Cape Cod man pleads guilty to $6 million Medicare fraud scheme

A Cape Cod man pleaded guilty to leading a money-laundering conspiracy that created a $6 million health care fraud scheme, U.S. Attorney Erin Creegan announced Tuesday.

Leo Anzivino Jr., 34, of Falmouth, Mass., pleaded to one money-laundering conspiracy count before U.S. District Court Judge Landya McCafferty.

He faces a Jan. 21, 2027, sentencing and federal officials said he could receive up to 10 years in federal prison.

According to court documents and statements made in court, Anzivino agreed to be the straw, or nominal, owner of Advanced Medical Supply (Advanced) , a legitimate company in Rochester, New Hampshire.

Anzivino then went on to bill Medicare for more than $6 million in durable medical equipment – such as knee braces and back braces – that patients didn’t seek and doctors did not prescribe.

Medicare paid out more than $3 million for the fraudulent claims, prosecutors said.

Beneficiaries then returned boxes of medical equipment to Advanced with notes stating they had not sought these products.

Federal prosecutors said beneficial owners and managers of Advanced knew of Anzivino’s scheme and he hid their involvement by listing himself on Medicare paperwork.

He also submitted false bank account opening documents with a New Hampshire bank, listing himself as the “sole owner” of 25% or more of Advanced’s equity interest.

When an employee with the New Hampshire bank said the institution was not confident that some of these companies were legitimate, Anzivino opened a bank account at another bank with branches in Massachusetts, prosecutors said.

Anzivino then learned Medicare would revoke Advanced’s ability to bill the federal government health insurer, federal officials said.

Target sends panicked messages

According to court documents, Anzivino sent messages to another individual explaining that, “All the ppl who gave me money are going to come back for it now my shits revoked.”

Anzivino stated that his co-conspirator “still wants me to wire him money,” and claiming that, “I ain’t wiring shit.”

Despite this statement, federal prosecutors said that during the next five weeks, Anzivino wired nearly $1.5 million across three separate transactions to a co-conspirator.

In 2024, the government seized approximately $354,000 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 assistance from IRS-Criminal Investigations and the Department of War Office of Inspector General’s Defense Criminal Investigative Services, officials said.

Assistant U.S. Attorneys Matthew Hunter and Matthew Vicinanzo and trial lawyers John Howard and Tiffany Wynn of the National Fraud Enforcement Division’s Health Care Fraud Section are prosecuting the case.

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