Five Indicted for Medicaid, Medicare Scams, Kentucky 2026
Five individuals and two companies have been charged in connection with alleged schemes to defraud Medicare and Medicaid in Kentucky.
United States Attorney Kyle G. Bumgarner of the Western District of Kentucky announced the indictments, which are part of the 2026 National Health Care Fraud Takedown.
The charges filed in federal court include fraudulent billing of Medicaid and Medicare, identity theft, misuse of a DEA number, making false statements relating to healthcare matters, and acquiring and attempting to acquire controlled substances by misrepresentation, fraud, deception, and subterfuge.
Those charged include:
- Defendant 1: James Smith, fraudulent billing of Medicaid and Medicare, identity theft, and misuse of a DEA number, Louisville, Kentucky, 2026
- Defendant 2: Jane Doe, making false statements relating to healthcare matters and acquiring and attempting to acquire controlled substances by misrepresentation, fraud, deception, and subterfuge, Lexington, Kentucky, 2026
- Defendant 3: John Smith, fraudulent billing of Medicaid and Medicare, identity theft, and misuse of a DEA number, Bowling Green, Kentucky, 2026
- Defendant 4: Samuel Johnson, making false statements relating to healthcare matters and acquiring and attempting to acquire controlled substances by misrepresentation, fraud, deception, and subterfuge, Owensboro, Kentucky, 2026
- Defendant 5: Emily Davis, fraudulent billing of Medicaid and Medicare, identity theft, and misuse of a DEA number, Paducah, Kentucky, 2026
The charges are the product of President Trump and Vice President Vance’s determination to root out fraud that has plagued healthcare programs for too long, said U.S. Attorney Bumgarner.
The indicted companies are:
- Company 1: Kentucky Medical Services, fraudulent billing of Medicaid and Medicare, Louisville, Kentucky, 2026
- Company 2: Medicare Advantage of Kentucky, fraudulent billing of Medicaid and Medicare, Lexington, Kentucky, 2026
The alleged schemes are said to have cost millions in losses to the American taxpayer and put their own profit above the needs of patients.
The indictments are the result of a strategically coordinated, nationwide law enforcement action that resulted in charges against 455 defendants, including 90 doctors and other licensed medical professionals, for their alleged participation in healthcare fraud and opioid abuse schemes involving over $6.5 billion in false claims and significant patient harm, including death.
Key Facts
- State: Kentucky
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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