LAS VEGAS — Brothers Behavioral Health LLC and its owner, Isai Anaya-Estrada, have been sentenced for fraudulently billing Nevada Medicaid for services that were never provided, Nevada Attorney General Aaron D. Ford announced this week.
The fraudulent billing occurred between January 2021 and January 2023. Following the investigation, District Court Judge Maria Gall convicted the company of submitting false Medicaid claims, a category D felony, and convicted Anaya-Estrada of intentional failure to maintain adequate records, a gross misdemeanor.
Anaya-Estrada received a 364-day jail sentence, which was suspended, and he was placed on probation for one year. The court also ordered nearly $48,000 in restitution to repay Medicaid for improperly obtained funds. Individuals or businesses convicted of Medicaid fraud can additionally face administrative exclusion from future Medicaid and Medicare participation.
Attorney General Ford said his office remains focused on protecting public funds meant for healthcare services.
“My office will continue to take action against those who abuse the privilege of receiving taxpayer funds that are supposed to help provide much needed healthcare services to Medicaid recipients,” Ford said, adding that his office “will always endeavor to bring to justice all healthcare companies and their owners who engage in such fraudulent billing practices.”
The case originated after the Medicaid Fraud Control Unit (MFCU) received a referral alleging overbilling by Brothers Behavioral Health. Investigators determined that claims were submitted for services never rendered and that Anaya-Estrada knew the services had not been provided. Interviews with Medicaid recipients confirmed that the billed services did not occur.
Nevada’s MFCU investigates and prosecutes financial fraud involving healthcare providers serving Medicaid beneficiaries, as well as cases of elder abuse and neglect. The unit is funded primarily through the U.S. Department of Health and Human Services, with additional state support.
Suspected Medicaid fraud should be reported to the Office of the Nevada Attorney General using our official complaint form.
