’s company in India.  The case is being prosecuted by DOJ Trial Attorneys Patrick Brown, John Howard, and Thomas Campbell.

Health Care Scheme Involving Purchase of Tulum Penthouse, High-Volume Cash Withdrawals

• United States v. Evelyn Herrera: Evelyn Herrera, 61, of Loxahatchee, Florida, was charged by complaint with conspiracy to commit health care fraud in connection with an alleged scheme to fraudulently obtain approximately $6.5 million in Medicare funds.  According to the charging documents, Herrera, the owner of Merida Medical Supplies Inc., a purported DME company, submitted false and fraudulent claims to Medicare from individuals residing across New England for wrist, knee, and back braces and other equipment, which were medically unnecessary and ineligible for reimbursement by Medicare.  After the funds from these fraudulent services were deposited into a bank account controlled by Herrera, she allegedly conducted financial transactions and attempted to conceal the source, origin, and control of the health care fraud proceeds generated by Merida. For example, Herrera allegedly sent an international wire from her bank account, indicating it was to be used to purchase property in Mexico, and sent other funds to a cryptocurrency wallet that she controlled.  During the scheme, the Centers for Medicare and Medicaid Services (“CMS”) issued a payment suspension to Herrera for suspected fraud, after which Herrerra allegedly attempted to withdraw large amounts of cash from a bank and siphon funds off to other individuals.  The case is being prosecuted by Trial Attorneys Sarah Rocha, Thomas Campbell, and Tiffany Wynn.  The complaint was filed in the District of Vermont.

Health Care CEO Indicted in Cross-Border Health Care Fraud Scheme

• United States v. Donald Jani: Donald Jani, 39, of Maharashtra, India, was charged by indictment with health care fraud and conspiracy to commit health care fraud in connection with an alleged scheme to fraudulently obtain approximately $1.9 million in Medicare funds.  According to the indictment, Jani, the CEO of CSS Pain Relief, Inc., a purported DME company, submitted false and fraudulent claims to Medicare for DME.  Jani and his co-conspirators allegedly used the personal identifying information of elderly and disabled New England residents to fraudulently bill Medicare.  As part of the conspiracy, Jani unlawfully used the personal identifying information of medical providers in the District of Vermont and elsewhere to create the false appearance that the DME claims were premised on legitimate medical orders. The case is being prosecuted by Trial Attorneys Sarah Rocha, John Howard and Thomas Campbell.  The indictment was brought in the District of Vermont.

The scheme charged in the District of Maine includes:

Individual Charged in Health Care and Identity Theft Scheme

• United States v. Joseph Dobie: Joseph Dobie, 36, of Lewiston, Maine, was charged by complaint with aggravated identity theft, false statements relating to health care matters, and unlawful use of Supplemental Nutritional Assistance Program (“SNAP”) benefits in connection with an identity-theft scheme. As alleged in the complaint, Dobie used a stolen identity to fraudulently obtain Medicaid and SNAP benefits in Maine, while simultaneously receiving SNAP benefits in New York.  The case is being prosecuted by Assistant United States Attorney Nicholas Scott. The complaint was filed in the District of Maine.

Additionally, the New England Strike Force provided valuable support in a nationwide investigation:

Operation Gold Rush: Transnational Criminal Organization-Led Health Care Fraud and Money Laundering Scheme

Outside of New Hampshire, Vermont, and Maine, the New England Strike Force also supported a nationwide investigation, Operation Gold Rush, which resulted in charges in the Eastern District of New York, the Northern District of Illinois, the Central District of California, the Middle District of Florida, and the District of New Jersey against 19 defendants in connection with the largest loss amount ever charged in a health care fraud case brought by the Department at $10.6 billion. Twelve of these defendants have been arrested, including four defendants who were apprehended in Estonia as a result of international cooperation with Estonian law enforcement and seven defendants who were arrested at U.S. airports and the U.S. border with Mexico, cutting off their intended escape routes as they attempted to avoid capture. The criminal case is being prosecuted by DOJ Fraud Section Assistant Chiefs Kevin Lowell and Shankar Ramamurthy, and Trial Attorneys Sara Porter, Andres Almendarez, Leonid Sandlar, Monica Cooper, Thomas Campbell, Danielle Sakowski, and Matthew Belz.  Trial Attorney Sara Porter initiated the investigation, which has been supported by members of multiple Strike Forces. The civil forfeiture proceeding is being prosecuted by Assistant U.S. Attorney David C. Nelson of the District of Connecticut and Money Laundering and Asset Recovery Section Trial Attorneys Emily Cohen and Chelsea Rooney. Office of Public Affairs | National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud | United States Department of Justice

These charges are part of a strategically coordinated, nationwide law enforcement action that resulted in criminal charges against 324 defendants for their alleged participation in health care fraud and illegal drug diversion schemes that involved the submission of over $14.6 billion in intended loss and over 15 million pills of illegally diverted controlled substances. The defendants allegedly defrauded programs entrusted for the care of the elderly and disabled to line their own pockets. The United States has seized over $245 million in cash, luxury vehicles and other assets in connection with the takedown. Descriptions of each case involved in the national enforcement action are available at Criminal Division | 2025 National Health Care Fraud Takedown.

The New England Strike Force’s cases are the result of investigations conducted by the Federal Bureau of Investigation; the United States Department of Health and Human Services, Office of Inspector General; the Food and Drug Administration, Office of Criminal Investigations; Internal Revenue Service Criminal Investigation; and the United States Department of Defense Office of Inspector General, Defense Criminal Investigative Service.

Leveraging advanced data analytics, forensic accounting, interagency collaboration, and subject-matter expertise, the New England Strike Force investigates and prosecutes complex health care fraud and money laundering schemes across the region, focusing on both individuals and corporations engaged in criminal conduct. DOJ Fraud Section Assistant Chief Kevin Lowell leads the Strike Force.

The details contained in the charging document are allegations. The defendant is presumed to be innocent unless and until proven guilty beyond a reasonable doubt in the court of law.

###

MIL Security OSI –