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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 |
U.S. Foodservice Inc. | US Foods Holding | wholesalers | False Claims Act and related | 2010 | USAO | $30,000,000 |
Sutter Health LLC | Sutter Health | healthcare services | False Claims Act and related | 2019 | DOJ_CIVIL | $30,000,000 |
Centene Corp. | Centene | healthcare services | False Claims Act and related | 2022 | NE-AG | $29,343,907 |
Lifemark Hospitals | Tenet Healthcare | healthcare services | False Claims Act and related | 2002 | DOJ_CIVIL | $29,000,000 |
Novartis Vaccines & Diagnostics Inc. and Novartis Pharmaceuticals Corporation | Novartis | pharmaceuticals | off-label or unapproved promotion of medical products | 2010 | MULTI-AG | (*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $29,000,000 |
Lincare Holdings, Inc. | Linde | industrial services | False Claims Act and related | 2023 | USAO | $29,000,000 |
North American Health Care Inc. | | | False Claims Act and related | 2016 | DOJ_CIVIL | $28,500,000 |
Adventist Health System Sunbelt Healthcare Corporation | AdventHealth | healthcare services | False Claims Act and related | 2004 | DOJ_CIVIL | $28,300,000 |
Centene Corp. | Centene | healthcare services | False Claims Act and related | 2021 | KS-AG | $27,600,000 |
Schering-Plough | Merck | pharmaceuticals | False Claims Act and related | 2004 | DOJ_CIVIL | $27,000,000 |
National Healthcare Corporation | National Healthcare Corp. | healthcare services | False Claims Act and related | 2000 | DOJ_CIVIL | $27,000,000 |
Shands Teaching Hospital & Clinics Inc. | University of Florida Health | healthcare services | False Claims Act and related | 2013 | DOJ_CIVIL | $26,000,000 |
CareSource | | | False Claims Act and related | 2011 | DOJ_CIVIL | $26,000,000 |
Centene Corporation | Centene | healthcare services | False Claims Act and related | 2023 | SC-AG | $25,898,071 |
Pediatrix Medical Group | | | False Claims Act and related | 2006 | USAO | $25,078,918 |
Pediatrix Medical Group | | | False Claims Act and related | 2016 | MULTI-AG | (*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $25,078,918 |
CareAll Management LLC | | | False Claims Act and related | 2014 | DOJ_CIVIL | $25,000,000 |
Odyssey HealthCare | Apollo Global Management | private equity (including portfolio companies) | False Claims Act and related | 2012 | DOJ_CIVIL | $25,000,000 |
BlueCross BlueShield of Illinois | | | False Claims Act and related | 2011 | DOJ_CIVIL | $25,000,000 |
Alere Inc. | Abbott Laboratories | pharmaceuticals | False Claims Act and related | 2018 | MULTI-AG | (*)Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting. $4,860,779 |