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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 Companies | Total Penalty $ | Number of Records |
Centene | $886,076,127 | 12 |
UnitedHealth Group | $872,300,000 | 4 |
HCA Healthcare | $840,000,000 | 1 |
Quest Diagnostics | $543,000,000 | 2 |
Encompass Health | $373,000,000 | 2 |
SCAN Health Plan | $323,670,000 | 1 |
Walgreens Boots Alliance | $304,200,000 | 3 |
Elevance Health | $278,170,114 | 3 |
RWJBarnabas Health | $265,000,000 | 1 |
Millennium Health | $256,000,000 | 1 |
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.
Company | Current Parent | Current Parent Industry | Primary Offense Type | Year | Agency | Penalty Amount |
Centene Corp. | Centene | healthcare services | False Claims Act and related | 2022 | TX-AG | $165,600,000 |
Beverly Enterprises | Fillmore Capital Partners | private equity (including portfolio companies) | False Claims Act and related | 2000 | DOJ_CIVIL | $170,000,000 |
Cigna Group | Cigna | healthcare services | False Claims Act and related | 2023 | DOJ_CIVIL | $172,294,250 |
TriWest Healthcare Alliance Corp. | TriWest Healthcare Alliance Corporation | healthcare services | False Claims Act and related | 2020 | DOJ_CIVIL | $179,700,000 |
WellCare Health Plans Inc. | Centene | healthcare services | investor protection violation | 2010 | MULTI-AG | $200,000,000 |
United Therapeutics Corporation | United Therapeutics | pharmaceuticals | False Claims Act and related | 2017 | DOJ_CIVIL | $210,000,000 |
Amerigroup Corporation | Elevance Health | healthcare services | False Claims Act and related | 2008 | DOJ_CIVIL | $225,000,000 |
Amerigroup Illinois and Amerigroup Corp | Elevance Health | healthcare services | False Claims Act and related | 2006 | IL-AG | (*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $225,000,000 |
Conduent State Healthcare LLC | Conduent | miscellaneous services | False Claims Act and related | 2019 | TX-AG | $235,900,000 |
Quest Diagnostics | Quest Diagnostics | healthcare services | False Claims Act and related | 2011 | CA-AG | $241,000,000 |
Millennium Health | Millennium Health | healthcare services | False Claims Act and related | 2015 | DOJ_CIVIL | $256,000,000 |
Saint Barnabas Corporation | RWJBarnabas Health | healthcare services | False Claims Act and related | 2006 | DOJ_CIVIL | $265,000,000 |
Walgreens Boots Alliance Inc. | Walgreens Boots Alliance | retailing | False Claims Act and related | 2019 | USAO | $269,200,000 |
HealthCare Partners Holdings LLC | UnitedHealth Group | healthcare services | False Claims Act and related | 2018 | DOJ_CIVIL | $270,000,000 |
Quest Diagnostics Incorporated | Quest Diagnostics | healthcare services | False Claims Act and related | 2009 | DOJ_CIVIL | $302,000,000 |
SCAN Health Plan, Senior Care Action Network, and Scan Group | SCAN Health Plan | healthcare services | False Claims Act and related | 2012 | CA-AG | $323,670,000 |
HealthSouth Corporation | Encompass Health | healthcare services | False Claims Act and related | 2004 | DOJ_CIVIL | $325,000,000 |
United Diagnostics Lab et al. | | | False Claims Act and related | 2023 | USAO | $370,000,000 |
DaVita Healthcare Partners, Inc. | UnitedHealth Group | healthcare services | False Claims Act and related | 2015 | DOJ_CIVIL | $450,000,000 |
HCA-The Healthcare Company | HCA Healthcare | healthcare services | False Claims Act and related | 2000 | DOJ_CIVIL | $840,000,000 |