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Health Care Fraud

Health Care FraudRooting out health care fraud is central to the well-being of both our citizens and the overall economy.

Health care fraud costs the country an estimated $80 billion a year. And it’s a rising threat, with national health care spending topping $2.7 trillion and expenses continuing to outpace inflation. Recent cases also show that medical professionals are more willing to risk patient harm in their schemes.

The FBI is the primary agency for exposing and investigating health care fraud, with jurisdiction over both federal and private insurance programs. We use our analytic expertise to identify key trends and tap into our investigative partnerships with federal, state, and local agencies, as well as our relationships with national groups and associations, to uncover fraud. Our field offices also proactively target fraud through coordinated initiatives, task forces and strike teams, and undercover operations.

In Depth

Inside our Program
- Overview 

Additional Resources
- Fraud Prevention Tips
- Stop Medicare Fraud Website
- 2012 Health Care Fraud Report


News & Features
- Estate Planner Victimized Terminally Ill
- Nursing Home Abuse
- National Medicare Fraud Takedown
- Record Pfizer Settlement
- Major Crackdown on Medicare Fraud
- Illegal Online Pharmacies
- Protecting Your Pocketbook
- Nursing Home Horror
- Case of Drug-Dealing Doctor


In the News
House (angled graphic)

Health Care Fraud
A Detroit doctor took advantage of severely mentally disabled adults to line his own pockets. Details

More News & Features

Albuquerque: Physician arrested on charges of illegal prescription dispensing, health care fraud.
Los Angeles: Woman who operated $25 million health care fraud scheme gets over seven years.
Charlotte: Two women sentenced in schemes to defraud Medicaid of combined $12 million.


Wanted by the FBI
Ramon Fonseca Ramon Fonseca
Conspiracy to Commit Health Care Fraud
benitez_cphoto.jpg Carlos Benitez
Conspiracy to Commit Health Care Fraud
benitez_lphoto.jpg Luis Benitez
Conspiracy to Commit Health Care Fraud
benitez_jphoto.jpg Jose Benitez
Conspiracy to Commit Health Care Fraud