Scope and Impact

• Alleged losses: Over $14.6 billion in false claims, with $2.9 billion confirmed loss to government programs  .
• Assets seized: $245 million in cash, luxury vehicles, cryptocurrency, and real estate  .
• Schemes exposed:
  • Operation Gold Rush: $10.6 billion scheme using shell supply companies and stolen identities to bill for medical supplies (e.g., urinary catheters)  .
  • Opioid “pill mills”: 44 professionals allegedly prescribed over 15 million opioid pills improperly  .
  • Telehealth/genetic testing fraud: $1.17 billion in fraudulent telehealth and lab claims  .
  • COVID testing scams: $293 million in false COVID-19 test reimbursements  .
  • Unnecessary wound care & hospice billing: Examples include $87 million hospice fraud in Texas and $900 million wound-graft schemes in Arizona.

Alleged Criminal Statutes

The Indictments rely on multiple federal statutes, including:

1. Health Care Fraud (18 USC § 1347)
   • Prohibits schemes to defraud any health care benefit program.
   • Penalties: up to 10 years imprisonment; if serious bodily injury occurs, up to 20 years; any term of years to life if death results  .
2. Wire Fraud & Mail Fraud (18 USC §§ 1341, 1343)
   • Target schemes using electronic or postal systems to defraud, charged in cases like telehealth and medical supply fraud.
3. Conspiracy to Commit Health Care Fraud (18 USC § 1349)
   • Covers planning or attempt to commit health care fraud, often charged alongside substantive offenses.
4. False Statements Relating to Health Care (18 USC § 1035)
   • Addresses false or misleading certifications in health care submissions.
5. AKS–Linked False Claims
   • Under False Claims Act and Anti‑Kickback Statute, claims tainted by illicit payments become false claims  .
6. Money Laundering (18 USC §§ 1956, 1957)
   • Alleged in cases involving laundering of illicit proceeds (e.g., COVID lab reimbursements) ().
7. Controlled Substances Violations (21 USC § 841)
   • Charged against those prescribing or distributing opioids without medical justification ().

Potential Criminal Penalties

Persons convicted under these statutes face significant consequences:

• Health Care Fraud (18 USC § 1347):
  • Up to 10 years in prison, fines up to $250,000 (individuals) or $500,000 (organizations).
  • If serious injury: up to 20 years.
  • If death results: up to life imprisonment  .
• Wire/Mail Fraud (18 USC §§ 1341, 1343):
  • Up to 20 years imprisonment (30 years if federally funded program affected).
  • Fines up to $250,000 (individual), $500,000 (organization).
• Conspiracy (18 USC § 1349):
  • Equivalent penalties to the underlying crime.
• False Statements (18 USC § 1035):
  • Up to 5 years imprisonment.
• Money Laundering (18 USC § 1956/57):
  • Up to 20 years imprisonment; potential mandatory asset forfeiture.
• Controlled Substance Distribution (21 USC § 841):
  • Varies—could range from 5 years to life, particularly with death or addiction consequences.
• False Claims Act liability:
  • Civil, but can lead to treble damages plus $11,665–$23,331 per false claim; whistleblowers can receive 15–30% of recoveries  .

In Summary

This unprecedented DOJ action marks the largest single-day health care fraud indictment in U.S. history:

• 324 defendants spanning medical professionals and criminal networks.
• $14.6 billion in intended billing; $2.9 billion confirmed losses.
• Schemes included opioid pill mills, telehealth, fraudulent supplies, COVID testing, hospice, and genetic testing.
• Charges include health care fraud, wire/mail fraud, conspiracy, false statements, money laundering, and controlled substance violations.
• Convictions may bring decades behind bars, hefty fines, restitution, and forfeiture.

This operation—dubbed the “2025 National Health Care Fraud Takedown” and part of “Operation Gold Rush”—headlined by high-level prosecutors, accuses a staggering number of people of various frauds against health care programs and allegedly vulnerable patients.

Matthew Galluzzo is a federal criminal defense attorney practicing in New York and Connecticut federal courts. A former Manhattan prosecutor, he has successfully represented numerous individuals accused of federal health care fraud crimes and wire fraud charges. If you or a loved one have been accused as part of Operation Gold Rush or the 2025 National Health Care Fraud Takedown, you should strongly consider contacting Mr. Galluzzo to discuss his legal services.

The truth of the matter is that the vast majority of federal defendants plead guilty. It is important for federal defense attorneys to be skillful in negotiating favorable plea bargains. But even more important for a federal defense attorney is the ability to craft persuasive sentencing arguments. These can make a real difference for federal defendants – sometimes it is the difference between a long sentence and a short sentence, or a sentence of probation instead of a prison sentence.

Matthew Galluzzo is a former Manhattan prosecutor and experienced federal criminal defense attorney. If you or a loved one have been charged with a federal crime, you should strongly consider retaining him. His significant experience advocating for defendants in federal court helps him obtain excellent results for his clients.

For many small businesses, the SBA’s various COVID-relief programs, including the Paycheck Protection Program, were critical in helping those businesses survive the once-in-a-generation economic downturn created by the pandemic. However, the fraudulent abuses of the program have become almost legendary and have recently been the subject of many Congressional inquiries.

The Department of Justice this year launched a task force to prosecute – at the federal level – crimes involving abuse of the COVID relief programs. So, one should expect to see more such prosecutions launched against individuals in the near future.

Wire fraud is a very common federal charge prosecuted under 18 U.S.C. Section 1343. Basically, it makes it a federal felony to commit fraud using the telephone or the internet. So, submitting a false application for COVID relief funds online through the government’s portal would certainly qualify as an act of wire fraud. The penalties for this offense depend primarily on the amount of money defrauded from the victim and the criminal record of the defendant, though other factors can increase the potential penalties as well. These 17 individuals recently charged in Manhattan could all be facing potential jail sentences for their alleged offenses.

The lawyers at The Law Office of Matthew Galluzzo PLLC have successfully defended several individuals accused of federal wire fraud charges. If you have been arrested or charged with such an offense, you should strongly consider contacting them to defend you. It might be possible to argue that yourself did not submit the application, and/or that you relied on someone else’s advice in preparing the application. There could be reasonable disagreement about the nature of the business at issue in the loan application, too. To be sure, these cases are not indefensible.