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Lost licenses: 39.8% of health care exclusions

American Factbook

Published

Data retrieved

Of the 84,093 exclusions in effect on HHS-OIG's List of Excluded Individuals and Entities, 33,455, or 39.8%, cite section 1128(b)(4) of the Social Security Act, which OIG describes as "License revocation, suspension, or surrender." The next, section 1128(a)(1), "Conviction of program-related crimes.", accounts for 26,072, or 31.0%. Together the two are behind 70.8% of the list.

Two authorities are behind 70.8% of health care exclusions in effect

The eight authorities with the most exclusions in effect on OIG's list, each as a share of every exclusion in effect, by the section of the Social Security Act OIG cites.

Codes with fewer than 11 excluded individuals, and the next smallest where the others would give that count back, have their total withheld and are not drawn, 8 of the file's 22.

Source: HHS-OIG

About this chart

The figures

Two authorities are behind 70.8% of health care exclusions in effect. The eight authorities with the most exclusions in effect on OIG's list, each as a share of every exclusion in effect, by the section of the Social Security Act OIG cites.
SectionShare of exclusions in effectExclusions
1128(b)(4)39.8%33,455
1128(a)(1)31.0%26,072
1128(a)(2)9.7%8,116
1128(a)(3)7.0%5,886
1128(a)(4)4.3%3,591
1128(b)(14)2.6%2,166
1128(b)(1)(A)1.1%943
1128(b)(5)1.0%811

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Organizations are excluded on other grounds. Of the 3,466 exclusions of organizations, 1,496, or 43.2%, cite section 1128(b)(8), "Entities controlled by a sanctioned individual." Section 1128(b)(4) accounts for 92 of them.

What the figures count

Each row of OIG's list is one exclusion action: the authority OIG used and the date it took effect. A person excluded twice is two exclusions, and an exclusion is an action OIG took, not a finding by this site of what anyone did. The authority is the legal ground OIG cites, in OIG's words.

Of the 84,093 exclusions, 80,627 are of individuals. Where an authority has fewer than 11 excluded individuals, this site does not show its count of individuals or its total, nor the total of the next smallest authority where the others would give that count back, so 8 of the file's 22 codes have no total here. A share of exclusions is of every exclusion on the list, and a share of organizations is of the list's exclusions of organizations.

Section 1128(b)(4) covers a license revoked, suspended or surrendered, and the list does not say which of the three each exclusion was; this brief calls all three a lost license.

What it cannot show

The list does not say why a license was lost, whether it was revoked, suspended or surrendered, or what a conviction was for beyond the authority's own words, and it names no outcome for any patient. A matching name on the list is not an identity: OIG's own search of the list is the place to check one person or organization.

What this cannot show

  • OIG removes a person or organization from the list when it reinstates them, so the list holds the exclusions in effect on the day it was read, not every exclusion OIG has imposed. An authority that OIG uses often but whose exclusions end sooner can hold a smaller share here than it does of the exclusions OIG imposes.

Sources

Every figure above is the recorded result of a query checked into the repository alongside this text. Continuous integration re-runs those queries and refuses the change if a number here and a number there disagree. Read the methodology, or the datasets behind it.

Published by the American Factbook. An independent publication.

How to cite this page

Cite the page’s address and the date printed on it, and name U.S. Department of Health and Human Services, Office of Inspector General as the source of the figures.

American Factbook. “Lost licenses: 39.8% of health care exclusions.” Updated November 5, 2026. https://americanfactbook.org/exclusions/analysis/exclusions-lost-licenses-lead. Source: List of Excluded Individuals and Entities (LEIE), https://oig.hhs.gov/exclusions/exclusions_list.asp.