US DOJ Takes Action Against More Than 400 Nationally on Health Care Fraud, Two Named in RI

US DOJ Takes Action Against More Than 400 Nationally on Health Care Fraud, Two Named in RI

 

The United States Justice Department on Tuesday announced the 2026 National Health Care Fraud Takedown, which resulted in charges against 455 defendants, including 90 doctors and other licensed medical professionals, for their alleged participation in health care fraud and opioid abuse schemes involving over $6.5 billion in false claims and significant patient harm, including death.

 

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“The Takedown represents a new era in federal, state, and international cooperation to combat health care fraud: cases in 56 federal districts and 45 U.S. states and territories, with 50 state Medicaid Fraud Control Units participating, the most in Department history. In addition, unprecedented international cooperation over the two-week period,” claims the Department of Justice.

 

Takedown resulted in the apprehension and return to the United States of the following health care fraudsters: one defendant in Kyrenia in connection with an over $3.7 billion scheme; two defendants in Estonia in connection with a previously charged $10.6 billion scheme; and, in the Philippines, one of the FBI’s Most Wanted Fraudsters in connection with a previously charged $1.2 billion telemedicine fraud scheme. The Takedown involves the cutting-edge use of data analytics to target the worst actors; the seizure of over $182 million in cash, luxury vehicles, jewelry, and other assets; and full-spectrum accountability for all criminal actors from doctor’s offices to corporate boardrooms.  

 

 

Only two actions were cited in Rhode Island:

 

Mareli Arias Batista, 57, of Providence, Rhode Island, was charged by indictment with false representation of a Social Security number, aggravated identity theft, wire fraud, false statement in application for a passport, use of a false passport, and bank fraud, in connection with a scheme to obtain benefits using the identity of another person. Among other benefits, Batista fraudulently obtained approximately $28,236.42 in Rhode Island Medicaid benefits. The case is being prosecuted by Special Assistant U.S. Attorney John M. Moreira of the District of Rhode Island.

 

Balni Pimentel Lara, 59 years old, of Providence, Rhode Island, was charged by indictment with false representation of a Social Security number, aggravated identity theft, wire fraud, and health care fraud in connection with a scheme to obtain benefits using another person's identity. Among other benefits, Lara fraudulently obtained approximately $24,018.86 in Rhode Island Medicaid benefits. The case is being prosecuted by Special Assistant U.S. Attorney John M. Moreira of the District of Rhode Island and the Social Security Administration.