Above-Average Share of Exclusions Rank #11 of 137

Private Entity - Federal Exclusion Data

1,944
Federal Exclusions
2.4%
Share of All Exclusions
#11
of 137 Provider Types

What the Private Entity Exclusion Data Reveals

Private Entity ranks #11 out of 137 provider-type categories by federal-exclusion volume, with 1,944 exclusions recorded in the HHS OIG LEIE, roughly 2.4% of all currently-tracked exclusions. That places Private Entity above the average per-category share of 0.7%, in the higher-volume half of the provider-type landscape.

The most common reason for a Private Entity exclusion is Conviction: Program-Related Crime (1,402 cases, 72% of the category), followed by Conviction: Patient Abuse or Neglect (126). CA, FL, OH account for the largest share of Private Entity exclusions on record.

Common Questions

What is the most common reason for a Private Entity exclusion?
The most common reason for a Private Entity exclusion is Conviction: Program-Related Crime (1,402 cases, 72% of the category), followed by Conviction: Patient Abuse or Neglect (126). That reflects the regulatory pathway most often used against this provider type, not necessarily the most severe conduct.
Is Private Entity's exclusion volume above or below average?
Yes. Private Entity sits in the higher-volume half of LEIE provider-type categories, ranked #11 of 137 by exclusion count. A higher share mainly reflects how many private entity providers bill federal programs and how closely those claims get audited, it is not a direct measure of misconduct prevalence within the category.

Recent Federal Exclusions - Private Entity

Name State Reason Date
Kimberly Anne Hunter IA Conviction: Program-Related Crime 2013-01-20
Shameka C Atkinson NC Conviction: Program-Related Crime 2012-11-20
Natalie Ann Hanson MN Conviction: Program-Related Crime 2012-10-18
Linda Kay Forbess OR Conviction: Program-Related Crime 2012-08-20
Elizabeth Banares CA Conviction: Program-Related Crime 2012-05-20
Crisencia Matienzo CA Conviction: Program-Related Crime 2012-05-20
Robby Lemon Owens MO Misdemeanor: Healthcare Fraud 2012-05-20
Philip Richard Even OR Exclusion or Debarment by Federal Agency 2012-04-19
John M Costa WA Conviction: Patient Abuse or Neglect 2012-03-20
Francine Deweese OR Conviction: Program-Related Crime 2012-02-20

Source: HHS OIG LEIE HHS OIG LEIE

Source: HHS OIG List of Excluded Individuals/Entities (LEIE) HHS OIG List of Excluded Individuals/Entities (LEIE) Federal exclusion data from the HHS Office of Inspector General (LEIE). Provider-type categories are as recorded in the LEIE dataset. This information is for educational purposes only and does not constitute medical or legal advice

Read our methodology - how this data is sourced, computed, and verified.

Every figure on PlainDiscipline is rendered directly from public regulatory source data, no number is typed in by an editor. This page draws directly on public regulatory source data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.