Healthcare fraud in Maryland is defined under Md. Code, Criminal Law Article, as knowingly executing or attempting to execute a scheme to defraud a healthcare benefit program, including Medicare, Medicaid, or private insurance, through false representations, claims, or billing practices. This offense can be prosecuted as a misdemeanor or felony depending on the value of the fraud. Theft of property or services valued at $1,500 or more is a felony carrying up to 5 years in prison, while theft over $25,000 carries up to 10 years. Federal healthcare fraud under 18 U.S.C. § 1347 carries up to 10 years per count. Founded in 1997 by Mr. Sris, former prosecutor — Law Offices Of SRIS, P.C. brings 120+ years combined legal experience. Last verified: April 2026 | Maryland District & Circuit Courts | Maryland General Assembly
For the full text of Maryland healthcare fraud statutes, see Md. Code, Criminal Law Article § 7-104 (Maryland General Assembly — official site). For federal healthcare fraud law, see 18 U.S.C. § 1347 (U.S. Department of Justice — official site).
In Maryland District Courts, prosecutors routinely handle healthcare fraud cases with a focus on billing irregularities and documentation errors. We have observed that early intervention by a fraud charge defense lawyer Maryland can significantly impact the outcome, as prosecutors may be open to negotiation before formal charges are filed.
- Do not speak to investigators without your attorney present.
- Preserve all billing records, patient files, and correspondence.
- Contact a Healthcare Fraud Lawyer Maryland immediately.
- Review the evidence with your attorney to identify defenses.
- Negotiate with prosecutors for charge reduction or dismissal.
- Prepare for trial if a favorable resolution is not reached.
In Maryland, healthcare fraud carries penalties ranging from misdemeanor to felony depending on the value of the fraud, with potential incarceration, fines, and loss of professional licenses.
| Offense | Classification | Incarceration | Fine | License Impact | Additional Consequences |
|---|---|---|---|---|---|
| Theft under $1,500 (healthcare fraud) | Misdemeanor | Up to 6 months | Up to $500 | Possible professional license suspension | Probation, restitution |
| Theft $1,500–$25,000 (healthcare fraud) | Felony | Up to 5 years | Up to $10,000 | Probable license revocation | Restitution, supervised release |
| Theft over $25,000 (healthcare fraud) | Felony | Up to 10 years | Up to $25,000 | Certain license revocation | Restitution, asset forfeiture |
| Federal healthcare fraud (18 U.S.C. § 1347) | Federal felony | Up to 10 years per count | Up to $250,000 | Probable license revocation | Restitution, asset forfeiture, supervised release |
Results may vary.
Founded in 1997 by Mr. Sris, former prosecutor — Law Offices Of SRIS, P.C., “Advocacy Without Borders,” brings 120+ years combined legal experience, 4,739+ documented firm-wide results across VA, MD, DC, NY and NJ, and a favorable-outcome rate above 93%. The firm has handled numerous complex criminal cases, including healthcare fraud matters, with a focus on protecting clients’ rights and achieving favorable outcomes. Our team includes former prosecutors who understand the strategies used by the state and federal government in healthcare fraud investigations.
Law Offices Of SRIS, P.C. has extensive criminal defense experience in Maryland, with firm-wide documented results across VA, MD, DC, NY and NJ totaling 4,739+ cases and a favorable-outcome rate above 93%. Results may vary. Case results depend on a variety of factors unique to each case.
Our location in Rockville, Maryland is approximately 30 miles from the Maryland District Courts and Circuit Courts, with access via I-270, I-495, and Route 355. Serving the communities of Rockville, Bethesda, Silver Spring, Gaithersburg, Germantown, Wheaton, Kensington, Potomac, Olney, Damascus, Clarksburg, Takoma Park, Chevy Chase, and all Maryland counties. 24/7 phone consultations — (888) 437-7747 — meetings by appointment only.
Law Offices Of SRIS, P.C. — Maryland
199 E. Montgomery Avenue, Suite 100, Room 211, Rockville, MD 20850
Phone: (888) 437-7747
By appointment only.
Frequently Asked Questions About Healthcare Fraud in Maryland
What is healthcare fraud under Maryland law?
Healthcare fraud in Maryland involves knowingly executing a scheme to defraud a healthcare benefit program, such as Medicare or Medicaid, through false claims or misrepresentations. It is prosecuted under Md. Code, Criminal Law Article, with penalties ranging from misdemeanor to felony depending on the value involved.
What are the penalties for healthcare fraud in Maryland?
Penalties for healthcare fraud in Maryland vary. For theft over $1,500, it is a felony carrying up to 5 years in prison. For theft over $25,000, penalties increase to up to 10 years. Federal healthcare fraud under 18 U.S.C. § 1347 can result in up to 10 years per count.
Can healthcare fraud charges be reduced or dismissed in Maryland?
Yes. A skilled fraud charge defense lawyer Maryland can negotiate with prosecutors for charge reduction or dismissal, particularly if evidence shows lack of intent or procedural errors. In Maryland District Courts, plea agreements may lead to probation before judgment (PBJ), avoiding a conviction on record.
Do I need a lawyer for a healthcare fraud investigation in Maryland?
Yes. Healthcare fraud investigations often involve federal agencies like the FBI and HHS-OIG. Early representation by a white collar crime defense lawyer Maryland can protect your rights, preserve evidence, and potentially prevent charges from being filed. Contact SRIS, P.C. at (888) 437-7747.
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Last verified: April 2026 | Content updated for accuracy.