Brooklyn Pakistani Community Leaders Charged in $38M Medicaid Adult Daycare Fraud

Executive Briefing

• Indicts eight conspirators, including civic leader Pervez Siddiqui, for submitting $38M in fraudulent Medicaid claims from 2019–2025
• Reveals recruiters solicited Medicaid cardholders on streets and in housing projects, paying seniors $500/month in kickbacks for unenrolled services
• Exposes cover-up tactics including fake sign-in sheets, Pakistan-based billing staff, and funds laundered as 'gifts' or coded 'laddu' payments
• Connects Siddiqui to prominent Democrats including NYC Mayor Mamdani, AG Letitia James, and Senators Schumer and Gillibrand via donations and nonprofit ties
• Notes enrollees collected payments while living abroad, including in Pakistan and Morocco, underscoring systemic oversight failures