CivicDataForge › Healthcare Exclusions

The scale of US healthcare exclusions

The federal government keeps a public list of every provider barred from billing Medicare, Medicaid, and other health programs. We pulled the entire HHS-OIG exclusion list — 83,665 records — and counted what's actually in it. No names here, just the shape of the whole.

83,665
providers excluded
96%
are individuals, not businesses
41%
are nurses or nurse aides
40%
lost a professional license

To be "excluded" means federal health programs will not pay for anything you provide, order, or prescribe — a career-ending sanction. 80,233 of the 83,665 are individual people; the remaining 3,432 are businesses and facilities.

Where the excluded providers are

Exclusions cluster in the biggest states, but not purely by population — California and Florida together account for nearly a quarter of the entire national list.

California
9,696
Florida
9,067
Texas
5,919
New York
4,420
Ohio
3,809
Pennsylvania
3,581
Arizona
2,679
Illinois
2,389
Mississippi
2,057
Louisiana
1,949

Who gets excluded

One role dominates everything else. Nurses and nurse aides make up 34,663 exclusions — more than four in ten — dwarfing every physician, pharmacist, and business category combined.

Nurse / nurse aide
34,663
Personal care provider
3,227
Owner / operator
3,179
Health care aide
2,946
Chiropractic
2,025
General practice / FP
1,863
Pharmacist
1,729
Home health agency
1,459
Dentist
1,349

The skew is structural: nursing and aide roles are the largest health workforce in the country and are licensed by every state, so a state license action flows straight onto the federal list.

Why they were excluded

Each exclusion carries a statutory code from Section 1128 of the Social Security Act. Two authorities account for more than 70% of the entire list — a lost license, or a program-related criminal conviction.

Exclusions added each year

The list is not shrinking. Federal enforcement adds roughly 2,000–3,000 exclusions in a typical year, with no sign of slowing.

2017
2,765
2018
2,393
2019
2,199
2020
2,049
2021
1,515
2022
2,487
2023
2,251
2024
3,129
2025
2,540
2026 *
1,628

* 2026 is a partial year (data pulled mid-year). Counts reflect the year an exclusion was added for providers who are still excluded today; reinstated providers drop off the list, which lightly deflates older years.

Want to screen against this list?

Hiring a provider, credentialing a vendor, or auditing a network? Every organization that bills federal health programs is required to check that its people and partners aren't on this list. Our tool screens any name or NPI against the full, up-to-date federal exclusion set — or pulls exclusions filtered by state, specialty, and type.

Screen against the LEIE exclusion list →

Source: HHS Office of Inspector General, "List of Excluded Individuals/Entities" (LEIE), the complete downloadable file of 83,665 active exclusions, analyzed in aggregate by CivicDataForge's LEIE Exclusion Screening tool. Exclusion-authority definitions from the OIG's published Section 1128 authorities. No individual person or business is named on this page — counts only.