DME nominee owner admits laundering Medicare fraud proceeds
Oct 18, 2026 edition · GC-2026-0351 · Published 2026-10-18 · Version 1 · Final
Leo Anzivino Jr. pleaded guilty to laundering proceeds from a DME operation that billed Medicare more than $6 million. Nominee ownership, forged physician orders and beneficiary returns accompanied transfers of $1,494,938.09. Sentencing is scheduled for January 21, 2027.
What happened
Leo Anzivino Jr. pleaded guilty on October 13 to one count of money laundering conspiracy connected to Advanced Medical Supply Corp. in New Hampshire. Advanced submitted more than $6 million in Medicare claims for equipment beneficiaries did not need and doctors had not prescribed, using fake physician orders. Medicare paid more than $3 million. Anzivino is scheduled for sentencing on January 21, 2027; the reported 10-year maximum is a statutory exposure, not an imposed sentence.
Anzivino appeared as Advanced's owner on Medicare enrollment documents and falsely certified bank ownership information while others were the actual beneficial owners and managers. Beneficiaries returned equipment with statements that they had not ordered it. After one bank questioned proposed recipient companies, Anzivino opened another account. Even after learning of impending billing revocation, he wired $1,494,938.09 in three transactions over five weeks. The government separately seized approximately $353,768.29 in 2024; that seizure is not a restitution judgment.
Scope and timing
- Authority status
- Final
- Applicability
- Operationally relevant
- Audience
- Health systems, Provider networks
- Jurisdiction
- Federal
Why it matters
Enrollment records, bank ownership information, beneficiary complaints and payment movements can reveal a common scheme even when each appears to involve a different operational team.
Recommended action
Reconcile supplier ownership disclosures with actual control and payment recipients. Route unsolicited-equipment returns and bank concerns into a shared fraud assessment, including review of transfers following enrollment deficiencies.
Case details
- agencies
- DOJ, HHS-OIG, FBI, IRS-CI, DCIS
- entities
- Leo Anzivino Jr., Advanced Medical Supply Corp.
- action Type
- Criminal resolution
- event Date
- 2026-10-13
- alleged Conduct
- Concealing beneficial ownership and laundering proceeds of fraudulent Medicare DME claims supported by fake physician orders.
- resolution
- Guilty plea to money laundering conspiracy; sentencing scheduled January 21, 2027. No sentence or restitution award was reported.
Operational lessons
- Validate beneficial ownership beyond nominal enrollment entries.
- Connect beneficiary returns, bank concerns and enrollment deficiencies across teams.
Implementation playbook
- Recommended internal target: compare DME beneficial owners, managers, enrollment disclosures and payment-account control for inconsistent or nominee arrangements. Provider Enrollment · Due 2026-10-23
- Recommended internal target: connect equipment returns and ordering complaints to payment holds, physician-order validation and a documented escalation decision. Compliance · Due 2026-10-30
Sources
- Cape Cod man pleads guilty to laundering Medicare fraud proceedsOfficial · U.S. Department of Justice · 2026-10-13
Complete edition and supplemental material
This finding in the complete approved report →Regulatory horizons, CIA trends and implementation trackers remain in the full report.
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