INSURASALES

Massachusetts Man Pleads Guilty in $4M Medicare DME Fraud Scheme

A Canton, Massachusetts man, Krishna Gidwani, pleaded guilty in federal court for his role in a Medicare fraud scheme involving over $4 million in claims for durable medical equipment (DME) that was medically unnecessary or unwanted by beneficiaries. Gidwani and co-conspirators operated a DME company that paid telemarketers for orders of orthotic braces, often without legitimate prescriptions or patient consent.

The doctors whose signatures appeared on these orders typically had no treatment relationship with the Medicare beneficiaries. This case is part of the Department of Justice's 2025 National Health Care Fraud Takedown, which resulted in criminal charges against 324 defendants for healthcare fraud and drug diversion with over $14.6 billion in intended losses. The Justice Department has seized over $245 million in assets related to these cases.

Sentencing for Gidwani is set for November 2025, with potential penalties including up to 10 years imprisonment and substantial fines. This case highlights ongoing challenges in preventing fraud in the Medicare system, particularly in the administration and oversight of durable medical equipment claims, and underscores federal coordinated efforts to combat healthcare fraud and protect public funds.