Federal sentencing · Guideline estimate
Healthcare Fraud Sentencing Calculator.
Medicare and Medicaid fraud sentencing estimator
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The briefing · HEALTHCARE FRAUD SENTENCING
How this charge is sentenced.
Healthcare fraud prosecutions turn on billed amounts, kickbacks, and upcoding. Medicare and Medicaid loss totals drive the guideline calculation.
What moves the number.
Program loss amounts from CMS billing records often exceed what defendants expect.
Federal judges sentence under the advisory guidelines, but the guideline range is where every case starts. Loss amounts get contested, roles get litigated, and cooperation agreements move the final number. If you are facing healthcare fraud sentencing, the consultation is free - and the earlier counsel starts, the more levers exist.
Facing healthcare fraud sentencing?
The number is not final until sentencing.
Understanding the loss table.
Federal fraud sentencing under USSG §2B1.1 starts at base offense level 7 (or 6 for some embezzlement counts). The loss table adds up to 30 levels depending on the amount prosecutors prove by a preponderance at sentencing - often higher than what was charged in the indictment.
| Loss amount | Offense level increase (§2B1.1) |
|---|---|
| $6,500 or less | +0 |
| $6,500 - $15,000 | +2 |
| $15,000 - $40,000 | +4 |
| $40,000 - $95,000 | +6 |
| $95,000 - $150,000 | +8 |
| $150,000 - $250,000 | +10 |
| $250,000 - $550,000 | +12 |
| $550,000 - $1.5M | +14 |
| $1.5M - $3.5M | +16 |
| $3.5M - $9.5M | +18 |
| $9.5M - $25M | +20 |
| $25M - $65M | +22 |
| $65M - $150M | +24 |
| $150M - $250M | +26 |
| $250M - $550M | +28 |
| Over $550M | +30 |
Why the guideline range is only a starting point.
After United States v. Booker, federal judges must consider the guideline range but may impose a sentence above or below it based on 18 U.S.C. §3553(a). Downward departures, substantial assistance motions under §5K1.1, and compassionate release petitions can all move the final number - but only if counsel builds the record early.
FROM THE RECORD · S.D.N.Y. & BEYOND
Acquitted.
$26M money laundering
Dismissed.
RICO · 10-year minimum faced
Six months.
$12M Ponzi · years asked
How federal sentencing unfolds.
The full process →FAQ · HEALTHCARE FRAUD SENTENCING
01 How does the Healthcare Fraud Sentencing sentencing calculator work?
02 Is the statutory maximum the sentence I will receive for Healthcare Fraud Sentencing?
03 What loss amount does the government use at sentencing?
04 Can my guideline range go below a mandatory minimum?
05 What collateral consequences follow a Healthcare Fraud Sentencing conviction?
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1,100+ five-star Google reviews →FROM THE RECORD
Acquittal
$26M money launderingDismissed
RICO · 10-year mandatory minimum6 months
$12M Ponzi · prosecutors asked for years
The lawyer the press calls
You've seen the defense on Netflix. This is the firm behind it.
Todd A. Spodek is a second-generation trial lawyer whose defense of Anna Delvey became Netflix's Inventing Anna. Six months on a $12M Ponzi case when prosecutors pushed for years - that is what guidelines work looks like in practice.
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Get ahead of the number.
Answered within 24 hours, guaranteed. The guideline is the starting point - counsel moves it. Some stories are better told out loud.
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