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. North Adams Ambulance Service |
D. Mass. |
$120,000 |
 |
| Medicare billing |
12/18/98 |
N |
|
| U.S. ex rel. Cost Containment & Recovery Services v. Medaphis Inc. |
C.D. Cal. |
$1.5 mill. |
|
| Medicare billing |
12/15/98 |
N |
|
| U.S. v. Crozer-Chester Medical Center-Upland,Pa |
E.D. Pa. |
$415,000 |
|
| Fraudulent Medicare |
12/4/98 |
Y |
|
| U.S. v. Barrow Med. Cntr. Winder, Ga. |
|
$18,000 |
|
| Patient dumping |
12/98 |
N |
|
| U.S. v. Meadows Reg. Medical Center |
|
$7,500 |
|
| Patient dumping |
12/98 |
N |
|
| U.S. v. Kaiser Found. Hosp. Vallejo, Ca. |
|
$22,000 |
|
| Patient dumping |
12/98 |
N |
|
| U.S. v. Unity Health Sys. St. Mary's Hosp. |
|
$10,000 |
|
| Patient dumping |
12/98 |
N |
|
| U.S. v. St. Luke's Hosp. |
|
$10,000 |
|
| Patient dumping |
12/98 |
N |
|
| U.S. v. Meadows Reg. Medical Center |
|
$7,500 |
|
| Patient dumping |
12/98 |
N |
|
| U.S. ex rel. Pellegrino v. Quantum Health Resources |
C.D. Cal. |
$4.5 mill. |
|
| Medicaid billing |
11/19/98 |
C |
|
| U.S. v. Dr. Robt. Taylor & Taylor Professional Assoc. (d/b/a Caldwell Anesthesiology) |
D. Idaho |
$55,000 |
|
| False Medicare claims |
11/19/98 |
Y |
|
| U.S. ex rel. Zissler v. Regents of U. of Minn. |
D. Minn. |
$32 mill. |
|
| Misuse of grant money |
11/17/98 |
N |
|
| U.S. v. Easton Hospital |
E.D. Pa. |
$1.12 mill. |
|
| Pneumonia coding |
11/17/98 |
C |
|
| U.S. v. Presbyterian Med. Cntr. of the U. of Pa. Health Sys. |
E.D. Pa. |
$535,448 |
|
| Pneumonia coding |
11/17/98 |
C |
|
| U.S. v. Donald & Essie Whitehead, d/b/a E&W Transportation |
N.D. Ga. |
$125,000 |
|
| Georgia Medicaid billing |
11/10/98 |
N |
|
| U.S. v. El Camino Hospital |
|
$35,000 |
|
| Patient dumping |
11/98 |
N |
|
| U.S. v. Cayetano Coll y Toste Hosp., P.R. |
|
$15,000 |
|
| Patient dumping |
11/98 |
N |
|
| U.S. v. Rogue Valley Medical Cntr. |
|
$25,000 |
|
| Patient dumping |
11/98 |
N |
|
| U.S. v. St. Joseph Hosp. of Eureka |
|
$12,500 |
|
| Patient dumping |
11/98 |
N |
|
| U.S. v. Panhandle Respiratory Rx LLC |
D. Tex. |
$100,000 |
|
| Improper payments |
10/26/98 |
N |
|
| U.S. v. Weiss Memorial Hospital, Chicago, Ill. |
|
$3.35 mill. |
|
| Pneumonia coding |
10/20/98 |
Y |
|
| U.S. v. Community Hosp. of Lancaster (Pa.) |
E.D. Pa. |
$205,000 |
|
| Medicare billing |
10/20/98 |
N |
|
| U.S. v. Meridian Occupational Healthcare Assoc. |
N.D. Ca. |
$306,670 |
|
| False Medicare claims |
10/15/98 |
N |
|
| U.S. v. Integra Inc. (fka Apogee, Inc.) |
M.D. Fla. |
$3 mill. |
|
| Medicare billing |
10/13/98 |
Y |
|
| U.S. ex rel. Vukanovich v. C.A.S.H. (OrNda Health) |
C.D. Calif. |
$850,000 |
|
| Medicare billing |
9/25/98 |
N |
|
| U.S. ex rel. Hill v. Paracelsus Healthcare Corp. |
C.D. Cal. |
$7.3 mill. |
|
| Medicare billing |
9/22/98 |
N |
|
| U.S. ex rel. Jackson v. Yale School of Medicine |
D. Conn. |
$5.6 mill. |
|
| Medicare billing |
9/4/98 |
N |
|
| U.S. v. Highmark Inc. |
E.D. Pa. |
$38.5 mill. |
|
| Medicare fraud |
9/98 |
Y |
|
| U.S. v. Northeast Medical Supplies Inc. |
D.VT. |
$240,000 |
|
| False claims for outpatient lab srvc |
8/21/98 |
N |
|
| U.S. ex rel. Kneepkens v. Dialysis Holdings Inc. |
D. Mass. |
$15 mill. |
|
| Medicare billing |
8/17/98 |
N |
|
| U.S. v. Philadelphia (Nursing Home) |
E.D. Pa. |
$50,000 |
|
| Inadequate care |
8/14/98 |
N |
|
| U.S. v. Restorative Health Services |
D. Neb. |
$172,228 |
|
| Medicare billing |
8/11/98 |
Y |
|
| U.S. v. Abraham |
D. Kan. |
$50,000 |
|
| Medicare fraud |
8/5/98 |
N |
|
| U.S. v. Sacred Heart Hospital |
D. Mass. |
$600,000 |
|
| Failure to report discounts to Medicare |
8/3/98 |
Y |
|
| U.S. v. Straub Clinic |
D. Hi. |
$2.4 mill. |
|
| Medicare billing |
8/98 |
Y |
|
| U.S. v. Charlotte Piuck,MD |
D.NJ |
$11,000 |
|
| False claims |
7/31/98 |
N |
|
| U.S. v. Dr. Rajan Amin and Amin Family Practice |
W.D. KY. |
$200,000 |
|
| False claims |
7/20/98 |
N |
|
| U.S. ex rel. Knoob v. Health Care Service Corp. |
S.D. Ill. |
$140 mill. |
|
| Medicare fraud |
7/16/98 |
Y |
|
| U.S. ex rel. Rothstein v. Thos. Somerville Co |
E.D. Pa. |
$302,000 |
|
| False claims |
7/13/98 |
N |
|
| U.S. v. Rose Ho, MD |
D. Mass. |
$52,000 |
|
| Improper claims |
7/10/98 |
Y |
|
| U.S. ex rel. Heyrman v. Fulton-DeKalb Hosp. d/b/a Grady Mem. Hosp. |
N.D. Ga. |
$4.3 mill. |
|
| Overcharging state Medicaid for p. drugs |
7/10/98 |
Y |
|
| U.S. v. Binocular Vision billing Center |
E.D. Pa. |
$212,000 |
|
| Improper Lab services |
7/9/98 |
|
|
| U.S. v. Royal Gero-Psychiatric Services Inc. |
N.D. Ohio |
$200,000 |
|
| Medicare false claims |
7/7/98 |
N |
|
| U.S. v. Royal Valley Medical Cntr. |
N.D. Ohio |
$200,000 |
|
| Medicare false claims |
7/7/98 |
N |
|
| U.S. ex rel. Semtner v. Spectrum Emerg. Care |
W.D. Okla. |
$3.1 mill. |
|
| Medicare billing |
7/98 |
N |
|
| U.S. v. Yedidsion |
C.D. Calif. |
$216,000 |
|
| Medicare overbilling |
6/24/98 |
N |
|
| U.S. v. Horizon/CMS Healthcare Corp. – North LA. Rehab. Hospital |
W.D. La. |
$4.5 mill. |
|
| Medicare billing fraud |
6/17/98 |
Y |
|
| U.S. v. Exclusive HealthCare Inc. HMO (Neb.) |
|
$50,000 |
|
| Marketing abuses |
6/17/98 |
C |
|
| U.S. ex rel. Flink v. Altoona Anesthesia Associates PC |
W.D.Pa |
$400,000 |
|
| Medicare fraud |
6/11/98 |
Y |
|
| Rhode Island v. United Healthcare of N.E. |
R.I. Dept. Health |
$50,000 |
|
| Violated utiliz. review law |
6/11/98 |
N |
|
| U.S. ex rel. Kready v. U. of Texas Health Science Cntr. |
W.D. Tex. |
$17.2 mill. |
|
| Overbilling |
6/10/98 |
Y |
|
| U.S. v. Sidney Williams, MD (Okla.) |
|
$70,000 |
|
| Medicare billing |
6/4/98 |
Y |
|
| U.S. v. Levindale Hebrew Geriatric Center & Hosp. |
D.Md. |
$827,000 |
|
| Improper Medicare Claims |
6/3/98 |
Y |
|
| U.S. v. North Ridge Medical Center (fla.) |
|
$70,000 |
|
| Patient dumping |
6/2/98 |
N |
|
| U.S. v. St. Elizabeth Health System |
N.D. Ohio |
$1.1 mill. |
|
| Health insurence program overbilling |
6/1/98 |
N |
|
| U.S. v. North Louisiana Rehab. Hospital (Horizon/CMS/Continental Med. Sys.) |
NA |
$4.5 mill. |
|
| Fraudulent hospitalization |
6/98 |
Y |
|
| U.S. v. Lanier Park Hosp. (Columbia/HCA) |
N.D. Ga. |
$950,113 |
|
| Medicaid billing |
4/21/98 |
Y |
|
| U.S. v. Home Pharmacy Services (HPS) – Ill. |
S.D. Ill. (Omnicare) |
$5.3 mill. |
|
| Resale of returned medicines |
4/98 |
Y |
|
| U.S. v. Miami ValleyHospital, Dayton |
S.D. Ohio |
$60,000 |
|
| False claims for outpatient lab services |
3/31/98 |
N |
|
| U.S. v. Barnesville Hosp. |
S.D. Ohio |
$490,000 |
|
| False claims for outpatient |
3/31/98 |
N |
|
| U.S. v. Columbus Comm. Hospital |
N.D. Ohio |
$45,000 |
|
| False claims |
3/31/98 |
N |
|
| U.S. v. Brentwood Hosp |
N.D. Ohio |
$86,247 |
|
| False claims for Outpatient lab srvcs |
2/23/98 |
N |
|
| U.S. v. St. Alexis Hosp. Assoc. (Cleveland,OH) |
N.D. Ohio |
$70,000 |
|
| False claims |
2/18/98 |
N |
|
| State of Georgia v. Emory Medical Care Foundation |
|
$4.5 mill. |
|
| Medicaid upcoding |
1/13/98 |
N |
|
| U.S. v. Chester Care Center |
E.D. Pa. |
$500,000 |
|
| Inadequate care |
1/13/98 |
C |
|
