The apparent holder of a record federal prison term for health care fraud has been named to the U.S. Department of Health and Human Services’ Office of Inspector General’s Top 10 Most Wanted list.

Ebong Aloysius Tilong, 53, who co-owned with his wife a Houston home health agency, is believed to have fled the United States and currently living in Cameroon, according to the OIG. He was sentenced last fall, in absentia, to 80 years in prison on 11 counts stemming from his role in a $13 million Medicare fraud scheme.