This collection contains health care-related fraud settlements between states and/or the federal government and private companies that generally result from complaints filed under the False Claims Act. Many of the settlements are accompanied by Corporate Integrity Agreements (CIA). Some settlements have the compliance terms included within their text. In some cases PLUS does have original or amended complaints. The cost for each settlement with any available CIA, if requested, is $27 plus shipping, handling and any applicable state tax.
| Parties | Court | Amount |
| Fraud/Topic | Date | CIA? | |
|
| U.S. v. Riverside Hospital |
D. Del. |
$473,000 |
 |
| False claims |
5/19/07 |
N |
|
| U.S. ex rel. Mays & Tn. v. Paracelsus-Fentress |
E.D. Tenn. |
$3 mill. |
|
| Fraud. Outpatient services |
12/17/97 |
N |
|
| U.S. v. U. of VA. Health Services Foundation |
E.D. Va. |
$8.6 mill. |
|
| Inadequate documentation |
11/13/97 |
C |
|
| U.S. v. Jackson General Hospital Center (W.Va.) |
|
$15,000 |
|
| No medical screening |
11/97 |
N |
|
| U.S. v. Pro Med Pharmacy |
N.D. Tex. |
$1.1 mill. |
|
| Kickbacks for Medicare patient referrals |
10/2/97 |
N |
|
| U.S. v. Crozer-Chester Medical Center |
E.D. Pa. |
$664,504 |
|
| Diagnosis code misuse |
10/97 |
N |
|
| U.S. v. Carroll County General Hospital |
|
$99,000 |
|
| Patient dumping |
8/26/97 |
N |
|
| U.S. ex rel. Grover v.Dunnington & Pathology Associates |
D. Ky. |
$30,000 |
|
| HCFA overpayments |
8/15/97 |
N |
|
| U.S. v. Samaritan Med. Center |
|
$80,000 |
|
| EMTALA violations |
8/11/97 |
N |
|
| U.S. v. Dr. Wilson Uy & Pathology Service of SE Kansas |
D. Kansas |
$75,000 |
|
| Medicaid false claims |
8/7/97 |
Y |
|
| U.S. v. Cedars Medical Center |
|
$20,000 |
|
| EMTALA violations |
7/28/97 |
N |
|
| U.S. ex rel. Tinsley v. Berman (Wick’s Pharm.) |
D. Ky. |
4/11/97 |
|
| FCA violations |
7/28/97 |
N |
|
| U.S. v. Crouse Hospital |
|
$99,000 |
|
| EMTALA violations |
7/28/97 |
N |
|
| U.S. v. Valery Volkov; Gorokhov; Vaynshteyn; & Landelman |
E.D. N.Y. |
$380,000 |
|
| False claims for DME |
7/25/97 |
N |
|
| U.S. v. Geriatric Medical And Surgical Supply Co., R.Peyser, and the Siegals |
D. Mass. |
$490,000 |
|
| Overcharged Medicare for skin ointments |
7/2/97 |
N |
|
| U.S. v. Southwest Hosp. And medical Center |
|
$10,000 |
|
| EMTALA violations |
6/23/97 |
N |
|
| U.S. v. John Merendino, Medical Rehab. Support Services and Automated Billing Services |
D. Mass. |
$3.1 mill. |
|
| Improperly billed Medicare for physical therapy at nursing homes |
6/17/97 |
N |
|
| U.S. v. Quality Plus Diagnostice |
S.D. Fla. |
$137,000 |
|
| False claims |
6/12/97 |
N |
|
| U.S. v. Caroline Schneider(estate of Philip Schneider) |
E.D. Wis. |
$15,000 |
|
| False claims for procedures never performed |
6/6/97 |
N |
|
| U.S. v. Dr. John R. Mrozek |
D. Col. |
$130,000 |
|
| False claims |
6/5/97 |
N |
|
| U.S. v. Dr. Samuel Stoleru |
|
$34,000 |
|
| False referrals |
6/2/97 |
N |
|
| U.S. v. St. Joseph Medical Center |
D. Md. |
$564,000 |
|
| False claims for ambulance transportation |
5/28/97 |
N |
|
| U.S. v. Everett Surgical Center |
D. Wash. |
$50,000 |
|
| False claims using wrong CPT codes |
5/27/97 |
N |
|
| U.S.ex rel. Wells v. Huntleigh Technology |
D. NJ. |
$1.35 million |
|
| Medicare false claims |
5/23/97 |
Y |
|
| U.S. ex rel. Dodson v. Blue Shield of Calif. |
N.D. Cal. |
$12 mill. |
|
| Medicare Part B |
5/2/97 |
Y |
|
| U.S. v. Metzinger |
E.D. Pa. |
$60,000 |
|
| Medicare billing |
4/21/97 |
N |
|
| U.S. v. St. Luke’s Hosp. D. Mass. |
|
$1.3 mill. |
|
| Double billing for radiology tests |
4/14/97 |
Y |
|
| U.S. v. Frye Regional Medical Center |
|
$15,000 |
|
| EMTALA violations |
4/11/97 |
N |
|
| U.S. ex rel. Roco v. NYU Medical Cntr. |
S.D. NY |
$15.5 mill. |
|
| Grant fraud |
4/7/97 |
N |
|
| U.S. v. Lake Shore Hospital |
D. Mass. |
$10,000 |
|
| EMTALA violations |
4/2/97 |
N |
|
| U.S. v. Dr. Dennis Gilbert E.D. Pa. |
|
$100,000 |
|
| False billing for chelation therapy |
4/1/97 |
N |
|
| U.S. v. Good Samaritan Hospital |
|
$20,000 |
|
| EMTALA violation |
3/25/97 |
N |
|
| U.S. v. Dr. Joseph Goldberg |
|
$15,000 |
|
| EMTALA violation |
3/14/97 |
N |
|
| U.S. ex rel. Semtner v. Medicus Med.Group and Coastal Emergency Physicians Group |
W.D. Okla. |
$268,000 |
|
| Received overpayments based on false claims |
2/24/97 |
N |
|
| U.S.ex rel. Semtner v. Medical Consultants Inc. (EPBS) |
W.D. Okla. |
$7.75 mill. |
|
| Federal health care program fraud |
2/24/97 |
Y |
|
| U.S. ex rel. Prendergast v. Meris Labs. Inc. |
D. N. Calif. |
$5.3 mill. |
|
| Medicare billing |
2/4/97 |
Y |
|
| U.S. v. Warren General Hospital |
E.D. Pa. |
$145,000 |
|
| Medicare billing |
1/29/97 |
N |
|
| U.S. v. Geisinger Wyoming Valley Med. Center |
E.D. Pa. |
$425,000 |
|
| Medicare billing |
1/29/97 |
N |
|
| U.S. v. Porter Memorial Hospital |
E.D. Pa. |
$700,000 |
|
| Medicare billing |
1/17/97 |
N |
|
