Breach of Settlement Agreement
Open-data reference.
Breached terms of a prior settlement agreement with HHS OIG.
Recent Exclusions
| Name | State | Category | Date |
|---|---|---|---|
| FREDERICK ANTHONY BROWN | TX | Physician | 2026-02-05 |
| NIRMAL VASANT MULYE | FL | Business Owner/Executive | 2025-06-30 |
| RIVERSIDE RECOVERY, LLC | OH | Other Business | 2025-06-11 |
| ASSURE HOLDINGS CORP | CO | SURGERY | 2025-03-20 |
| ASSURE NEUROMONITORING LLC | CO | SURGERY | 2025-03-20 |
| ALEX DE JESUS | TX | Physician | 2025-03-06 |
| LAFFERTY ENTERPRISES, INC | KY | Other Business | 2024-11-06 |
| PAUL ALLEN LAFFERTY | KY | Business Owner/Executive | 2024-11-06 |
| MUSTAPHA KIBIRIGE, MD, PA | TX | OPHTHALMOLOGY | 2023-06-26 |
| OUTREACH DIAGNOSTIC CLINIC, LL | TX | OPHTHALMOLOGY | 2023-06-26 |
| MUSTAPHA KIBIRIGE | TX | Licensed Healthcare Professional | 2023-06-26 |
| DOCTORS ON WHEELS | IL | Other Business | 2023-02-24 |
| ON-SITE IMAGING, LLC | NJ | Other Business | 2023-02-08 |
| OKEFENOKEE EMS, INC | GA | Other Business | 2022-05-25 |
| SHREVEPORT PROSTHETICS, INC | LA | Durable Medical Equipment | 2021-03-29 |
Breach of Settlement Agreement by State
Actual exclusion counts from HHS OIG LEIE database by state.
Source: HHS Office of Inspector General — List of Excluded Individuals/Entities (LEIE) HHS Office of Inspector General — List of Excluded Individuals/Entities (LEIE)
What the Breach of Settlement Agreement Numbers Reveal
The breach of settlement agreement category currently accounts for 28 federal healthcare exclusions — roughly 0.2% of all active OIG LEIE entries. Exclusions under this category span 13 U.S. states, meaning licensing discipline in this specific action type is not concentrated in a single jurisdiction. Texas records the highest concentration with 7 excluded providers, while Georgia follows with 6. Because this data comes directly from the HHS Office of Inspector General's monthly LEIE file, every entry reflects a formal federal debarment — not a pending allegation.
Breached terms of a prior settlement agreement with HHS OIG. Patterns like this matter because healthcare organizations are legally required to screen employees, contractors, and referring providers against the LEIE before hiring and on an ongoing basis. A single billing interaction involving an excluded provider under the breach of settlement agreement category can trigger civil monetary penalties of up to $100,000 per item or service furnished, plus treble damages. The 28 individuals and entities currently flagged represent an active compliance exposure for every hospital, clinic, pharmacy, and insurer operating in the affected states.
For patients and families, the state-by-state breakdown above is a starting point for verification — not a substitute for it. Exclusion status can change monthly as providers are added, reinstated, or moved between action categories. Before choosing a provider, always cross-check the current OIG LEIE at oig.hhs.gov and the relevant state medical board's public license verification tool. Because breach of settlement agreement exclusions carry federal weight, they typically persist across state lines even if a provider relocates, making the LEIE the single most official source for confirming eligibility to receive Medicare, Medicaid, or TRICARE payments.
Frequently Asked Questions
What is a breach of settlement agreement exclusion?
Breach of Settlement Agreement is a type of exclusion action taken by the HHS Office of Inspector General (OIG) under federal law. When a healthcare provider receives this exclusion, they are barred from participating in Medicare, Medicaid, and all other federal healthcare programs. There are currently 28 breach of settlement agreement exclusions across all U.S. states. Breached terms of a prior settlement agreement with HHS OIG.
What is the impact on healthcare providers?
When a provider is excluded under the breach of settlement agreement category, no federal healthcare program will pay for any items or services furnished, ordered, or prescribed by the excluded individual or entity. Healthcare organizations that employ or contract with excluded providers may face civil monetary penalties of up to $100,000 per item or service. Exclusions also affect the provider's ability to work in most healthcare settings, even in non-billing roles, since organizations risk penalties for any involvement of excluded individuals in federally funded care.
How can I check if a provider is excluded?
To check if a specific provider has been excluded, search the OIG's List of Excluded Individuals/Entities (LEIE) database at oig.hhs.gov. You can search by name, specialty, or state. The database is updated monthly and includes all currently excluded providers. Healthcare organizations are required to check the LEIE before hiring and on a regular basis (typically monthly) to ensure no current employees or contractors are excluded. The System for Award Management (SAM) exclusion database also contains exclusion records.
Can a provider be reinstated after exclusion?
Providers excluded under the breach of settlement agreement category may apply for reinstatement after the minimum exclusion period has elapsed. The minimum period varies by exclusion type — mandatory exclusions under Section 1128(a) of the Social Security Act typically carry a minimum 5-year period, while permissive exclusions under Section 1128(b) can vary. The provider must submit a written request to the OIG and demonstrate that the circumstances that led to exclusion have been resolved. Reinstatement is not automatic and requires OIG approval.
Patient Resources
Guides to help you understand physician discipline and healthcare enforcement
Verify physician background, license status, and disciplinary history for free.
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Disclaimer: This information is provided for informational purposes only and does not constitute professional advice. Data is sourced from the HHS Office of Inspector General (OIG) and BLS. Consult a qualified professional before making decisions based on this data.
Read our methodology — how this data is sourced, computed, and verified.
All federal data sources used on this page
- U.S. Census Bureau ACS — demographic + housing + income data. census.gov/programs-surveys/acs
- BLS Occupational Employment and Wage Statistics (OEWS) — wage + employment by occupation. bls.gov/oes
- BEA Regional Economic Accounts — GDP + personal income by state/metro. bea.gov/data/regional
- U.S. Census Bureau County Business Patterns — establishment + employment by industry. census.gov/cbp
- IRS Statistics of Income (SOI) — tax-return aggregate data. irs.gov/statistics
- data.gov — U.S. federal open-data portal — discovery layer for additional federal sources. data.gov