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    3.  | False Claim Act Recovery Statistics

Health Care Fraud Claims Under False Claims Act Statistics

October 1, 1986 – September 30, 2019, Civil Division, U.S. Department of Justice

FY NEW MATTERS¹ SETTLEMENTS AND JUDGMENTS² RELATOR SHARE AWARDS³ NONQUI TAM QUI TAM NONQUI TAM QUI TAM TOTAL QUI TAM AND NONQUI TAM
WHERE U.S. INTERVENED OR    OTHERWISE PURSUED WHERE U.S. DECLINED TOTAL
TOTAL WHERE U.S. INTERVENED

OTHERWISE PURSUED

 WHERE U.S. DECLINED TOTAL
1987 12 3 11,361,826 0 0 0 11,361,826 0 0 0
1988 7 5 2,182,675 355,000 0 355,000 2,537,675 88,750 0 88,750
1989 19 16 350,460 5,099,661 0 5,099,661 5,450,121 50,000 0 50,000
1990 27 11 10,327,500 903,158 0 903,158 11,230,658 119,474 0 119,474
1991 19 12 8,670,735 5,420,000 0 5,420,000 14,090,735 861,401 0 861,401
1992 26 15 9,821,640 2,192,478 0 2,192,478 12,014,118 446,648 0 446,648
1993 22 38 12,523,165 151,760,404 0 151,760,404 164,283,569 22,946,101 0 22,946,101
1994 42 75 381,470,015 6,280,815 240,000 6,520,815 387,990,830 1,113,597 72,000 1,185,597
1995 26 87 96,290,779 84,061,789 1,620,000 85,681,789 181,972,568 14,337,982 465,800 14,803,782
1996 20 177 63,059,873 49,236,698 2,340,000 51,576,698 114,636,572 8,707,168 667,400 9,374,568
1997 48 269 351,440,027 578,987,081 92,500 579,079,581 930,519,608 58,852,605 20,250 58,872,855
1998 35 276 40,107,920 251,824,167 2,526,075 254,350,242 294,458,162 46,863,357 187,015 47,050,372
1999 28 315 88,000,792 396,402,128 1,366,699 397,768,827 485,769,619 45,174,556 317,829 45,492,385
2000 35 212 208,899,015 723,152,746 333,457 723,486,203 932,385,218 115,397,403 87,343 115,484,746
2001 34 181 435,849,179 931,262,922 14,991,554 946,254,475 1,382,103,654 143,904,700 3,735,500 147,640,200
2002 22 194 74,454,427 937,841,186 23,407,571 961,248,757 1,035,703,184 150,280,717 4,008,686 154,289,403
2003 26 215 541,929,810 1,304,920,314 2,880,785 1,307,801,099 1,849,730,909 284,074,368 722,233 284,796,601
2004 28 273 34,816,447 470,335,081 5,775,062 476,110,142 510,926,589 95,920,149 1,625,129 97,545,278
2005 34 270 204,821,548 906,656,836 6,671,593 913,328,429 1,118,149,977 120,989,298 1,900,095 122,889,393

October 1, 1986 – September 30, 2019, Civil Division, U.S. Department of Justice

FY NEW MATTERS¹ SETTLEMENTS AND JUDGMENTS² RELATOR SHARE AWARDS³
NONQUI TAM QUI TAM NONQUI TAM QUI TAM TOTAL QUI TAM AND NONQUI TAM
WHERE U.S. INTERVENED OR    OTHERWISE PURSUED WHERE U.S. DECLINED TOTAL
TOTAL WHERE U.S. INTERVENED

OTHERWISE PURSUED

 WHERE U.S. DECLINED TOTAL
2006 18 216 1,050,520,714 1,227,114,221 16,229,540 1,243,343,761 2,293,864,475 163,167,984 3,921,996 167,089,981
2007 25 199 465,052,993 929,615,846 152,456,640 1,082,072,486 1,547,125,480 156,285,623 2,497,177 158,782,799
2008 60 231 162,972,022 962,461,088 6,852,571 969,313,659 1,132,285,682 185,933,162 1,522,164 187,455,327
2009 35 279 240,061,424 1,368,411,522 30,283,452 1,398,694,974 1,638,756,398 155,440,550 8,669,822 164,110,372
2010 42 385 546,963,732 1,955,805,336 16,366,232 1,972,171,568 2,519,135,301 335,084,132 4,639,804 339,723,936
2011 38 417 178,287,545 2,183,142,674 88,291,393 2,271,434,067 2,449,721,612 446,890,505 24,055,563 470,946,068
2012 26 417 557,273,967 2,510,255,899 37,838,668 2,548,094,567 3,105,368,534 281,818,575 10,598,793 292,417,368
2013 27 504 61,354,329 2,553,768,951 119,260,369 2,673,029,320 2,734,383,649 470,977,353 28,526,451 499,503,804
2014 32 471 88,054,490 2,278,174,137 75,322,326 2,353,496,462 2,441,550,952 383,908,380 13,397,186 397,305,566
2015 26 426 160,758,915 1,492,103,005 476,633,065 1,968,736,070 2,129,494,985 272,916,832 133,135,640 406,052,471
2016 70 504 97,354,415 2,552,230,592 75,145,688 2,627,376,280 2,724,730,696 464,016,821 20,481,847 484,498,668
2017 55 495 32,627,357 1,667,051,294 445,241,304 2,112,292,597 2,144,919,954 292,996,150 123,462,284 416,458,434
2018 59 445 568,069,015 1,868,860,223 97,390,606 1,966,250,829 2,534,319,843 279,046,853 27,091,647 306,138,500
2019 56 449 695,579,721 1,637,769,878 272,135,976 1,909,905,854 2,605,485,575 176,017,786 68,188,692 244,206,479

October 1, 1986 – September 30, 2019, Civil Division, U.S. Department of Justice

FY NEW MATTERS¹ SETTLEMENTS AND JUDGMENTS² RELATOR SHARE AWARDS³
NON QUI TAM NON QUI TAM TOTAL
QUI TAM QUI TAM QUI TAM

AND NONQUI TAM

 WHERE U.S. INTERVENED OR    OTHERWISE PURSUED WHERE U.S. DECLINED TOTAL
TOTAL WHERE U.S. INTERVENED

OTHERWISE PURSUED

 WHERE U.S. DECLINED TOTAL
TOTAL 1,079 8,082 7,481,308,474 31,993,457,131 1,971,693,124 33,965,150,255 41,446,458,729 5,174,628,978 483,998,345 5,658,627,323

Notes:

  1. The information reported in this table covers matters in which the Department of Health and Human Services is the primary client agency.
  2. ”New Matters” refers to newly received referrals, investigations, and qui tam actions.
  3. Nonqui tam settlements and judgments do not include matters delegated to United States Attorneys’ offices. The Civil Division maintains no data on such matters.
  4. Relator share awards are calculated on the portion of the settlement or judgment attributable to the relator’s claims, which may be less than the total settlement or judgment. Relator share awards do not include amounts recovered in subsection (h) or other personal claims. See 31 U. S. C. 3730(h).