Crime
National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud

A 50-district dragnet uncovers transnational fraud, AI-driven deception, and systemic theft from Medicare, Medicaid, and U.S. taxpayers totaling over $14.6 billion
The Department of Justice announced Monday the outcome of the 2025 National Health Care Fraud Takedown, the largest coordinated enforcement action against health care fraud in U.S. history. Federal prosecutors have filed criminal charges against 324 individuals across 50 federal judicial districts and 12 State Attorneys General’s Offices, including 96 licensed medical professionals—among them doctors, nurse practitioners, and pharmacists. The defendants stand accused of orchestrating fraudulent schemes amounting to more than $14.6 billion in intended losses to Medicare, Medicaid, and other federally funded programs.

This historic enforcement action more than doubles the previous national record of $6 billion. As part of this effort, federal and state authorities have seized over $245 million in cash, luxury vehicles, cryptocurrency, and other high-value assets. The Centers for Medicare & Medicaid Services (CMS) separately reported that it successfully prevented more than $4 billion in fraudulent payments in the months leading up to the Takedown. CMS also confirmed that it suspended or revoked the billing privileges of 205 providers linked to fraudulent activity. In the civil domain, federal agencies filed actions against 20 defendants tied to $14.2 million in alleged fraud and finalized civil settlements with an additional 106 defendants, totaling $34.3 million in recovered funds.
The Takedown was led by the Health Care Fraud Unit of the DOJ Criminal Division’s Fraud Section and carried out in close coordination with U.S. Attorneys’ Offices nationwide, the Department of Health and Human Services Office of Inspector General (HHS-OIG), the Federal Bureau of Investigation (FBI), the Drug Enforcement Administration (DEA), and multiple state law enforcement agencies. Medicaid Fraud Control Units in 18 states also played a central role in investigating and prosecuting the cases.
In remarks accompanying the announcement, Secretary of Health and Human Services Robert F. Kennedy Jr. emphasized that the agency would aggressively work with law enforcement to eliminate the “pervasive health care fraud that drove up costs and harmed patients under the former administration.” Attorney General Pamela Bondi echoed the urgency, calling the action “justice delivered to those who steal from taxpayers and endanger lives.” Matthew R. Galeotti, head of the Justice Department’s Criminal Division, underscored the gravity of the crimes targeted, noting that fraudulent schemes often lead not only to financial losses but also to direct patient harm, including medically unnecessary procedures and worsened addiction outcomes.
FBI Director Kash Patel emphasized that this Takedown represents the largest in the bureau’s history, highlighting the theft of more than $13 billion from federal health programs. Acting Inspector General Juliet T. Hodgkins of HHS-OIG described the scale of harm as unprecedented and reaffirmed the agency’s commitment to safeguarding the public.
Among the most significant components of this national operation was Operation Gold Rush, which uncovered a sophisticated transnational conspiracy responsible for over $10 billion in fraudulent Medicare claims. The scheme was orchestrated by foreign nationals who, acting as a coordinated criminal enterprise, acquired more than 30 medical supply companies across the United States. These companies had already been enrolled in Medicare, and were then used to funnel false claims for urinary catheters and other durable medical equipment. Stolen identities of over one million Americans were used to submit these claims, which had not been requested by patients, nor ordered by physicians.
The conspiracy relied on straw owners sent from Russia and Estonia to the U.S., who were directed by co-conspirators communicating through encrypted channels. Using fraudulent documentation, these straw owners opened U.S. bank accounts for laundering proceeds. Though the organization submitted over $10.6 billion in claims, CMS successfully blocked most of the payments. Only approximately $41 million reached the conspirators via Medicare, but approximately $900 million was disbursed by Medicare supplemental insurers before the fraud was detected.
Four individuals were arrested in Estonia and eight others were apprehended at major U.S. airports and border crossings as they attempted to flee. Law enforcement seized approximately $27.7 million in fraud proceeds from this operation.

Federal prosecutors filed related charges in five districts: the Central District of California, the Middle District of Florida, the Northern District of Illinois, the District of New Jersey, and the Eastern District of New York.
In a separate scheme centered in Illinois, the Department brought charges against five individuals, including two executives from Pakistani marketing firms, who used artificial intelligence to generate fake audio recordings of Medicare beneficiaries purporting to consent to receive medical equipment. This fraudulent data was sold to laboratories and equipment suppliers, which used it to file $703 million in false claims. Approximately $418 million was ultimately paid out on these claims, and the government has so far seized $44.7 million in related assets. The fraud involved not only AI-based deception but also the illegal sale and laundering of stolen personal health information.
Another case exposed a billing company executive based in Pakistan and the United Arab Emirates who conspired with addiction treatment centers to submit approximately $650 million in fraudulent claims to Arizona Medicaid. Some services billed were never rendered, and others were so deficient as to provide no therapeutic value. The operation targeted vulnerable individuals, including members of Native American tribes and the homeless. Kickbacks were paid for patient referrals, and the executive used at least $25 million in illicit funds to purchase a $2.9 million home in Dubai.

The Department also charged 49 defendants in connection with over $1.17 billion in fraudulent claims tied to telemedicine and genetic testing. In one Florida case, an owner of both telemedicine and durable medical equipment companies orchestrated a $46 million scheme involving deceptive telemarketing campaigns that generated unauthorized genetic testing and equipment claims. The Department continues to prioritize cases involving telehealth-based fraud, which often exploits unwitting patients through misrepresented or manufactured consent.
Prescription opioid diversion was another central focus of the Takedown. A total of 74 defendants, including 44 licensed medical professionals, were charged across 58 criminal cases for illegally distributing more than 15 million opioid pills. One Texas pharmacy alone was responsible for over 3 million of these pills, which included highly addictive substances such as oxycodone, hydrocodone, and carisoprodol. The DEA concurrently announced 93 administrative actions to revoke licenses and registrations of pharmacies and providers implicated in the unlawful handling of controlled substances.
Other cases include a $28.7 million scheme in Tennessee involving medications falsely billed to the Federal Employees’ Compensation Fund, where prescriptions were neither authorized by physicians nor dispensed as claimed. In separate indictments filed in Washington and California, medical providers were charged with stealing fentanyl and hydrocodone intended for pediatric patients under anesthesia.
The geographic scope of the Takedown was vast. In total, 189 federal cases were filed across all 50 federal judicial districts, and 91 state-level cases were brought in 12 states by participating Attorneys General. This unprecedented coordination underscores the national impact and bipartisan support for rooting out fraud in American health care systems.
To enhance ongoing efforts, the Department also announced the establishment of a new Health Care Fraud Data Fusion Center.

This joint initiative brings together specialists from the DOJ’s Health Care Fraud Unit, HHS-OIG, FBI, and CMS to leverage cloud computing, artificial intelligence, and large-scale data analytics to detect emergent fraud patterns. The Fusion Center aligns with Executive Order 14243, “Stopping Waste, Fraud, and Abuse by Eliminating Information Silos,” which mandates interagency cooperation and data-sharing to reduce redundancy and increase efficiency in enforcement.
Principal Assistant Deputy Chief Jacob Foster, Assistant Deputy Chief Rebecca Yuan, Trial Attorney Miriam L. Glaser Dauermann, and Data Analyst Elizabeth Nolte coordinated this year’s Takedown from within the DOJ’s Health Care Fraud Unit. Prosecutors from the National Rapid Response team and regional Strike Forces in 27 districts led casework alongside U.S. Attorneys’ Offices and 18 state Medicaid Fraud Control Units. Additional support came from the Department of Labor, VA-OIG, IRS Criminal Investigation, Homeland Security Investigations, the Defense Criminal Investigative Service, the Office of Personnel Management, the United States Postal Service OIG, and numerous other federal and local agencies.
Image sources: US DOJ
Crime
DEA Busts Canadian Narco Whose Chinese Supplier Promised to Ship 100 Kilos of Fentanyl Precursors per Month From Vancouver to Los Angeles

A Hollywood-style DEA sting revealed a seamless pipeline from Vancouver brokers to Los Angeles cartel operatives and Australian drug markets.
A senior Indo-Canadian gangster from an ultra-violent British Columbia–based fentanyl trafficking gang with ties to Latin cartels, Chinese Triads, and Hezbollah was taken down in a stunning U.S. government sting that saw a thick-accented Chinese narco casually promise an undercover agent at a Vancouver café that he could ship 100 kilograms of fentanyl precursors per month from Vancouver to Los Angeles, using his trucking company fronted by an Indo-Canadian associate.
The case is detailed in a sprawling DEA probe spanning Turkey, Mexico City, Dubai, Australia, Toronto, Vancouver, Montreal, Hong Kong, and Los Angeles — all captured in a 29-page affidavit with scenes so surreal they could rival a Hollywood script, complete with underworld nicknames like “Burger,” “Queen,” and “Darth Vader.”
At the center is Opinder Singh Sian, a Canadian national and longtime Lower Mainland underworld figure who survived targeted shootings and reportedly leads the Brothers Keepers gang — a key proxy for the Sinaloa cartel in Canada, interoperable with other Latin American cartels, Chinese Communist Party chemical suppliers, and working alongside the Kinahans, a notorious Irish crime family now based in Dubai and closely linked to Hezbollah finance networks.
Sian has been arrested in Arizona and indicted in a sweeping U.S. case that underscores British Columbia’s critical role as a global trafficking hub, bringing together Mexican cartels and Chinese precursor suppliers that operate with near impunity in Vancouver but are increasingly the focus of elite U.S. law enforcement.
The affidavit illustrates how Vancouver’s criminal networks have funneled Chinese precursors into the United States and directly tied them to methamphetamine deals with Mexican gangsters on Los Angeles streets — part of one of the most sophisticated narcotics smuggling conspiracies ever uncovered in North America.
The explosive details are laid out in a newly unsealed affidavit filed by U.S. federal agent Albert Polito in support of a criminal complaint and arrest warrant against Sian. Sworn in 2024, the document offers a rare inside look at how Vancouver’s street-level crews transformed into global brokers bridging continents and more sophisticated criminal syndicates.
Much of the case focuses on methamphetamine shipments from Los Angeles to Australia, orchestrated by Sian, who acted as a proxy for more senior transnational Mexican, Chinese, and Iranian networks, experts say.
“Local gangs like Brothers Keepers aren’t just street crews — they’re frontline proxies in transnational narcoterror networks,” former Canadian intelligence analyst Scott McGregor, an expert on the nexus of Chinese and Iranian threats and foreign interference, commented on X. “Ignoring them as low-level threats misses their role in laundering, logistics, and hybrid warfare.”
But the penultimate finding — likely of high interest in Washington political circles — came from a stunning investigative meeting. In August 2023, the DEA affidavit describes how a shadowy U.S. undercover source known as “Queen” or CS-1 sat across from a man in Vancouver speaking with a thick Chinese accent.
The man, later identified as Peter Peng Zhou, explained in detail how he could “receive fentanyl precursor chemicals from China into Vancouver” and “send 100 kilos of chemicals per month to Los Angeles” using his British Columbia trucking company run by an Indo-Canadian associate.
Zhou allegedly told CS-1 that he had been doing this for about ten years and remembered when these kilograms of chemicals were upwards of $300,000 each. He claimed he knew how to make fentanyl and methamphetamine from the chemicals and emphasized that he would require upfront payment before sending any shipments south to Los Angeles.
Demonstrating how casually Vancouver’s narcos blend into upscale environments, the affidavit describes how Sian first dined at a downtown restaurant with his wife, child, and CS-1 before taking “The Queen” to meet his precursor suppliers at a coffee house.
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That critical meeting, involving Sian, Zhou, and other associates, provided prosecutors with some of the clearest evidence yet of a direct chemical pipeline from Chinese suppliers into North American distribution networks, routed first through Vancouver’s port and trucking infrastructure.
The investigation began in June 2022 when DEA agents in Ankara, Turkey, received intelligence about an opportunity to embed a confidential source into a global trafficking organization. This network needed help moving large shipments of methamphetamine and cocaine from Southern California to Australia — one of the world’s most lucrative drug markets.
DEA agents provided their Ankara counterparts with the phone number of CS-1 — known in global gang networks as “Queen” — who posed as an international logistics coordinator. A Turkish narco, Ibrahim Ozcelik, made initial contact and then passed CS-1’s details to a North American leader: Opinder Singh Sian.
After initial communications, Sian and CS-1 arranged an in-person meeting in Vancouver on February 1, 2023. During this pivotal encounter, Sian claimed to work closely with Irish organized crime — specifically the Kinahan family — as well as Italian groups and other powerful Canadian gangs. Outside Canada, he described sourcing drugs directly from major Mexican and South American cartels, reinforcing his role as a cross-border broker capable of linking multiple criminal networks. He also said he collaborated with a known Turkish drug kingpin, Hakan Arif, highlighting the global scope of his alliances.
While in Vancouver, Sian introduced CS-1 to two male associates. They explained they had about 500 kilograms of cocaine stockpiled and needed help moving it through Los Angeles ports and on to Australia. CS-1 claimed they could facilitate offloading in Los Angeles, repackaging, and onward shipping via container vessel — a scheme designed to tap into Australia’s sky-high wholesale prices, which exceed $200,000 per kilogram.
In March 2023, Sian and CS-1 met again at a restaurant in Manhattan Beach, California, to discuss expanding into methamphetamine smuggling. “Queen” also brought along a DEA undercover agent (“UC-1”), posing as a cousin who worked at the Port of Long Beach and helped move narcotics undetected.
At the meeting, Sian expressed caution, acknowledging they could get in trouble just for meeting. He said his first shipment would be “200,” consistent with earlier encrypted text conversations. UC-1 advised doing fewer but larger shipments to reduce detection risk, emphasizing this was only done for CS-1 as “family.”
Sian pressed for details about the port, probed UC-1’s connections, and mentioned knowing other contacts at the port, the DEA alleges.
By June 2023, the plan to move large methamphetamine shipments into the U.S. began to accelerate. Sian advised that he and his associates would deliver an estimated 500 to 750 kilograms of methamphetamine in separate drops coordinated by his network. On June 13, 2023, Sian created an encrypted chat group using the alias “Cain,” adding “Sticks” (later identified as Sebastian Rollin, a Canadian based in Montreal) and CS-1.
Rollin allegedlly informed CS-1 that his crew would soon deliver 30 pounds of methamphetamine in Southern California as part of the first staged shipment.
Another trafficker known as “El R” or “The R,” later identified as Ruben Chavez Ibarra, entered the operation.
The DEA’s Los Angeles operation revealed gritty street-level deals directly tying Sian’s Indo-Canadian group to “Queen’s” Mexican networks. On July 6, 2023, after days of negotiation, Jorge Orozco-Santana arranged a pick-up in Anaheim using a white Mercedes. He verified the deal with the serial number of a dollar bill token, handed over two plastic bins containing 84.6 kilograms of methamphetamine. The DEA tied this deal to the Montreal network involved in Sian’s encrypted chats.
On July 29, 2023, Sian created a new Threema group chat including a new associate using the moniker “AAA,” later identified as Tien Vai Ty Truong — a dual citizen of Vietnam and Canada, with narco operations in Toronto and Vancouver directed from Hong Kong, according to the DEA affidavit.
The group discussed the 30-pound and 200-pound loads and planned their shipment to Australia. On August 1, Sian asked CS-1 to call an associate named Kular to manage mounting anxiety among Mexican sources over shipment delays.
Meanwhile, CS-1 began discussing fentanyl precursor chemicals with Kular and Sian.
This line of discussion began because Kular had first asked CS-1 whether her networks could receive direct ketamine shipments into Mexico City — a question that suggested to the DEA that Sian’s network likely had direct access to Chinese Communist Party–linked drug suppliers and large-scale chemical manufacturing channels.
In response, the DEA’s High Intensity Drug Trafficking Area Group 48 team prompted “Queen” to pivot and ask about fentanyl precursors. Queen did so, requesting prices on two critical compounds: 1-BOC-4-piperidone and 1-BOC-4-anilinopiperidine. Kular replied that the price would be $225 for the first chemical and $750 for the second, plus $1,000 for shipping.
Shortly after, on July 25, 2023, Sian himself directly contacted Queen, claiming he could supply those same precursors directly and even provide initial samples. He said he could get the chemicals “straight from China,” and proposed shipping them by container into the Port of Long Beach.
To build trust, Sian offered to mail a sample first. On July 29, Queen provided Sian with an undercover DEA-controlled PO box. That same day, Sian confirmed he had sent 20 grams of 1-BOC-4-piperidone and said he would accept cryptocurrency (specifically USDT, also known as Tether) for future large orders. By August 10, Sian informed Queen that the sample shipment had been sent, though it might not arrive until the following week — further confirming the group’s operational capacity to source Chinese precursors and move them into the U.S.
This was the evidence the DEA needed to take the Vancouver port fentanyl sting into high gear.
Returning to Vancouver in August, the headline-making fentanyl meeting came into full context. On August 16, 2023, CS-1 met Sian and his wife and child for lunch in downtown Vancouver. After lunch, Sian drove CS-1 to meet two individuals capable of sending bulk fentanyl precursor chemicals into the United States.
At a coffee shop, Peter Peng Zhou — speaking with a heavy Chinese accent — described how he could receive precursor shipments from China into Vancouver and move 100 kilograms per month to Los Angeles using his British Columbia trucking company.
In an almost absurdly candid aside, Zhou introduced his partner, known as “Burger,” described as a Southeast Asian male who managed “the money side” of the business for him. According to the DEA affidavit, Burger bluntly said he was involved because “his wife was very greedy and wanted him to make more money.”
The pivotal Vancouver coffee meeting also brought in more connections to Mexican operatives in California. During the same meeting, Sian mentioned a contact named Orlando, referring to Orlando Escutia, a Bakersfield, California–based associate. Sian explained that Escutia would be delivering CS-1 an additional 50 kilograms of methamphetamine the following week for shipment to Australia.
Zhou further revealed he could start acquiring a new fentanyl precursor with a CAS number ending in 228, describing it as a “newer and better” chemical for making fentanyl. He elaborated that when he shipped these chemicals by mail, he used a special bag designed to evade law enforcement detection, the DEA alleges.
Later that same day, CS-1 and Sian met with another key figure known as “ABC,” later identified as Kular, at a restaurant in downtown Vancouver. Kular claimed that his own boss, “AAA” — later identified as Tien Truong — was a Chinese national about 55 years old, mainly operating in the Toronto area. According to Kular, Truong’s bosses were ultimately based out of Hong Kong and specialized in moving large quantities of cocaine and methamphetamine around the world.
Crime
‘We’re Going To Lose’: Steve Bannon Warns Withholding Epstein Files Would Doom GOP

From the Daily Caller News Foundation
By Jason Cohen
Former White House adviser Steve Bannon warned on Friday that Republicans would suffer major losses if President Donald Trump’s administration does not move to release documents related to deceased pedophile Jeffrey Epstein’s crimes and associations.
Axios reported on Sunday that a two-page memo showed the Department Of Justice (DOJ) and FBI found no evidence Epstein kept a “client list” or was murdered, but public doubts have continued. Bannon said on “Bannon’s War Room” that failure to release information would lead to the dissipation of one-tenth of the Make America Great Again (MAGA) movement and significant losses for the Republican Party in the 2026 midterms and the 2028 presidential election.
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“It’s not about just a pedophile ring and all that, it’s about who governs us, right? And that’s why it’s not going to go away … For this to go away, you’re going to lose 10% of the MAGA movement,” Bannon said. “If we lose 10% of the MAGA movement right now, we’re going to lose 40 seats in ’26, we’re going to lose the [presidency]. They don’t even have to steal it, which they’re going to try to do in ’28, because they’re going to sit there and they go, ‘They’ve disheartened the hardest-core populist nationalists’ — that’s always been who governs us.”
Bannon also demanded the publication of all the Epstein documents on “Bannon’s War Room” Thursday. He called on the DOJ to go to court and push for the release of the documents or for Trump to appoint a special counsel to manage the publication.
Epstein was arrested in 2019 and charged with sex trafficking. Shortly after, he was found dead in his New York Metropolitan Correctional Center cell shortly after. Officials asserted that he hanged himself in his cell.
However, Epstein’s death has sparked years of theories because of the malfunctioning of prison cameras, along with guards admitting to falsifying documents about checking on the then-inmate. The DOJ inspector general later confirmed that multiple surveillance cameras outside of his cell were inoperable, while others captured the common area outside his door.
Both Bannon and Daily Caller News Foundation co-founder Tucker Carlson have speculated that Epstein had connections to intelligence agencies.
Former Labor Secretary Alex Acosta allegedly indicated that Epstein was tied to intelligence, according to Vicky Ward in The Daily Beast.
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