Conviction: Program-Related Crime (Alt)
2026 data Public-data reference. official source

Conviction: Program-Related Crime (Alt)

Open-data reference.

Convicted of a criminal offense related to the delivery of items or services under a federal health care program (alternative citation).

148
excluded individuals/entities
148
Total Exclusions
1.1%
Share of All Exclusions
24
States Affected
Florida
Highest Count State

Recent Exclusions

Name State Category Date
ADEL A KALLINI FL Physician 2020-04-30
SHOALS MEDICAL GROUP, LLC AL INTERNAL MEDICINE 2016-09-28
MOHAMMAD SIDDIQUE AL Physician 2016-09-28
CHARLES F MCCUSKER UT Physician 2014-11-14
THOMAS MICHAEL HORRAS IA Home Health Agency 2011-06-20
MOBILITY PLUS MEDICAL SUPPLY MA Durable Medical Equipment 2009-10-03
STEPHANIE GERMAINE BROWN MA Durable Medical Equipment 2009-10-03
KAST ORTHOTICS AND PROSTHETICS FL Durable Medical Equipment 2009-02-11
CHRISTINE RICHARDS IA Home Health Agency 2006-04-25
YELENA STOLYAR CO Home Health Agency 2005-12-13
MONICA JANET APPLEWHITE NY Physician 2000-12-18
MODERN MEDICAL CENTER, INC FL Clinic 1999-09-20
ESSIE WHITEHEAD GA Transportation Company 1998-12-06
GALLOWAY PAIN CONTROL CTR, INC FL Clinic 1998-11-17
MELODY CHUNG FL OWNER/OPERATOR 1998-11-17

Conviction: Program-Related Crime (Alt) 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 Conviction: Program-Related Crime (Alt) Numbers Reveal

The conviction: program-related crime (alt) category currently accounts for 148 federal healthcare exclusions — roughly 1.1% of all active OIG LEIE entries. Exclusions under this category span 24 U.S. states, meaning licensing discipline in this specific action type is not concentrated in a single jurisdiction. Florida records the highest concentration with 67 excluded providers, while Texas follows with 12. 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.

Convicted of a criminal offense related to the delivery of items or services under a federal health care program (alternative citation). 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 conviction: program-related crime (alt) category can trigger civil monetary penalties of up to $100,000 per item or service furnished, plus treble damages. The 148 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 conviction: program-related crime (alt) 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 conviction: program-related crime (alt) exclusion?

Conviction: Program-Related Crime (Alt) 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 148 conviction: program-related crime (alt) exclusions across all U.S. states. Convicted of a criminal offense related to the delivery of items or services under a federal health care program (alternative citation).

What is the impact on healthcare providers?

When a provider is excluded under the conviction: program-related crime (alt) 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 conviction: program-related crime (alt) 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.

Related

Data sourced from official federal and state medical-board disciplinary records (FSMB, state boards). See our methodology for details. Retrieved and formatted by PlainDiscipline Editorial

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.

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