Aleksandr Pikus stole millions of dollars from the federal Medicare and Medicaid programs in a vast healthcare kickback, money laundering and tax fraud scheme. Pikus and his co-conspirators perpetrated this scheme through a series of medical clinics in Brooklyn and Queens over the course of nearly a decade. The clinics employed doctors, physical and occupational therapists, and other medical professionals who were enrolled in the Medicare and Medicaid programs. In return for illegal kickbacks, Pikus referred beneficiaries to these health care providers, who submitted claims to the Medicare and Medicaid programs. Pikus and his co-conspirators then laundered a substantial portion of the proceeds of these claims through companies he controlled and failed to report that cash income to the IRS. Instead, Pikus used the cash to pay himself and patient recruiters, who, in turn, paid beneficiaries to receive treatment at the medical clinics. Additionally, Pikus and his co-conspirators used sham shell companies and fake invoices to conceal their illegal activities.