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Fonteum · Sanctions · OIG LEIE

Every excluded healthcare provider — the complete federal sanctions list, source-traced.

Fonteum snapshot 2026-05-08: 83,001 active exclusions in the OIG List of Excluded Individuals/Entities — 79,605 individuals, 3,396 entities. 43,005 mandatory (1128a) and 39,747 permissive (1128b) exclusions. Federal healthcare programs only — state Medicaid exclusion lists are separate, and the LEIE-vs-state lag is documented explicitly in our methodology. Verify any single record at the OIG public lookup; full reproducibility of every aggregate stat above from the source CSV.

See the Audit Pack →Methodology →
Snapshot May 8, 2026·83,001 active federal healthcare exclusions · 79,605 individuals + 3,396 entities · 43,005 mandatory + 39,747 permissive·OIG LEIE — HHS Office of Inspector General·Methodology →·Audit Pack →·Verify at OIG.hhs.gov → ↗
LEIE covers federal Medicare/Medicaid/other federal-program exclusions only. 42 states maintain separate Medicaid exclusion lists with documented latency to LEIE. The reinstated_count is 0 by source-design — OIG removes reinstated parties from the UPDATED.csv each month rather than retaining a historical state column.

What the data shows

Mandatory vs permissive

43,005 mandatory (1128a — program-related convictions, patient abuse, healthcare-fraud felonies) and 39,747 permissive (1128b — license actions, kickbacks, claims-based exclusions). Mandatory exclusions are 5-year minimum; permissive are case-by-case.

State concentration

Top 5 states by exclusion count: CA (9,655), FL (8,957), TX (5,866), NY (4,405), OH (3,759). Concentration tracks population for the top tier; CA + FL + TX together account for 29.5% of the active list.

Specialty mix

Top 5 specialties: NURSE/NURSES AIDE (34,493); OWNER/OPERATOR (3,181); PERSONAL CARE PROVID (3,143); HEALTH CARE AIDE (2,951); NO KNOWN AFFILIATION (2,131). NPI is captured on 8,551 records (10.3% of the list); entity records typically lack an NPI by source-convention.

YoY (most recent complete year): 2025 added 2,549 new exclusions (-585 vs prior year). The current calendar year is partial-data and is not used for trend reporting.

What the LEIE does not cover

Federal exclusion only. State Medicaid exclusion lists are separate registries with documented latency to the federal LEIE; 42 states maintain their own list. SAM.gov procurement debarment is a separate dataset with overlapping but non-identical scope. Reinstated parties are removed from the LEIE UPDATED.csv each month — historical reinstatement state is not retained in the source file. Fonteum surfaces these gaps explicitly in the methodology rather than papering over them.

Excluded anywhere: federal + state Medicaid exclusions → · Cross-reference: Nursing Home Care Compare → · Audit-pack export integration → · Verify any record at OIG.hhs.gov →

Compliance posture

Methodology · Corrections log · Editorial policy

Built on the authoritative federal record

The primary sources, named on every page.

These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.

  • CMS
  • HHS-OIG
  • HRSA
  • FDA
  • NLM
  • NUCC
  • Census
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  • BEA

See the full source registry, with license and refresh cadence for each →

Reproducible by design

Every figure traces to its federal source.

14-tuple provenance

Every rendered fact ties to a source URL, dataset ID, snapshot date, row key, and SHA-256 — the full chain-of-custody record.

Reproducible SQL

Each study ships the exact query behind its figures, run against the cited federal snapshot. Re-run it yourself.

Daily reconciliation

Published counts are reconciled against the upstream federal datasets on a daily cadence, with drift logged.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

Two doors

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Query providers, facilities, sanctions, and quality scores — each field carrying its federal source. Self-serve, no call to start.

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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

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The U.S. healthcare graph AI can cite — every fact carries its source.

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The substrate, by the numbers

9.2Mgraph entitiesProviders, organizations, owners, and facilities
15.7Mlinked identifiersNPIs, CCNs, LEIs and more, resolved to entities
5Mgraph edgesSource-attested relationships between entities
44federal source familiesDistinct CMS, OIG, HRSA, FDA and peer datasets
35dataset pagesCitable, downloadable /data catalog pages
65reproducible studiesEach shipping the SQL behind its figures