Healthcare Fraud Case: Major Medicare Scheme Sentences Individual to Prison

A Georgian national in Miami, Florida, was sentenced to 37 months in prison for laundering over $1.1 million from healthcare fraud activities involving Medicare. Identified as Irakli Nakashidze, 35, the owner of the fictitious ABRH Care Inc., he falsely billed Medicare and private insurers approximately $179 million for non-existent medical supplies such as orthotic braces and wound dressings. These fraudulent activities were part of a broader international scheme targeting both Medicare and private insurance companies. Significant funds were transferred to accounts in China and Hong Kong, as uncovered by bank monitoring.

In November 2025, Nakashidze pleaded guilty to conspiracy to commit money laundering and was ordered to forfeit $1,108,504 at sentencing. The case was supported by a thorough investigation led by the Department of Justice's National Fraud Enforcement Division, supported by the Department of Health and Human Services' Office of Inspector General, the FBI Miami Office, and other federal agencies. Trial Attorney Claire Horrell from the Criminal Division's Fraud Section prosecuted the case. These efforts highlight the continuous governmental focus on combating fraudulent healthcare claims through regulatory compliance and enforcement.

Established on April 7, the Justice Department's National Fraud Enforcement Division targets fraud against U.S. citizens, tying into President Trump's Task Force to Eliminate Fraud. Additionally, the Health Care Fraud Strike Force Program, active since March 2007, continues to address healthcare fraud by indicting over 6,200 defendants and recovering billions in fraudulent claims. These coordinated efforts emphasize accountability among healthcare providers and the importance of a robust risk management framework in combating insurance fraud. More information is available on the Justice Department's website dedicated to healthcare fraud.