A Falmouth man pleaded guilty Tuesday in federal court in New Hampshire to participating in a money laundering conspiracy connected to a $6 million Medicare fraud scheme, according to prosecutors. Leo Anzivino Jr., 35, faces up to 10 years in prison and is scheduled for sentencing on January 21.

Federal authorities said Anzivino was involved in concealing the true ownership of Advanced Medical Supply Corp., a Rochester, New Hampshire-based company that submitted fraudulent Medicare claims. The company billed Medicare for medical equipment, such as knee and back braces, that patients neither needed nor had been prescribed by doctors. Prosecutors said these claims were supported by falsified physician orders, which doctors had not signed or submitted.

Medicare paid out more than $3 million on the submitted claims. Some recipients grew suspicious after receiving medical equipment they did not request, with several returning the items along with handwritten notes stating they had not ordered them.

Prosecutors allege that Anzivino took on the role of nominal owner while actual control and ownership remained with his co-conspirators. He was listed as the owner on Medicare enrollment documents and submitted fraudulent paperwork to a New Hampshire bank, falsely claiming ownership of at least 25 percent of the company’s equity. Anzivino also sought to transfer over $1 million from the company’s bank account to businesses associated with a co-conspirator.

When a bank employee questioned the legitimacy of those businesses and recommended investigating them further, Anzivino reportedly responded by opening an account at a different bank with branches in Massachusetts.

The scheme began to unravel after Advanced Medical Supply was at risk of losing its Medicare billing privileges due to “various deficiencies,” including inconsistencies regarding Anzivino’s ownership, prosecutors said. Cited messages from Anzivino revealed his concern about people demanding refunds following the revocation of billing rights and his frustration with a co-conspirator’s pressure to transfer funds. Despite stating he would refuse to wire more money, Anzivino ultimately transferred nearly $1.5 million through three transactions over five weeks.

As part of the investigation, federal authorities seized approximately $354,000 from the company’s bank account earlier this year.