Entity Controlled by Sanctioned Individual
1986-2025 data Public-data reference. official source

Entity Controlled by Sanctioned Individual

Open-data reference.

Entity owned or controlled by an individual who has been excluded, or who has a specified ownership or control interest in a sanctioned entity.

1,488
excluded individuals/entities
1,488
Total Exclusions
1.8%
Share of All Exclusions
48
States Affected
Florida
Highest Count State

Recent Exclusions

These are federal HHS OIG LEIE exclusion records, which cover all licensed healthcare provider types (physicians, nurses, technicians, and others), not physicians exclusively -- see the "Category" column for each entry's actual provider type. This list is separate from, and not comprehensive with, any individual's state medical board discipline history.

Name State Category Date
Carolina Spine and Pain Center SC Other Business 2025-04-20
Amara Medical Center, LLC NV Other Business 2024-09-19
Dr Lokesh S Tantuwaya MD INC CA NEUROLOGY 2024-03-20
Montebello Pharmacy, INC CA Other Business 2023-02-20
101 First Care Pharmacy INC NY Other Business 2022-03-20
Aim Pharmacy and Surgicals Cor NY Other Business 2022-03-20
Support Transportation, INC NY Other Business 2021-12-20
Healthsmart Pacific, INC CA Other Business 2021-04-20
Cooperative Care Medical Group CA Other Business 2021-01-20
Harmony Home Health Care LLC MA Other Business 2020-12-20
Foot Specialist Associates, P NY SURGERY 2019-07-18
Brooklyn Comprehensive Care Me WV GENERAL PRACTICE 2019-06-20
Juan A. Medina Medical Office, NY GENERAL PRACTICE 2019-06-20
Pharmasan Labs, INC WI Other Business 2019-01-20
Regional Medical Services CA Other Business 2018-12-20

Entity Controlled by Sanctioned Individual 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 Entity Controlled by Sanctioned Individual Numbers Reveal

The entity controlled by sanctioned individual category currently accounts for 1,488 federal healthcare exclusions, roughly 1.8% of all active OIG LEIE entries. Exclusions under this category span 48 U.S. states, meaning licensing discipline in this specific action type is not concentrated in a single jurisdiction. Florida records the highest concentration with 506 excluded providers, while California follows with 159. 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.

Entity owned or controlled by an individual who has been excluded, or who has a specified ownership or control interest in a sanctioned entity. 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 entity controlled by sanctioned individual category can trigger civil monetary penalties of up to $100,000 per item or service furnished, plus treble damages. The 1,488 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 entity controlled by sanctioned individual 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 an entity controlled by sanctioned individual exclusion?

Entity Controlled by Sanctioned Individual 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 1,488 entity controlled by sanctioned individual exclusions across all U.S. states. Entity owned or controlled by an individual who has been excluded, or who has a specified ownership or control interest in a sanctioned entity.

What is the impact on healthcare providers?

When a provider is excluded under the entity controlled by sanctioned individual 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 entity controlled by sanctioned individual 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.

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) List of Excluded Individuals/Entities (LEIE). Consult a qualified professional before making decisions based on this data.