Matt Mickiewicz says an AI-agent swarm he built reviewed public and private records and identified approximately $787 million in government billing that, in his words, “made absolutely no sense.” That figure is his own estimate and has not been independently verified.
His analysis originated in posts on X, where he describes the scope of what he says he found and the steps he took afterward.
The Most Serious Allegation
Mickiewicz’s most consequential claim involves nursing-home residents enrolled in a Medicare billing program under a physician who allegedly never examined them.
His most consequential claim involves nursing-home residents enrolled in chronic care management, a Medicare billing category for ongoing patient monitoring, under a physician who allegedly never examined them. According to his posts on X, this happened to more than 100,000 residents per year, many of them cognitively impaired, and families received opt-out text messages only after enrollment had already occurred.
These are allegations. Confirming them would require access to Medicare billing records, provider documentation, and patient consent records. None of those records have been independently reviewed for this report.
How He Says He Worked
Mickiewicz describes a cross-referencing process against public federal records before submitting his findings to authorities.
Before filing, Mickiewicz says he cross-checked individual cases against Department of Justice records, federal court dockets, corporate filings, and the federal exclusion list of providers banned from Medicare and Medicaid programs. His filings, as he describes them, consisted of 37 evidence packets submitted through America.gov.
No confirmation was located in the materials reviewed that federal agencies received, reviewed, or acted on the submissions. Gadget Review has contacted the Department of Justice, the HHS Office of Inspector General, and the Centers for Medicare and Medicaid Services to ask whether they received the packets. Responses will be added when received.
What Official Cases Actually Show
Documented federal enforcement actions confirm that nursing-home billing fraud is a real and prosecuted problem, though they do not corroborate Mickiewicz’s specific findings.
Nursing-home billing fraud is a documented federal enforcement area. The Justice Department recently secured a conviction against a Maryland laboratory owner who fraudulently billed Medicare $18.7 million for respiratory-panel lab tests on nursing-home residents, including claims filed for patients who had already died. Medicare paid more than $7.2 million of that amount before the scheme was uncovered.
In a separate 2025 settlement, Centers Healthcare agreed to pay more than $6 million to resolve allegations that 44 skilled-nursing facilities submitted Medicare cost reports containing false statements about related-party transactions. These cases confirm that the category of harm Mickiewicz describes is real. They say nothing about whether his specific submissions have merit.
Anomalies Are Not Evidence of Crime
Unusual billing volumes can reflect fraud, but they can equally reflect coding errors, aggressive-but-legal practices, or incomplete data.
Billing patterns that look implausible can indicate fraud. They can also indicate coding errors, aggressive but legal billing practices, or data that is simply incomplete.
Mickiewicz acknowledges in his posts that most of the people and companies he named carry no public criminal charges. The absence of charges does not establish innocence or guilt; it may simply mean no case has been filed or publicly disclosed.
What Remains Unresolved
The $787 million figure and its composition remain unresolved, and the story’s significance for taxpayers depends entirely on what independent review ultimately finds.
The $787 million figure itself is unresolved. It is not clear whether it represents claims submitted, payments actually made, or an aggregate of estimated exposure across dozens of unrelated anomalies. Those distinctions matter enormously in healthcare billing, which is funded by payroll taxes and beneficiary premiums, making implausible billing claims a matter of public financial interest regardless of their ultimate legal status.
Until federal agencies or independent investigators examine the underlying records, Mickiewicz’s work stands as a set of detailed, self-reported allegations and nothing more confirmed than that.
