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. ex rel. Ramsey v. St. Joseph’s Hospital |
N.D. Ga. |
$26 mill. |
 |
| Overcharged Medicare |
12/21/2007 |
N |
|
| U.S. v. HealthSouth Corp. (see Drs. Andrews And Lemak) |
N.D. Ala. |
$14.2 mill. |
|
| False claims and illegal kickbacks |
12/14/2007 |
N |
|
| U.S. v. Dr. James R. Andrews |
N.D. Ala. |
$450,000 |
|
| False claims and illegal kickbacks |
12/14/2007 |
N |
|
| U.S. v. Dr. Lawrence Lemak |
N.D. Ala. |
$250,000 |
|
| False claims and illegal kickbacks |
12/14/2007 |
N |
|
| U.S. v. Greybor Medical |
C.D. Cal. |
$6 mill. |
|
| Overbilling Medicare |
12/10/2007 |
N |
|
| U.S. ex rel. Kite v. Raritan Bay Med. Center |
D. N.J. |
$7.5 mill. |
|
| Medicare fraud |
12/10/2007 |
N |
|
| Texas ex rel. Ven-A-Care v. GlaxoSmithKline |
Tex.Dist.Ct. |
$1.4 mill. |
|
| Overcharged state Medical program for three drugs |
11/16/07 |
N |
|
| U.S. v. Stryker Corp. & Phisiotherapy Assoc. |
D.Tenn. |
$16.6 mill. |
|
| False Medicare Claim |
11/14/07 |
N |
|
| U.S. v. Arizona Heart Hospital and AHI |
D.Ariz. |
$6.7 mill. |
|
| Improper billing noncovered Procedurs |
11/05/07 |
N |
|
| U.S. v. Biomet Orthopedics |
D.N.J. |
$26 mill. |
|
| Violation of Medicare anti-kickback provisions |
09/27/07 |
N |
|
| U.S. v. Smith & Nephew Inc. |
D.N.J. |
$28 mill. |
|
| Violation of Medicare anti-kickback provisions
| 09/27/07 |
N |
|
| U.S. v. Zimmer |
D.N.J. |
$169 mill. |
|
| Violation of Medicare anti-kickback provisions
| 09/27/07 |
N |
|
| U.S. v. DePuy Orthopedics |
D.N.J. |
$84 mill. |
|
| Violation of Medicare anti-kickback provisions |
09/22/07 |
N |
|
| U.S. ex rel. Ven-a-Care Of the Florida Keys v. Aventis Pharmaceuticals |
S.D. Fla. |
$190 mill. |
|
| False claims |
9/10/07 |
Y |
|
| U.S ex. rel. Tiesinga v. Dianon Systems Inc. |
D.Conn. |
$1.5 mill. |
|
| False Medicare & TRICARE Claim |
09/06/07 |
N |
|
| U.S ex. rel. Fulp. v. Marquez |
S.D.Text. |
$3.1 mill. |
|
| False Medicare & Madicade Claim |
09/04/07 |
N |
|
| U.S. v. Dr. Pradeep Srivastava |
D. Md. |
$476,000 |
|
| Billing fraud |
8/22/07 |
Y |
|
| U.S. v. Coram, Inc. |
D.D.C. |
$760,000 |
|
| False Medicare Claim |
08/22/07 |
N |
|
| U.S. ex rel. Fullington v. Parkway Hospital Inc. |
E.D.N.Y. |
$1.1 mill. |
|
| Wrongful Medicare reimbursement |
8/13/07 |
N |
|
| U.S. ex rel. Turner v. Maximus Inc. |
D.D.C. |
$42.6 million |
|
| Medicaid Fraud |
7/23/07 |
N |
|
| U.S. v. Univ. of CT. Health Center (UCHC) – John Dempsey Hosp. |
D. Ct. |
$475,278 |
|
| False Medicare billing for infusion therapy |
6/26/07 |
N |
|
| U.S. v. John Dempsey Hospital (CT) |
D. Conn. |
$475,278 |
|
| False Medicare claims |
06/26/2007 |
N |
|
| U.S. ex rel. Block v. Laidlaw Medical Transport |
S.D. Tex. |
$2.5 mill. |
|
| Illegal inducements for referrals |
6/11/07 |
N |
|
| U.S. ex rel. Olenick v. Universal Healthcare Services |
C.D. Cal. |
$1.2 mill. |
|
| Inflated Medicare physical therapy |
6/7/07 |
N |
|
| U.S. ex rel. McCaslin v. Harris County Hosp. District |
S.D. Tex. |
$15.4 mill. |
|
| Improperly billing state and federal health programs |
6/4/07 |
N |
|
| U.S. v. The Scooter Store |
W.D. Tex. |
$4 mill. |
|
| False billing |
5/11/07 |
N |
|
| U.S. ex rel. Mulqueen v. Medicis Pharmaceutical Corp. |
D. Kan. |
$9.8 mill. |
|
| Medicaid false claims |
05/07/2007 |
N |
|
| U.S. ex rel. Razin v. Loma Linda Behavioral Medicine Center |
C.D. Cal. |
$2 mill. |
|
| Fraudulent billing of federal health ins. programs |
4/25/07 |
N |
|
| U.S. ex rel. Marchese v. Cell Therapeutics (CTI) |
W.D. Wash. |
$10.5 mill. |
|
| Illegal marketing of Trisenox |
4/16/07 |
N |
|
| U.S. v. Pfizer Inc. (Pharmacia & Upjohn Co.) |
D. Mass. |
$34.7 mill. |
|
| Illegal marketing & promotion of Genotropin |
3/28/07 |
N |
|
| U.S. ex rel. Reilly v. Catskill Medical Center (APS) |
S.D.N.Y. |
$3.4 mill. |
|
| Defrauding Medicaid |
3/28/07 |
Y |
|
| U.S. and Mass. v. Tri-City Mental Health Center |
D. Mass. |
$556,687 |
|
| False billing |
3/28/07 |
N |
|
| U.S. v. Brighten at Broomall |
E.D. Pa. |
$45,000 |
|
| inadequate care |
2/14/07 |
C |
|
| AFSCME v. Serono SA (class action settlement) |
D. Mass. |
$24 mill. |
|
| Fraudulent marketing & sale of HIV drug |
1/31/07 |
NA |
|
| U.S. v. Wellpoint Health Networks (RightChoice Managed Care) |
E.D. Mo. |
$975,000 |
|
| Overcharged FEHBP |
1/29/07 |
N |
|
| U.S. v. Dr. Irina Benaur |
E.D. Pa. |
$210,000 |
|
| Fraudulent claims |
1/24/07 |
N |
|
| In re. Institute for Cancer Research |
Bankr. S.D.N.Y. |
$3.2 mill. |
|
| Misuse of grant funds |
1/12/07 |
N |
|
| U.S. ex rel. Colon v. Affiliated Prof. Services Inc. (APS) |
D. Mass. |
$100,000 |
|
| Medicare billing |
1/12/07 |
N |
|
| U.S. ex rel. Colon v. Perry Hearn |
D. Mass. |
$150,000 |
|
| Medicare billing |
1/12/07 |
N |
|
| U.S. ex rel. Kaczmarczyk v.SCCI Health Services Corp. |
S.D. Tex. |
$7.5 mill. |
|
| Violated Stark self-referral law |
1/5/07 |
N |
|
| U.S. ex rel. Moore v. East Tennessee Heart Consultants |
E.D. Tenn. |
$2.9 mill. |
|
| Retained Medicare overpayments |
1/4/07 |
Y |
|
| U.S. v. Bristol-Myers Squibb Co. |
D.Mass. |
$515 mill. |
|
| Fraudulent drug pricing, off-label promotion |
09/28/2007 |
Y |
|
