Texas Man Sentenced for $60M Medicare Fraud Scheme

Patrick Cassells ordered to pay millions in restitution, forfeit assets, and serve 90 months in prison.

Published on Mar. 10, 2026

Got story updates? Submit your updates here. ›

A 65-year-old Texas man named Patrick Cassells has been sentenced to 90 months in prison and ordered to pay $25.4 million in restitution for his role in a $59.9 million Medicare fraud scheme. Cassells owned and operated three medical equipment supply companies where he lied about ownership, used fake medical paperwork, and submitted fraudulent claims to Medicare, ultimately receiving over $27 million in payments.

Why it matters

This case highlights the ongoing problem of healthcare fraud, which costs taxpayers billions each year. It also demonstrates how fraudsters can exploit Medicare's systems to personally enrich themselves through elaborate schemes involving fake paperwork, shell companies, and the purchase of luxury goods. The sentencing sends a strong message about the consequences of such large-scale fraud.

The details

According to the Department of Justice, Cassells pleaded guilty in June 2024 to one count of conspiracy to commit health care fraud. In addition to the prison sentence and restitution, he was also ordered to forfeit four vehicles and three properties in Houston that were purchased with the fraudulent proceeds. Cassells' scheme involved lying about the ownership of one of his medical equipment companies and working with others to create fake medical paperwork for unnecessary orthotic braces and other devices, which were then billed to Medicare.

  • Cassells pleaded guilty in June 2024.
  • He was sentenced on March 9, 2026.

The players

Patrick Cassells

A 65-year-old Texas man who owned and operated three medical equipment supply companies and orchestrated a $59.9 million Medicare fraud scheme.

Department of Justice

The federal agency that prosecuted Cassells and announced his sentencing.

Got photos? Submit your photos here. ›

What’s next

The Department of Justice will continue to investigate and prosecute healthcare fraud schemes to protect taxpayer funds and ensure the integrity of federal healthcare programs.

The takeaway

This sentencing demonstrates the serious consequences for individuals who engage in large-scale Medicare fraud. It serves as a warning to others who may be tempted to exploit the healthcare system for personal gain at the expense of taxpayers.