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Violation Tracker Summary for Mega-Scandal

Mega-Scandal: Healthcare Billing Abuses
Description: This list shows cases in which healthcare companies paid penalties of $25 million or more to resolve allegations that they improperly billed Medicare and other government health programs.
Penalty Total since 2000: $10,640,554,423
Number of Penalty Records: 120
Note: The totals here are adjusted to account for the fact that each current parent's entries may include both agency records and settlement announcements for the same case; or else a penalty covering multiple locations may be listed in the individual records for each of the facilities. They are also adjusted to reflect cases in which federal and state or local agencies cooperated and issued separate announcements of the outcome. Duplicate or overlapping penalty amounts are marked with an asterisk in the individual records list below.
Top 10 Current Parent CompaniesTotal Penalty $Number of Records
Centene$886,076,12712
UnitedHealth Group$872,300,0004
HCA Healthcare$840,000,0001
Quest Diagnostics$543,000,0002
Encompass Health$373,000,0002
SCAN Health Plan$323,670,0001
Walgreens Boots Alliance$304,200,0003
Elevance Health$278,170,1143
RWJBarnabas Health$265,000,0001
Millennium Health$256,000,0001

Individual Penalty Records:

Click on the company or penalty amount for more information on each case. Click on the current parent name to reach the summary page for that parent company.

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CompanyCurrent ParentCurrent Parent IndustryPrimary Offense TypeYear sort iconAgencyPenalty Amount
Specialized Pharmacy Services, Inc. False Claims Act and related2006MI-AG$52,500,000
Gambro Healthcare Inc.Baxter Internationalmedical equipment and suppliesFalse Claims Act and related2005MULTI-AG$37,500,000
Staten Island University HospitalNorthwell Healthhealthcare servicesFalse Claims Act and related2005NY-AG$76,500,000
Health Net Inc.Centenehealthcare servicesconsumer protection violation2005private lawsuit-federal$60,000,000
HealthSouth CorporationEncompass Healthhealthcare servicesFalse Claims Act and related2004DOJ_CIVIL$325,000,000
Polymedica Corporation False Claims Act and related2004DOJ_CIVIL$35,000,000
Adventist Health System Sunbelt Healthcare CorporationAdventHealthhealthcare servicesFalse Claims Act and related2004DOJ_CIVIL$28,300,000
Schering-PloughMerckpharmaceuticalsFalse Claims Act and related2004DOJ_CIVIL$27,000,000
GlaxoSmithKlineGlaxoSmithKlinepharmaceuticalsFalse Claims Act and related2003MULTI-AG$40,000,000
Lifemark HospitalsTenet Healthcarehealthcare servicesFalse Claims Act and related2002DOJ_CIVIL$29,000,000
General American Life Insurance Company, Inc.MetLifefinancial servicesFalse Claims Act and related2002DOJ_CIVIL$76,000,000
PacifiCare Health SystemsUnitedHealth Grouphealthcare servicesFalse Claims Act and related2002DOJ_CIVIL$87,300,000
Quorum Health Group, Inc.Quorum Healthhealthcare servicesFalse Claims Act and related2001DOJ_CIVIL$85,000,000
Vencor Inc. and Ventas Inc.Apollo Global Managementprivate equity (including portfolio companies)False Claims Act and related2001DOJ_CIVIL$104,500,000
National Healthcare CorporationNational Healthcare Corp.healthcare servicesFalse Claims Act and related2000DOJ_CIVIL$27,000,000
HCA-The Healthcare CompanyHCA Healthcarehealthcare servicesFalse Claims Act and related2000DOJ_CIVIL$840,000,000
GAMBRO HealthcareBaxter Internationalmedical equipment and suppliesFalse Claims Act and related2000DOJ_CIVIL$53,100,000
Community Health SystemsCommunity Health Systemshealthcare servicesFalse Claims Act and related2000DOJ_CIVIL$31,000,000
Beverly EnterprisesFillmore Capital Partnersprivate equity (including portfolio companies)False Claims Act and related2000DOJ_CIVIL$170,000,000
Community Health SystemsCommunity Health Systemshealthcare servicesFalse Claims Act and related2000MULTI-AG(*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $31,000,000
(*): Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting.