Post-Exclusion Billing

Providers on the HHS OIG List of Excluded Individuals and Entities (LEIE) who continued billing Medicaid after their exclusion date β€” a violation of federal law (42 USC 1320a-7b).

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Methodology

The LEIE database contains 82.7K individuals and entities excluded from federally funded healthcare programs. We matched 8.3K excluded entities with valid NPIs against our522.9K Medicaid providers.

β€œPost-exclusion billing” indicates the provider's last known billing month in our data falls after their exclusion date. This does not necessarily prove ongoing billing β€” the T-MSIS data covers 2018-2024 and may include claims processed before exclusion took effect.

Source: HHS OIG LEIE (updated January 2026) Β· CMS T-MSIS 2018-2024