Cape Cod Man Pleads Guilty in DME Fraud Laundering Case

WASHINGTON—A Cape Cod man has pleaded guilty to a money laundering conspiracy for laundering proceeds in connection with a more than $6 million health care fraud scheme, the Department of Justice (DOJ) reported.

According to court documents and statements made in court, Leo Anzivino Jr., 35, of Falmouth, Massachusetts, conspired with others to launder health care fraud proceeds. Anzivino agreed to be the straw owner of Advanced Medical Supply Corp. in Rochester, New Hampshire, even though his co-conspirators were in fact the beneficial owners and managers of Advanced. 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. 

Anzivino, according to prosecutors, 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% or more of the equity interests of Advanced when others, including a co-conspirator, were Advanced’s true owners.

Anzivino then allegedly laundered the fraud proceeds by 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, the DOJ said.

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

Anzivino pleaded guilty to one count of money laundering conspiracy. He is scheduled to be sentenced Jan. 21, 2027 and faces a maximum penalty of 10 years in years in prison.

On April 7, the Department of Justice announced the creation of the Fraud Division. The Fraud Division is laser-focused on investigating and prosecuting those who commit fraud against the American people. The Department’s work to combat fraud supports 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.