Leo Anzivino Jr., 35, of Falmouth, Massachusetts, pleaded guilty on October 13, 2026, to conspiring to launder proceeds connected to a health care fraud scheme involving Advanced Medical Supply Corp., a durable medical equipment company based in Rochester, New Hampshire.
His sentencing is scheduled for January 21, 2027, and he faces a maximum potential penalty of 10 years in federal prison, according to the U.S. Department of Justice (DOJ).
Key Facts About the Medicare Fraud Case
- Defendant: Leo Anzivino Jr., 35
- Location: Falmouth, Massachusetts
- Company involved: Advanced Medical Supply Corp.
- Medicare claims: More than $6 million
- Medicare payments: More than $3 million, according to the DOJ’s guilty-plea announcement
- Money transferred: $1,494,938.09 across three transactions
- Assets seized: Approximately $353,768.29 in 2024
- Sentencing date: January 21, 2027
Fake Physician Orders Used for Medical Equipment Claims
According to court documents and statements made in court, Advanced Medical Supply submitted more than $6 million in claims to Medicare for durable medical equipment, including knee braces and back braces, that beneficiaries did not need and physicians had not prescribed.
Prosecutors said the company supported its claims with fabricated physician orders that the doctors had neither written nor submitted.
Medicare paid more than $3 million in connection with the false claims.
Some beneficiaries reportedly returned boxes of medical equipment to the supplier with notes stating they had never ordered the products.
The notes also questioned the legitimacy of the shipments and described them as a possible Medicare scam.
The evidence illustrates how allegedly unauthorized medical equipment shipments became part of the investigation.
Nominal Ownership Allegedly Helped Conceal the Scheme
Prosecutors said Anzivino agreed to serve as the nominal owner of Advanced Medical Supply, while his co-conspirators were the company’s actual beneficial owners and managers.
He was listed as the owner on Medicare enrollment paperwork and allegedly submitted false bank account documents representing that he was the sole owner of at least 25% of the company’s equity interests.
These arrangements allegedly concealed the involvement of other individuals who controlled the business and its financial operations.
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More Than $1.49 Million Transferred Through Bank Accounts
According to the DOJ, Anzivino sought to transfer more than $1 million from Advanced’s New Hampshire bank account to companies affiliated with a co-conspirator.
After a bank employee questioned whether those companies were legitimate, Anzivino opened an account at another bank with branches in Massachusetts.
Anzivino later learned that Advanced’s Medicare billing privileges would be revoked because of several deficiencies, including problems verifying his ownership.
Despite expressing reluctance in messages about sending further money, he subsequently wired $1,494,938.09 in three separate transactions over five weeks.
In 2024, authorities seized approximately $353,768.29 in assets connected to the scheme from Advanced’s bank account.
Federal Investigation and Upcoming Sentencing
The investigation involved the U.S. Department of Health and Human Services Office of Inspector General and the FBI, with assistance from IRS Criminal Investigation and the Department of War Office of Inspector General’s Defense Criminal Investigative Service.
Anzivino pleaded guilty to one count of money laundering conspiracy.
A federal judge will determine his sentence after considering the U.S. Sentencing Guidelines and other applicable statutory factors.
The 10-year maximum is not a prediction of the sentence he will receive.
The case underscores federal enforcement efforts targeting fraudulent Medicare billing and financial transactions allegedly used to conceal the proceeds of health care fraud.
Frequently Asked Questions
Who is Leo Anzivino Jr.?
He is a 35-year-old Falmouth, Massachusetts, resident who pleaded guilty to money laundering conspiracy in connection with the Medicare fraud scheme.
How much money was involved?
Advanced Medical Supply submitted more than $6 million in Medicare claims, and Medicare paid more than $3 million, according to the DOJ’s guilty-plea announcement.
When is the sentencing scheduled?
Anzivino is scheduled to be sentenced on January 21, 2027.
How much prison time could he face?
He faces a maximum potential penalty of 10 years in prison. The final sentence will be determined by a federal judge.