U.S. Attorney’s Office announces charges against three defendants in the Eastern District of Virginia as part of national health care fraud takedown

ALEXANDRIA, Va. - Today, the U.S. Attorney's Office for the Eastern District of Virginia announced charges against three defendants in connection with alleged schemes to defraud Medicare and Medicaid. The charges filed in federal court are part of the Department of Justice's 2026 National Health Care Fraud Takedown.

The charges announced today are part of a strategically coordinated, nationwide law enforcement action that resulted in charges against 455 defendants, including 90 doctors and other licensed medical professionals, for their alleged participation in health care fraud and opioid abuse schemes involving over $6.5 billion in false claims and significant patient harm, including death. Today's Takedown represents a new era in federal, state, and international cooperation to combat health care fraud: cases in 56 federal districts and 45 U.S. states and territories, with 50 state Medicaid Fraud Control Units participating, the most in Department history. In addition, unprecedented international cooperation over the two-week Takedown resulted in the apprehension and return to the United States of the following health care fraudsters: one defendant in Kyrenia in connection with an over $3.7 billion scheme; two defendants in Estonia in connection with a previously charged $10.6 billion scheme; and, in the Philippines, one of FBI's Most Wanted Fraudsters in connection with a previously-charged $1.2 billion telemedicine fraud scheme. The Takedown involves the cutting-edge use of data analytics to target the worst actors; the seizure of over $182 million in cash, luxury vehicles, jewelry, and other assets; and full-spectrum accountability for all criminal actors from doctor's offices to corporate boardrooms.

Today's coordinated enforcement action involves a whole-of-government approach, including:

• Actions by the Centers for Medicare and Medicaid Services (CMS) to suspend 1,079 providers and revoke billing privileges for 1,403 providers.

• 48 Civil Monetary Payment settlements amounting to over $73 million, over 1,400 provider exclusions, and 25 actions by the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG) under the Civil Monetary Penalties Law seeking more than $10 billion in payments to the Medicare Trust Fund from payments that CMS caught and suspended before the funds were paid to the fraudulent providers.

• Civil charges against 13 defendants for $14.8 million in health care fraud schemes, as well as civil settlements with 31 defendants totaling $23 million.

• 928 administrative cases by the Drug Enforcement Administration (DEA) seeking the revocation of authority to handle and/or prescribe controlled substances since Oct. 1, 2025.

The following individuals were charged in the Eastern District of Virginia:

Jair Barbour, 37, of Henrico, was charged by information with making false statements relating to health care matters in connection with fraudulently billing Medicaid for mental health services totaling $345,670.93. As alleged in the criminal information, Barbour, a qualified mental health provider, submitted hundreds of falsified progress notes describing mental health sessions that never occurred, dramatically overstated the number of hours she worked, and documented services that were impossible due to overlapping or conflicting times. The case is being prosecuted by Assistant U.S. Attorney Robert S. Day.

Mikia Noble, 37, of North Chesterfield, was charged by information with conspiracy to commit health care fraud in connection with a crisis mental health services fraud scheme on Virginia Medicaid. As alleged in the information, Noble, the Chief Operating Officer of Advancing Communities Everywhere, conspired with others to target low-income, often homeless, Medicaid recipients by purporting to provide those recipients with mental health services that the recipients did not receive and often did not need. Noble and others submitted approximately $49.6 million in false and fraudulent claims to Medicaid, of which approximately $38.6 million was paid. The case is being prosecuted by Assistant U.S. Attorney Robert S. Day of the Eastern District of Virginia and Trial Attorneys Zachary H. Ray and Lauren Randell of the National Rapid Response Strike Force.

Abdul Rehman Sirhandi, 57, of Aldie, was charged by information with conspiring to make false statements in health care fraud matters in connection with a durable medical equipment (DME) fraud scheme. As alleged in the information, Sirhandi acted as the straw owner of a DME company, Pulse Medical Supply, and conspired with others in Texas and Pakistan to submit approximately $780,627 in false and fraudulent claims to Medicare, of which approximately $313,233 was paid. The case is being prosecuted by Assistant U.S. Attorney Russell L. Carlberg of the Eastern District of Virginia and Trial Attorney Zachary H. Ray of the National Rapid Response Strike Force.

The cases are being prosecuted by the Health Care Fraud Unit's National Rapid Response, Florida, Gulf Coast, Los Angeles, Midwest, New England, Northeast, Texas, and West Coast Strike Forces; U.S. Attorneys' Offices for the Middle District of Alabama, District of Arizona, Central District of California, Southern District of California, District of Colorado, District of Connecticut, District of Delaware, Middle District of Florida, Northern District of Florida, Southern District of Florida, Northern District of Georgia, District of Hawaii, District of Idaho, Northern District of Illinois, Northern District of Iowa, Southern District of Iowa, Western District of Kentucky, Eastern District of Louisiana, Middle District of Louisiana, District of Massachusetts, Eastern District of Michigan, Southern District of Mississippi, District of Montana, District of Nebraska, District of New Hampshire, District of New Jersey, District of New Mexico, Eastern District of New York, Northern District of New York, Southern District of New York, Eastern District of North Carolina, Middle District of North Carolina, Western District of North Carolina, Northern District of Ohio, Northern District of Oklahoma, Western District of Oklahoma, District of Oregon, Eastern District of Pennsylvania, Middle District of Pennsylvania, Western District of Pennsylvania, District of Puerto Rico, District of Rhode Island, District of South Carolina, District of South Dakota, Middle District of Tennessee, Western District of Tennessee, Northern District of Texas, Southern District of Texas, Western District of Texas, District of Vermont, Eastern District of Virginia, Western District of Virginia, Northern District of West Virginia, Southern District of West Virginia, Eastern District of Wisconsin, and Western District of Wisconsin; and State Attorneys General Offices, through their MFCUs, in Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Utah, Vermont, Virgin Islands, Washington, Wisconsin, and West Virginia. In addition, the MFCUs for Alabama, North Carolina, South Dakota, Texas, and Virigina participated in the investigation of federal cases announced today.

Descriptions of each case involved in today's enforcement action are available on the Department's website here.

On April 7, the Department of Justice announced the creation of the National Fraud Enforcement Division (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.

An indictment, information, or complaint is merely an allegation. All defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.