An individual from Azerbaijan, who unlawfully entered the United States, orchestrated an elaborate scheme to defraud the federal government, siphoning off millions of dollars from Medicare. Now, he is evading capture.

Anar Rustamov devised a sham durable medical equipment (DME) business to deceitfully charge Medicare $90 million for unnecessary and undelivered equipment, as detailed by the Department of Justice.

Operating out of the San Francisco Bay Area, Rustamov’s company, Dublin Helping Hands, was responsible for submitting these fraudulent claims, according to federal authorities.

The indictment reveals that the patients listed in these claims were unaware, and the healthcare providers allegedly authorizing the claims had not given their approval.

The false claims included a range of items, such as back braces and glucose monitors.

This fraudulent activity spanned from October 2024, reaching its zenith in April 2025, when the company filed claims amounting to over $49 million.

“The billing volume and timing was designed to maximize the amount of money paid out before the fraud was detected,” the indictment said.

Rustamov is a wanted man, and officials believe he’s on the run. Special agent Robb R. Breeden said the agency will “pursue those who attempt to exploit federal health care programs — no matter where they attempt to hide.”

If convicted, Rustomov faces a maximum sentence of 20 years in prison and a fine of $250,000 for each violation.

“When the Administration declared a War on Fraud, it meant to target exactly this kind of conduct. Rustamov participated in a scheme to steal nearly $100 million in taxpayer funds from a program intended to help those who truly need medical care,” said United States Attorney Craig H. Missakian