Cape Cod man pleads guilty to conspiring to launder proceeds of $6 million Medicare fraud scheme

Date: Oct. 13, 2026

Contact: newsroom@ci.irs.gov

CONCORD – Falmouth, Massachusetts resident Leo Anzivino, Jr. pleaded guilty today to a money laundering conspiracy in connection with a more than $6 million health care fraud scheme, U.S. Attorney Erin Creegan and Assistant Attorney General Colin M. McDonald of the Justice Department’s National Fraud Enforcement Division announce.

Anzivino pleaded guilty to one count of money laundering conspiracy before U.S. District Judge Landya McCafferty. The Court scheduled sentencing for Jan. 21, 2027. The defendant faces a maximum penalty of ten years in prison. Sentences are imposed by a federal district court judge based upon the U.S. Sentencing Guidelines and statutes that govern the determination of a sentence in a criminal case.

According to court documents and statements made in court, Anzivino conspired with others to launder health care fraud proceeds. Specifically, Anzivino agreed to be the straw or nominal owner of Advanced Medical Supply Corp. (Advanced), located in Rochester, New Hampshire, even though his co-conspirators were in fact the beneficial owners and managers of Advanced. Thereafter, Advanced submitted more than $6 million in claims to Medicare for durable medical equipment (DME) – such as knee braces and back braces – that Medicare beneficiaries did not need and that doctors did not prescribe. Instead, Advanced supported these claims using fake orders from physicians who did not actually write or submit those orders. Medicare paid more than $3 million as a result of these false and fraudulent claims. 

Medicare beneficiaries returned boxes of DME to Advanced with notes stating that they had not ordered the products and alleging a fraud or scam.

For his part, Anzivino helped hide his co-conspirators’ involvement with Advanced by being listed as the owner of Advanced on the Medicare enrollment paperwork. He also submitted false and fraudulent bank account opening documents to a bank in New Hampshire, falsely certifying that he was the sole owner of 25 percent or more of the equity interests of Advanced when others, including a co-conspirator, were Advanced’s true owners. 

Anzivino then laundered the fraud proceeds by, at his co-conspirator’s direction, seeking to transfer more than $1 million from the Advanced bank account in New Hampshire to companies that were affiliated with the co-conspirator. When told by a bank employee that the bank had not reached a level of confidence that the other companies were legitimate, and that Anzivino should do his own research into these companies, Anzivino instead opened a bank account at another bank with branches in Massachusetts. 

Anzivino learned that Advanced’s ability to bill Medicare would be revoked for various deficiencies, including an inability to verify proof of his ownership of Advanced. Anzivino then sent messages to another individual discussing that revocation, explaining that “All the ppl who gave me money are going to come back for it now my shits revoked,” stating that his co-conspirator “still wants me to wire him money,” and claiming that “I ain’t wiring shit.” Despite this, over the next five weeks, Anzivino proceeded to wire $1,494,938.09 across three separate transactions.

In 2024, the government seized approximately $353,768.29 in assets tied to the alleged scheme from Advanced’s bank account.

The U.S. Department of Health and Human Services, Office of the Inspector General and the Federal Bureau of Investigation investigated the case with valuable assistance from IRS-Criminal Investigation and the Department of War Office of Inspector General’s Defense Criminal Investigative Services. Assistant U.S. Attorneys Matthew Hunter and Matthew Vicinanzo and Trial Attorneys John Howard and Tiffany Wynn of the National Fraud Enforcement Division’s Health Care Fraud Section are prosecuting the case. 

On April 7, the Department of Justice announced the creation of the National Fraud Enforcement Division. The core mission of the Fraud Division is to zealously investigate and prosecute those who steal or fraudulently misuse taxpayer dollars. Department of Justice efforts to combat fraud support President Trump’s Task Force to Eliminate Fraud, a whole-of-government effort chaired by Vice President J.D. Vance to eliminate fraud, waste, and abuse within Federal benefit programs. 

The Department of Justice’s Health Care Fraud Strike Force Program, currently comprised of nine strike forces operating in federal districts across the country, has charged more than 6,200 defendants who collectively billed federal health care programs and private insurers more than $45 billion since 2007. In addition, the Centers for Medicare & Medicaid Services, working in conjunction with the Office of the Inspector General for the Department of Health and Human Services, are taking steps to hold providers accountable for their involvement in health care fraud schemes.

IRS-CI is the law enforcement arm of the IRS, responsible for conducting financial crime investigations, including tax fraud, narcotics trafficking, money laundering, public corruption, healthcare fraud, identity theft and more. It is the only federal law enforcement agency with investigative jurisdiction over violations of the Internal Revenue Code. IRS-CI has 16 field offices located across the U.S. and maintains an international presence through attaché posts abroad.