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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 TypeYearAgency sort iconPenalty Amount
Sutter Health LLCSutter Healthhealthcare servicesFalse Claims Act and related2019DOJ_CIVIL$30,000,000
Genova Diagnostics Inc.Genova Diagnosticshealthcare servicesFalse Claims Act and related2020DOJ_CIVIL$43,000,000
Logan Laboratories Inc. and Tampa Pain Relief Centers Inc.Surgery Partners Inc.healthcare servicesFalse Claims Act and related2020DOJ_CIVIL$41,000,000
Oklahoma Center for Orthopaedic and Multi-Specialty Surgery et al. False Claims Act and related2020DOJ_CIVIL$72,300,000
TriWest Healthcare Alliance Corp.TriWest Healthcare Alliance Corporationhealthcare servicesFalse Claims Act and related2020DOJ_CIVIL$179,700,000
Oaktree Medical Centre P.C. et al. False Claims Act and related2021DOJ_CIVIL$136,025,077
Sutter HealthSutter Healthhealthcare servicesFalse Claims Act and related2021DOJ_CIVIL$90,000,000
Arriva Medical LLC False Claims Act and related2021DOJ_CIVIL$160,000,000
Prime Healthcare ServicesPrime Healthcare Services Inc.healthcare servicesFalse Claims Act and related2021DOJ_CIVIL$35,463,057
Alere Inc.Abbott LaboratoriespharmaceuticalsFalse Claims Act and related2021DOJ_CIVIL$38,750,000
Eargo Inc. False Claims Act and related2022DOJ_CIVIL$34,370,000
Florida Birth-Related Neurological Injury Compensation Plan False Claims Act and related2022DOJ_CIVIL$51,000,000
BioTelemetry Inc.Royal PhilipsdiversifiedFalse Claims Act and related2022DOJ_CIVIL$44,875,000
NextGen Healthcare, Inc.Thoma Bravoprivate equity (including portfolio companies)False Claims Act and related2023DOJ_CIVIL$31,000,000
Santa Barbara San Luis Obispo Regional Health Authority dba CenCal Health False Claims Act and related2023DOJ_CIVIL$49,500,000
Cigna GroupCignahealthcare servicesFalse Claims Act and related2023DOJ_CIVIL$172,294,250
Quest DiagnosticsQuest Diagnosticshealthcare servicesFalse Claims Act and related2011CA-AG$241,000,000
SCAN Health Plan, Senior Care Action Network, and Scan GroupSCAN Health Planhealthcare servicesFalse Claims Act and related2012CA-AG$323,670,000
CenCal Health False Claims Act and related2023CA-AG$49,500,000
Health Net Inc.Centenehealthcare servicesconsumer protection violation2005private lawsuit-federal$60,000,000
(*): Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting.