‘KICKBACK’ SCHEME: Nick Shirley EXPOSES alleged NYC senior daycare center fraud
What this video covers
Posted July 13, 2026, this Fox News segment — from The Big Weekend Show — features independent journalist Nick Shirley discussing his investigation into alleged Medicaid fraud at New York City senior daycare centers, conducted in collaboration with CMS Administrator Dr. Mehmet Oz. It is one of the most CMS-relevant videos in Oz’s catalog: not a television throwback, but footage of the sitting Medicare/Medicaid chief doing on-the-ground fraud enforcement.
Shirley’s underlying 53-minute investigation, which went viral on social media, alleged more than $190 million in suspicious Medicaid payments connected to social adult daycare and personal home-care operations in New York City — concentrated in Flushing, Queens. According to Shirley’s reporting, the alleged scheme worked through kickbacks paid to elderly attendees (sometimes framed as “returned profits”) for showing up daily and recruiting friends, while facilities billed Medicaid for far more “members” than their physical capacity could support. One facility Shirley highlighted, Sunrise Senior Service, allegedly billed roughly $12.9 million in 2024 while public data listed nearly 7,899 members; staff on camera denied having anywhere near that enrollment.
Oz joined Shirley for portions of the on-the-ground investigation. As CMS administrator, Oz has direct authority over the federal side of the Medicaid billing pipeline, and on camera he flagged what he called major red flags — including multiple durable medical equipment companies allegedly registered to a single small residential apartment with no visible inventory. Oz has publicly cited his team’s analysis of federal billing data showing about $2.5 billion in New York social adult daycare billings over three years, concentrated in Flushing and nearby Queens communities.
A note on rigor, in keeping with this site’s standards: these are allegations, not convictions. Coverage of the story itself notes that an unanswered question on camera is not proof of a crime, and one detailed write-up of Oz’s claims observes that the underlying government billing table was not attached in public reporting, which limits outside verification. Federal authorities are reported to be investigating.
Key points
- Independent journalist Nick Shirley appears on Fox News’ The Big Weekend Show to discuss his joint fraud investigation with CMS Administrator Oz.
- Shirley’s 53-minute investigation alleged $190M+ in suspicious Medicaid payments tied to NYC social adult daycare centers, concentrated in Flushing, Queens.
- The alleged model, per Shirley’s reporting: kickbacks to seniors for attending and recruiting; phantom patient billing far beyond physical capacity; linked transportation, pharmacy, and DME billing.
- Oz joined the on-the-ground investigation on camera, flagging red flags including multiple medical-supply companies allegedly operating from one small apartment with no visible inventory.
- Oz has publicly cited his team’s billing-database analysis showing ~$2.5 billion in NY social adult daycare billings over three years, concentrated in Flushing-area communities.
- These remain allegations: no one shown has been convicted on the basis of the footage, and the underlying billing data behind Oz’s figures has not been publicly released for independent verification.
- The segment marks a sharp contrast with Oz’s television-era catalog — the CMS administrator as fraud investigator rather than daytime host.