Seven individuals were arraigned before the Milimani Law Courts for allegedly defrauding the Social Health Authority (SHA) of over Sh7 million through submission of falsified medical claims.
The accused, Markdhillion Mutsotso, an employee of St. Mark Orthodox Health Centre; Patrick Kanya and Faith Chepkurui, directors of Jambo Jipya Medical Clinic; Steven Okinyi and Justine Baraka, both clinical officers; Pauline Wanjiru, a nurse; and Naida Mbeyu, a receptionist, are facing multiple charges, including Conspiracy to Commit a Felony, Forgery, Falsification of Records, Obtaining Proceeds of Crime, Cheating, and Uttering False Documents.
Investigations revealed that Kanya, Chepkurui, Okinyi, Baraka, Wanjiru, and Mbeyu allegedly falsified medical records at Jambo Jipya Medical Clinic in Mtwapa, Kilifi County, resulting in irregular payments totalling Sh2,032,680 between November 2024 and June 2025.
The court granted Kanya and Chepkurui a bond of Sh600,000 with a surety of a similar amount or an alternative cash bail of Sh200,000 each.
Okinyi, Baraka, Wanjiru, and Mbeyu were each granted a bond of Sh100,000 or cash bail of Sh70,000.
In a related case, Mutsotso was charged with conspiring to defraud SHA of Sh5,128,400 through similar false claims allegedly processed at St. Mark Orthodox Health Centre in Chavakali, Vihiga County, between October 2024 and June 2025.
He was released on a bond of Sh100,000 or a cash bail of Sh70,000.
The court also issued warrants of arrest against Fenley Ngairah, director of St. Mark Orthodox Health Centre, and Sammy Otieno, who remain at large.
The matter will be mentioned on October 21, 2025.
Officials aware said more files had been sent to the Office of the Director of Public Prosecutions with recommendations to charge more individuals and institutions with fraud related charges.
The second batch of the files cover parts of North Eastern.
The DCI is pursuing more cases out of the files it received on the saga.
On September 1, 2025, the Directorate of Criminal Investigations (DCI) received 1,188 files from the SHA and the Kenya Medical Practitioners and Dentists Council (KMPDC).
The files pertain to individuals, organisations, and various parties believed to be involved in healthcare fraud, thereby undermining government initiatives to provide quality healthcare services to the public.
Thorough and expedient investigations were immediately initiated upon receipt of the files.
A multiagency team, led by the DCI, was formed to conduct a comprehensive review of the materials.
The aim is to ensure that all individuals involved in any form of healthcare fraud are held accountable for their actions
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