Basic Search
|
Summaries
|
Advanced Search
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 |
Specialized Pharmacy Services, Inc. | | | False Claims Act and related | 2006 | MI-AG | $52,500,000 |
Gambro Healthcare Inc. | Baxter International | medical equipment and supplies | False Claims Act and related | 2005 | MULTI-AG | $37,500,000 |
Staten Island University Hospital | Northwell Health | healthcare services | False Claims Act and related | 2005 | NY-AG | $76,500,000 |
Health Net Inc. | Centene | healthcare services | consumer protection violation | 2005 | private lawsuit-federal | $60,000,000 |
HealthSouth Corporation | Encompass Health | healthcare services | False Claims Act and related | 2004 | DOJ_CIVIL | $325,000,000 |
Polymedica Corporation | | | False Claims Act and related | 2004 | DOJ_CIVIL | $35,000,000 |
Adventist Health System Sunbelt Healthcare Corporation | AdventHealth | healthcare services | False Claims Act and related | 2004 | DOJ_CIVIL | $28,300,000 |
Schering-Plough | Merck | pharmaceuticals | False Claims Act and related | 2004 | DOJ_CIVIL | $27,000,000 |
GlaxoSmithKline | GlaxoSmithKline | pharmaceuticals | False Claims Act and related | 2003 | MULTI-AG | $40,000,000 |
Lifemark Hospitals | Tenet Healthcare | healthcare services | False Claims Act and related | 2002 | DOJ_CIVIL | $29,000,000 |
General American Life Insurance Company, Inc. | MetLife | financial services | False Claims Act and related | 2002 | DOJ_CIVIL | $76,000,000 |
PacifiCare Health Systems | UnitedHealth Group | healthcare services | False Claims Act and related | 2002 | DOJ_CIVIL | $87,300,000 |
Quorum Health Group, Inc. | Quorum Health | healthcare services | False Claims Act and related | 2001 | DOJ_CIVIL | $85,000,000 |
Vencor Inc. and Ventas Inc. | Apollo Global Management | private equity (including portfolio companies) | False Claims Act and related | 2001 | DOJ_CIVIL | $104,500,000 |
National Healthcare Corporation | National Healthcare Corp. | healthcare services | False Claims Act and related | 2000 | DOJ_CIVIL | $27,000,000 |
HCA-The Healthcare Company | HCA Healthcare | healthcare services | False Claims Act and related | 2000 | DOJ_CIVIL | $840,000,000 |
GAMBRO Healthcare | Baxter International | medical equipment and supplies | False Claims Act and related | 2000 | DOJ_CIVIL | $53,100,000 |
Community Health Systems | Community Health Systems | healthcare services | False Claims Act and related | 2000 | DOJ_CIVIL | $31,000,000 |
Beverly Enterprises | Fillmore Capital Partners | private equity (including portfolio companies) | False Claims Act and related | 2000 | DOJ_CIVIL | $170,000,000 |
Community Health Systems | Community Health Systems | healthcare services | False Claims Act and related | 2000 | 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. $31,000,000 |