Sunday, July 19, 2026

Government Taxpayer Fraud and Corruption, Part 11: The Immense Medicare and Medicaid Fraud Continues to Amaze

 We are going to  spend a lot of discussion time in the coming posts to review the massive amount of criminal fraud that has infected government programs for many, many years.  The outstanding investigations recently done,  and still being  done, by independent journalist,  Nick Shirley, has started a cascading identification of the numerous fraud instances at all  levels of government  across the country.

It is unbelievable how many billions of dollars have been wasted and are currently being wasted and siphoned off by all types of criminal activities. And while it is amazing how much taxpayer wealth has been wasted and lost, possibly even more amazing is the reality that through the decades the political class and the government entities they overlook were unable or unwilling to stop the fraud.


1)Much of the fraud we have discussed over the past ten  posts regarding government  corruption  and fraud was very often focused on fraud in  the  Medicaid and  Medicare programs. But government fraud  exists  throughout  every facet of government as the  newest type of fraud is described below and documented by a Daily Caller website story:


  • A new analysis from the State Financial Officers  Foundation  and the Open the Books website found that there were almost 90 fraud schemes across American  schools since  2019.

  • These fraud efforts ripped off about $225 million from American taxpayers and students.

  • School district employees have been stealing  government funds by creating fake invoices, submitting them for payment, and then pocketing the  money  or kickbacks.

  • The fake invoices included  such lies as student enrollment, bid rigging, and receiving kickbacks.

  • The fraud extended over 24 states and  Puerto Rico.

  • For example, the analysis  alleged that Indiana schools  got $44 million  more funding from the  state government than they should have because they artificially inflated  student enrollments.

  • John Hart of the Open The  Books organization: “These schemes within public schools arguably hit us where it hits more: America’s future leaders. Every dollar wasted on fraud never makes it to the classroom where it's urgently needed. Student outcomes will continue  to suffer until we clean up both fraud and administrative overhead. In one instance, the per-student fraud rate was enough to fund a semester at a charter school.” 

  • The  report states that  Broward County Public  Schools  Information  Officer, Anthony Gunteer,  allegedly steered $17 million  of taxpayer  wealth to a friend’s business  without  competitive  bidding and then  personally got to dip into that pot of money.

  • Two individuals in  the Houston school district got named for allegedly involving a six million  dollar fraud scheme regarding school construction  and maintenance  in exchange for kickbacks of cash and home  remodeling.

  • In 2025, Michael David Baker, the former  maintenance director of Boone County West Virginia schools, pleaded  guilty to defrauding the  school  district out of $3.4 million.

  • This was equivalent to $1,000 per  student  within  the  school district.

  • He used the stolen funds for cars, equipment, and home improvements.


Just another way to  rip off the American taxpayer and in this case, reduce the effectiveness of school dollars  for the education  of our kids.


2)Let's get back to  the old favorites of fraud, Medicaid and Medicare, where the Federal authorities recently announced  that they had busted the biggest  healthcare fraud in U.S. history:


  • The  charges  of fraud  include  a  whopping 455 individuals including 90  doctors, nurses, pharmacists, and other  medical professionals.

  • These folks are accused of  stealing over  $6.5 BILLION  from  alleged false Medicare and Medicaid claim submissions.

  • The bust spanned  fraud in  45 states  and  the fraud schemes included unnecessary medical procedures, kickbacks, phantom services,  and corrupt billing practices.

  • Federal investigators allege the fraudsters then  spent taxpayer  money on luxury cars,  multi-million dollar homes, jewelry,  yachts, and overseas real estate.’

  • For example, Las Vegas resident  Marizel Yukee, allegedly submitted $906 million in fraudulent  claims and personally ended  up with  $297 million  in payments.

  • She used part of the stolen funds to build  a $4.6 million  beach  resort  in  the Philippines.

  • When she was  arrested, she  had  $30 million  in various  bank  accounts, half a million  dollars  in cash,  a Ferrari worth almost $600,000, seven other high end vehicles, and a $865,000  necklace in addition to another $1 million in other jewelry.

  • The vice president of an Arizona company that sold  bioengineered  skin  grafts allegedly was part of  a kickback scheme  where  unnecessary skin grafts were  done  and  then marked  up by almost 2,000%, a fraud  that netted him $614 million.

  • An Illinois behavioral health care company allegedly  submitted  reimbursement claims  for over $90 million  for numerous counseling and therapy  service sessions that were  impossible, given  the limited staff of  the company.

  • A Miami resident  allegedly submitted an  unreal  number of claims worth $3.76 BILLION via two medical supply companies.

  • Once he got  the reimbursements for the claims, which were somehow  not flagged  by government computers,  he  transferred  the money to  accounts in Hong  Kong and Indonesia and then  fled the country.’

  • Fortunately, he was arrested in  Cyprus  and returned for prosecution  in  Florida.


Unbelievable fraud. How bad  are the  government computers  and audit checks  that a  single person in the medical supply business can submit AND be  reimbursed for over $3  BILLION in claims? Somehow the computer claims process should have flagged this atrocity BEFORE paying out.  Total incompetence in the Medicare and Medicaid operations.  


No wonder the national debris around $0 TRILLION, the  fraudsters keep stealing  it.




3)Speaking of closing  the barn yard gate after  the  horse has left the barn:


  • The Centers for Medicare and Medicaid recently announced  that there is a six month block on new enrollments for certain medical supply companies. 

  • Which is  maybe a good idea  since we  just discussed the fact that just  two related medical supply companies ripped off the American taxpayer for billions of dollars.

  • The pause move is designed to cut down fraud, waste  and abuse in  a high  risk area  of  Medicare.


Obviously, this should have been  done years and years ago before the fraud got out of  control but never too late to stop future  fraud.


4)From a politician’s perspective,  even if you are not corrupt, you still have  to be careful who you hang out with:


  • Kathy Hochul is the governor of New York state, Zohran  Mamdani is  the mayor of New York City.

  • Dr. Ijaz Ahmad is a healthcare  investor  and a  major  Democratic Party  donor and  fundraiser, with  strong  ties  and  contributions  to both Hochul and Mamdani.

  • Just in the past year his campaign  donations  totaled over $300,000.

  • But Ahmad has relationships with two alleged fraudsters who may have  stolen over $100 million of taxpayer wealth.

  • Federal law  enforcement  recently raided an adult day care center operated by one of those  folks, pharmacist Pervez Siddiqui.

  • He was  eventually arrested  for  Medicaid fraud  which  got him $38 million  via his  two facilities.

  • He and his co-conspirators allegedly bribed elderly New Yorkers to give them their  Medicare numbers and  then billed the  government  for  services that were  rarely provided  to those people they had  bribed.

  • They did this  for six years before anyone noticed. 


Again, nobody is accusing Hochul or Mamdani of wrongdoing. But it is not a good look  to  be associated  with someone  who gives your  cause a lot  of money but  who  is  associated  with someone allegedly involved in  a million  dollar defrauding of  the American  taxpayer.


What a mess: the fraud in Medicare and Medicaid boggles the mind and that does not include  school  fraud and other types of government  fraud incompetence. Many more episodes of fraud to follow.


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If you agree that we need to deseat every member of Congress for their lack of success and accomplishment, then please consider going to the following petition link to help the cause:


https://www.change.org/p/deseat-congress-reset-freedom



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