A federal grand jury in the Western District of Tennessee returned a second superseding indictment charging Sanjeev Kumar, 44, with crimes related to his performance of medically unnecessary gynecologic procedures with medical devices he held under unsanitary conditions and reused on patients, when he was required to dispose of or properly reprocess those devices. According to the second superseding indictment, Kumar also billed Medicare and Medicaid as if the procedures were medically necessary, and as if he had used a new or properly reprocessed device for each procedure. The second superseding indictment alleges that Kumar engaged in this conduct from September 2019 to April 2024.