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Healthcare 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

 

NON QUI TAM

QUI TAM

NON QUI TAM

QUI TAM

TOTAL QUI TAM

AND NON QUI TAM

 

WHERE U.S. INTERVENED OR    OTHERWISE PURSUED

WHERE U.S. DECLINED

TOTAL

 

TOTAL

WHERE U.S. INTERVENED

OTHOERWISE 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

 

NON QUI TAM

QUI TAM

NON QUI TAM

QUI TAM

TOTAL QUI TAM

AND NON QUI TAM

 

WHERE U.S. INTERVENED OR    OTHERWISE PURSUED

WHERE U.S. DECLINED

TOTAL

 

TOTAL

WHERE U.S. INTERVENED

OTHOERWISE 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 NON QUI TAM

WHERE U.S. INTERVENED OR    OTHERWISE PURSUED

WHERE U.S. DECLINED

TOTAL

TOTAL

WHERE U.S. INTERVENED

OTHOERWISE 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. Non qui 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).

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