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Friday, September 5, 2025

Charges filed in DOJ's largest health care fraud takedown

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Mac Schneider, U.S. Attorney | U.S. Attorney's Office for the District of North Dakota

Mac Schneider, U.S. Attorney | U.S. Attorney's Office for the District of North Dakota

Acting United States Attorney Jennifer Klemetsrud Puhl has announced criminal charges against Isaac Osei Afoakwa, 55, of Bismarck, North Dakota. The charges are related to an alleged scheme to defraud Medicare and form part of the Department of Justice’s 2025 National Health Care Fraud Takedown.

Afoakwa faces indictment for false statements relating to a health care benefit program, wire fraud, aggravated identity theft, and aiding and abetting the preparation and presentation of a false tax return. The indictment alleges that Afoakwa submitted $100,000 in fraudulent claims to North Dakota Medicaid through his company, Bismarck Transportation Services. He is also accused of fraudulently obtaining a Paycheck Protection Program loan and eight Economic Injury Disaster Loans totaling $1,615,944.

Attorney General Pamela Bondi stated: “Today’s record-setting Health Care Fraud Takedown sends a crystal-clear message to criminal actors... we will find you, we will prosecute you, and we will hold you accountable to the fullest extent of the law.”

The announcement is part of a coordinated nationwide law enforcement action resulting in charges against 324 defendants involved in health care fraud schemes amounting to over $14.6 billion in alleged false billings. The defendants allegedly misused programs meant for the elderly and disabled for personal gain. In connection with this operation, authorities seized over $245 million in cash and assets.

In North Dakota specifically, investigations were conducted by multiple agencies including the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), Internal Revenue Service Criminal Investigation, Small Business Administration Office of Inspector General, and the North Dakota Medicaid Fraud Control Unit.

All defendants are presumed innocent until proven guilty beyond a reasonable doubt in court. Assistant U.S. Attorney Matthew Greenley is prosecuting Afoakwa's case on behalf of the District of North Dakota.

Materials related to today’s announcement can be accessed on the Health Care Fraud Unit’s website.

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