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Jacobi Journal of Insurance Investigation

Tennessee Gynecologist Charged with Fraud and Unnecessary Medical Procedures

Tennessee Gynecologist Charged with Fraud and Unnecessary Medical Procedures

March 4, 2025 | JacobiJournal.com – Fraud and Unnecessary Medical Procedures: Federal authorities have charged Dr. Sanjeev Kumar, a Memphis-based gynecologist, with health care fraud and misconduct. Prosecutors allege that he performed unnecessary medical procedures using unsanitary, re-used devices. He now faces multiple charges, including adulterating and misbranding medical devices and persuading patients to cross state lines for illegal sexual activity.

Serious Allegations of Medical Misconduct

From September 2019 to June 2024, Kumar subjected female patients to unnecessary procedures. Investigators claim he re-used medical devices that should have been discarded or sterilized. Furthermore, he failed to inform patients and falsely billed Medicare and Medicaid, pretending to have used new, sanitary equipment. Fraud and Unnecessary Medical Procedures

One of Tennessee’s Top-Paid Medicare Providers

Kumar ranked as Tennessee’s highest-paid provider for hysteroscopy biopsies, a procedure used to examine the uterus. Given the scope of his practice, authorities suspect additional patients may have been affected and urge them to come forward.

Authorities Condemn Abuse of Medical Trust

Acting U.S. Attorney Kevin Ritz strongly criticized Kumar’s actions, stating:

“The allegations suggest Kumar acted as a predator in a white coat, using medical exams as a cover to exploit patients and enrich himself.”

Ongoing Investigation and Legal Proceedings

At this point, Kumar has not responded to requests for comment. His legal representation remains unclear. Federal investigators continue to gather evidence and encourage potential victims to share their experiences.

For more guidance on patient rights and reporting unsafe medical practices, visit the U.S. Department of Health & Human Services – Office of Inspector General.

New Update: Tennessee Gynecologist Sentenced to 20 Years for Healthcare Fraud and Unsafe Medical Procedures

The federal criminal case against Memphis gynecologist Dr. Sanjeev Kumar has reached a major conclusion following his conviction on multiple healthcare fraud and medical device violations. On July 8, 2026, Chief U.S. District Judge Sheryl H. Lipman sentenced Kumar to 240 months, or 20 years, in federal prison, followed by two years of supervised release.

The sentence followed a January 2026 federal jury verdict finding Kumar guilty of 40 criminal counts involving fraudulent medical billing and the improper use of medical devices during invasive gynecological procedures. The convictions included 18 counts of adulteration of medical devices, 16 counts of misbranding medical devices, and six counts of healthcare fraud. The outcome represents a significant development from the original March 2025 report, when Kumar had been arrested and the allegations against him remained unresolved.

Federal prosecutors established that Kumar operated Poplar Avenue Clinic, a women’s healthcare facility in Memphis, Tennessee, where thousands of patients underwent hysteroscopy with biopsy procedures between September 2019 and April 2024. These procedures are used to examine the uterus and obtain tissue samples, including when physicians investigate possible endometrial cancer.

However, trial evidence demonstrated that Kumar performed medically unnecessary procedures and repeatedly used medical devices that had not been handled according to applicable safety requirements. Investigators determined that certain instruments designated for single use were reused, while reusable equipment was not consistently subjected to required cleaning and reprocessing procedures between patients. These practices created significant patient safety concerns, particularly because the instruments were used during invasive examinations.

The scale of the misconduct became clearer during the federal trial. According to the U.S. Department of Justice, Kumar and advanced practitioners working under his supervision performed more than 15,000 hysteroscopy with biopsy procedures involving 5,559 Medicare and Medicaid patients. Federal investigators found that Kumar purchased fewer than 200 new single-use hysteroscopes during the period examined.

Evidence also established that three of six single-use graspers of a particular type purchased in 2019 remained in use at the clinic in April 2024. These findings supported the government’s case that medical devices were repeatedly reused despite restrictions on their intended use. Prosecutors also demonstrated that Kumar failed to follow essential reprocessing requirements for reusable equipment, exposing patients to avoidable safety risks.

The financial evidence further established the connection between unsafe medical practices and fraudulent government healthcare billing. Federal prosecutors reported that Kumar submitted more than $41 million in claims for hysteroscopy with biopsy procedures between September 2019 and April 2024. Of that amount, he received more than $4.8 million from Medicare and Medicaid for the procedures.

The payment figure does not include amounts associated with privately insured patients. These financial findings are important because they distinguish the total amount billed from the amount actually received through government healthcare programs. The convictions established that Kumar submitted fraudulent claims for procedures that were not medically necessary and involved devices that had been adulterated or improperly handled.

The prosecution also involved significant developments before the trial. In October 2025, the federal court dismissed certain medical device counts from an earlier indictment after determining that the charges improperly combined multiple alleged acts into individual counts. Prosecutors subsequently obtained a second superseding indictment in November 2025, presenting additional charges involving specific instances of adulteration and misbranding.

The case proceeded to trial, and the jury returned its guilty verdict in January 2026. The convictions therefore resulted from a full federal criminal trial rather than a guilty plea. This distinction is important when evaluating the evidence and procedural history of the case.

Restitution proceedings continued after Kumar’s sentencing. The Justice Department’s July 2026 announcement identified October 2, 2026, as the date scheduled for a separate restitution hearing. Subsequent reporting in September 2026 indicated that federal prosecutors were seeking approximately $5.56 million in restitution associated with government healthcare programs and patient-related claims.

That figure represented a restitution request, not a confirmed final amount ordered by the court. The available official sentencing announcement does not establish the final restitution determination, and the requested amount should not be described as money already recovered.

The case illustrates the intersection of healthcare fraud, medical device regulation, and patient safety. Medical providers are responsible for ensuring that invasive procedures are clinically justified, accurately documented, and performed with equipment maintained according to applicable safety requirements. Reusing devices intended for a single procedure or failing to properly reprocess reusable instruments can expose patients to serious risks. When providers also submit fraudulent claims to Medicare or Medicaid, the misconduct creates financial losses for public healthcare programs while undermining patient confidence in medical treatment.

For healthcare organizations, the prosecution reinforces the importance of maintaining reliable equipment tracking systems, documenting medical necessity, following manufacturer reprocessing instructions, and conducting internal compliance reviews. It also demonstrates the role of coordinated investigations involving the Department of Health and Human Services Office of Inspector General, the Food and Drug Administration Office of Criminal Investigations, the Federal Bureau of Investigation, and the Tennessee Bureau of Investigation.

As of October 2026, the central verified outcome is Kumar’s conviction on 40 federal counts and his 20-year prison sentence. The case has moved beyond the allegations described in the original March 2025 article and now represents a completed federal criminal trial resulting in substantial imprisonment. The restitution proceedings should continue to be reported separately until a final court-ordered amount can be confirmed.

For additional information, read the U.S. Department of Justice’s July 8, 2026 announcement confirming Kumar’s conviction and 20-year federal prison sentence.


FAQs: Fraud and Unnecessary Medical Procedures Case

What are the allegations in the Tennessee fraud and unnecessary medical procedures case?

Dr. Sanjeev Kumar is accused of billing for unnecessary medical procedures, re-using unsanitary devices, and exploiting patients under false pretenses.

How did the fraud and unnecessary medical procedures impact patients?

Patients were subjected to invasive procedures with re-used devices, risking infection and long-term harm, while Medicare and Medicaid were falsely billed.

Why is fraud and unnecessary medical procedures a serious crime?

It undermines medical trust, endangers patient safety, and drains public health care funds meant for legitimate treatment.

What steps are authorities taking in response to fraud and unnecessary medical procedures?

Federal prosecutors are pursuing charges, encouraging victims to come forward, and seeking accountability to prevent further patient harm.


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