- June 26, 2026
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Seven Tampa Bay area residents were among 455 people charged in connection with the U.S. Department of Justice’s 2026 National Health Care Fraud Takedown this week. The federal operation resulted in charges against 90 medical professionals, whose alleged actions created $6.5 billion in false claims nationwide.
“There is no case too big, no scheme too complex and no hiding place too remote for our relentless fraud-fighting team,” Assistant Attorney General Colin McDonald of the Justice Department’s National Fraud Enforcement Division says in a statement. “Our message is simple: if you put profit over patients, you should expect to be put in prison.”
A trio of defendants were charged in one case that involves more than $115 million in alleged fraud regarding skin substitutes known as allografts. Those three are Leigh Tesar, 44, of Sarasota; Walter Presha Jr., 51; of Ellenton; and Koby Evans, 31, of Apollo Beach.
Tesar was charged with multiple counts of health care fraud and conspiracy to defraud the United States and to offer, pay, solicit and receive kickbacks. Presha and Evans were charged in connection with kickbacks as well.
According to the indictment, Medicare covers allografts that are medically necessary; however, Tesar is accused of billing Medicare for expensive allografts that were never applied to patients, were applied to infected wounds and were applied to wounds that would not heal because the patient was terminally ill.
Tesar — along with “purported sales representatives,” including Presha and Evans, a licensed registered nurse — “induced Medicare beneficiaries to undergo and continue expensive wound allograft treatment by, among other things, misrepresenting the cost, illegally waiving beneficiary co-payments and providing illegal inducements to Medicare beneficiaries in the form of free medical supplies and expensive gifts, such as jewelry and a leather recliner,” according to the indictment.
Prosecutors say the case resulted in Medicare being billed more than $118 million in 18 months for false and fraudulent claims connected to skin grafts and wound care services; as a result, officials report that Medicare paid about $61 million. The scheme is alleged to have occurred from May 2024 to November 2025.
The indictment says Tesar and others falsified patient medical records to make it look like the allografts were medically reasonable and necessary and met Medicare requirements, including by falsely stating that there had been prior treatments when none had occurred or falsely reporting patient conditions to justify the application of the allografts.
Tesar and others used the proceeds of the scheme “to fund their lavish lifestyles, including spending over $215,000 for Tampa Bay Buccaneers tickets and a luxury box suite at Raymond James Stadium, and over $400,000 for fine art," according to the indictment.
Tesar, Presha and Evans were arrested June 18 and released the same day — Tesar on $1 million bond; Presha on $250,000 bond; and Evans on $100,000 bond, according to court records.
If convicted, proceeds to be forfeited, according to the indictment, include:
Other defendants who live in the region charged in the National Health Care Fraud Takedown include:
The federal National Health Care Fraud Takedown operation involved the cutting-edge use of data analytics to target the worst actors, according to a statement from the U.S. Attorney’s Office for the Middle District of Florida. Authorities nationwide seized more than $182 million in cash, houses, luxury vehicles, jewelry and other assets and, according to the statement, provided accountability "from doctor’s offices to corporate boardrooms."