Intelligence Briefing Healthcare Five States Prosecute Healthcare Fraud Cases in...

Florida, Missouri, Pennsylvania, Tennessee, and Louisiana simultaneously pursue separate fraud cases.

Five states prosecuted separate healthcare fraud cases on April 24, 2026, ranging from a $415,000 Medicare false claims settlement to criminal arrests for illegal prescribing and unlicensed practice. The simultaneous enforcement across geographically diverse states suggests coordinated federal-state detection efforts targeting healthcare billing fraud and unlicensed medical practice.

Florida Eye Practice, Owner Pay $415k False Medicare Claims
Mitchell Eye Center, a Florida ophthalmology practice, and Dr. Alan Mitchell, an ophthalmologist and former owner, have agreed to pay $415,000 to resolve allegations under the False Claims Act. The United States alleges that from September 2018 through March 2020, the defendants caused the submission of false claims for transcranial doppler (TCD) tests to Medicare and the Veterans Health Administration. The settlement was announced on April 22, 2026, by the U.S. Attorney's Office for the District of Massachusetts.

Missouri Doctor Arrested for Healthcare Fraud Illegal Prescribing
Dr. Jonathan Wayne Morris, 46, of Columbia, Missouri, owner of Columbia Urgent Care, was arrested on April 22, 2026 following an indictment returned April 8, 2026 in U.S. District Court for the Eastern District of Missouri. He faces 15 counts of illegal prescribing of controlled substances and 23 counts of healthcare fraud. The indictment alleges that from May 1, 2019 through April 8, 2025, Morris caused Medicare and Medicaid to be billed for services allegedly provided by him when they were actually provided by unsupervised assistant physicians, who he allowed to train each other rather than providing required supervision.

PA Man Sentenced for Posing as Medical Professional
A Lehigh County, Pennsylvania man was sentenced to state prison on April 22, 2026, after being convicted of posing as a medical professional without any medical training or licenses. The defendant administered care to patients in Carbon County, Pennsylvania, submitting fraudulent claims to Medicare, Medicaid, and private insurance companies for services he was not authorized to provide. The Pennsylvania Attorney General's Office prosecuted the case as a healthcare fraud and criminal impersonation matter.

TN Caregiver Arrested for 135 Hours Fraud
A Memphis woman, Iris Shaw (DOB 12/4/85), has been arrested following a TennCare fraud investigation conducted by the Tennessee Bureau of Investigation Medicaid Fraud Control Division. The investigation, initiated in July 2025 based on a referral from BlueCare Special Investigations Unit, determined that between February 2024 and April 2025, Shaw submitted claims for 135 hours of overlapping caregiver services, constituting a violation of TennCare rules. The case represents an enforcement action by state authorities targeting Medicaid provider fraud.

LA AG Arrests Shreveport Woman for Medicaid Fraud
Attorney General Liz Murrill's Medicaid Fraud Control Unit arrested a Shreveport woman on April 20, 2026, for providing medical services to patients without a license since at least 2019. The arrest stems from an investigation into unlicensed medical practice that resulted in Medicaid fraud. No specific penalty or restitution amount has been disclosed in the available records.

Sources

Florida Eye Practice, Owner Pay $415k False Medicare Claims

USAO MA · Enforcement GovPing record Original source

Missouri Doctor Dr. Jonathan Wayne Morris Arrested on Hea...

PA Man Sentenced for Posing as Medical Professional

HHS OIG · Enforcement GovPing record Original source

Iris Shaw Arrested for TennCare Fraud, 135 Overlapping Hours

LA AG Arrests Shreveport Woman for Medicaid Fraud

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