A former New York-based sales director for the Northeast region of a mobile medical diagnostics company was sentenced on Feb. 13, 2026, in federal court in Boston for conspiring to offer and pay kickbacks to doctors in exchange for ordering medically unnecessary brain scans. James Rausch, 57, was sentenced to eight months in prison, to be followed by one year of supervised release. He was also ordered to pay $17,573,642 in restitution, forfeiture in the amount of $408,437, and a $20,000 fine. From March 2015 through at least September 2020, Rausch conspired with others, including two managers for a mobile medical diagnostics company that performed transcranial doppler (TCD) scans, to enter into kickback agreements with various doctors. Rausch and his co-conspirators agreed to offer and pay doctors kickbacks, some in cash and others by check, based on the number of TCD ultrasounds the doctors ordered. The scheme resulted in fraudulent bills of approximately $70.6 million to Medicare. Medicare paid approximately $27.2 million to the TCD company for the fraudulent claims.