A nurse practitioner in Rhode Island has been sentenced to seven years in prison for fraudulent activities that resulted in him receiving almost $12 million for services he never performed. Alexander Istomin, who pleaded guilty to a range of offenses including health care fraud and mail fraud, submitted fake claims for in-person services that he claimed to have provided at a fake office. Istomin waived co-payments for some Medicare patients as a bribe, and distributed prescription drugs to people not listed on the prescriptions. Patients he claimed to have met with were found to be out of the country at the time of the supposed visits, and investigators noted that he was also out of the country in other instances. Istomin must pay a $30,000 fine and $11,923,686.30 in restitution alongside serving the prison sentence and undergoing three years of supervised release.