Which state has the most excluded healthcare providers?

California has the most active OIG exclusions, with 9,676 currently-excluded healthcare providers. Exclusions are reported under the provider's state of record in the LEIE.

What is an OIG exclusion?

An OIG exclusion is a sanction by the HHS Office of Inspector General that bars an individual or entity from participating in Medicare, Medicaid, and all other federal healthcare programs. Federal healthcare programs will not pay for items or services an excluded party furnishes, orders, or prescribes.

DATA STUDY · 2025 EDITION

States with the most excluded healthcare providers

Q: How many healthcare providers are excluded from Medicare and Medicaid?

83,256 individuals and entities are currently excluded (no reinstatement on record) from Medicare, Medicaid, and all federal healthcare programs under the HHS-OIG List of Excluded Individuals/Entities (LEIE). The full LEIE contains 83,256 historical records, of which 0 have since been reinstated.

83,256 healthcare providers are currently excluded from Medicare, Medicaid, and all federal healthcare programs under the HHS-OIG List of Excluded Individuals/Entities (LEIE). California leads the country with 9,676 active exclusions. Below: every state ranked by exclusion count, and the national total broken down by the statutory authority used to exclude. Drawn from the latest OIG LEIE release; updated annually.

83,256

ACTIVE EXCLUSIONS

STATES WITH EXCLUSIONS

83,256

TOTAL LEIE RECORDS

REINSTATED

OIG LEIE snapshot 2026-05-08

STATES WITH THE MOST EXCLUSIONS

Active exclusions by state — top 12

RANKED BY STATE

Excluded providers by state

States ranked by the number of currently-active OIG LEIE exclusions. Each state links to its full directory of excluded and sanctioned providers.

#	State	Active exclusions	Total LEIE records
1	California	9,676	9,676
2	Florida	8,991	8,991
3	Texas	5,880	5,880
4	New York	4,410	4,410
5	Ohio	3,787	3,787
6	Pennsylvania	3,563	3,563
7	Arizona	2,669	2,669
8	Illinois	2,384	2,384
9	Mississippi	2,048	2,048
10	Louisiana	1,941	1,941
11	Alabama	1,870	1,870
12	North Carolina	1,827	1,827
13	Tennessee	1,820	1,820
14	Colorado	1,766	1,766
15	Kentucky	1,741	1,741
16	Massachusetts	1,711	1,711
17	Oklahoma	1,663	1,663
18	Virginia	1,571	1,571
19	Michigan	1,559	1,559
20	Minnesota	1,394	1,394
21	New Jersey	1,355	1,355
22	Washington	1,351	1,351
23	Indiana	1,322	1,322
24	Georgia	1,293	1,293
25	Arkansas	1,274	1,274
26	Missouri	1,171	1,171
27	Iowa	1,118	1,118
28	Oregon	907	907
29	Maryland	890	890
30	West Virginia	845	845
31	Wisconsin	777	777
32	Utah	773	773
33	Connecticut	768	768
34	South Carolina	704	704
35	Nevada	689	689
36	Kansas	689	689
37	Maine	634	634
38	Vermont	578	578
39	Rhode Island	520	520
40	New Hampshire	422	422
41	Idaho	358	358
42	Nebraska	314	314
43	New Mexico	297	297
44	Alaska	269	269
45	Montana	256	256
46	South Dakota	238	238
47	Puerto Rico	232	232
48	Delaware	229	229
49	North Dakota	182	182
50	Hawaii	177	177
51	Wyoming	164	164
52	District of Columbia	93	93
53	XX	82	82
54	VI	5	5
55	GU	5	5
56	FM	3	3
57	MP	1	1

BY EXCLUSION TYPE

Why providers are excluded

The national exclusion total broken down by the statutory authority (42 U.S.C. § 1320a-7) under which each exclusion was imposed. Each type links to its detail page.

Authority	What it means	Active	Total
1128b4	License revocation or suspension	33,136	33,136
1128a1	Conviction of program-related crimes	25,760	25,760
1128a2	Patient abuse or neglect conviction	8,073	8,073
1128a3	Felony healthcare fraud conviction	5,826	5,826
1128a4	Felony controlled-substance conviction	3,551	3,551
1128b14	Default on health-education loan	2,167	2,167
1128b8	Entity controlled by a sanctioned individual	1,497	1,497
1128b1	Misdemeanor healthcare fraud conviction	936	936
1128b5	Exclusion under a federal/state healthcare program	803	803
1128b7	Fraud, kickbacks, and prohibited activities	735	735
1128b3	Misdemeanor controlled-substance conviction	330	330
1128Aa	—	148	148
1128b6	Excessive charges or unnecessary services	77	77
1128b2	Obstruction of an investigation	67	67
1156	Failure to meet standards of care	53	53

Methodology

Counts are drawn from the HHS Office of Inspector General List of Excluded Individuals/Entities (LEIE), the authoritative federal record of providers barred from Medicare, Medicaid, and all federal healthcare programs. A record is counted as an active exclusion when it has no reinstatement date — the provider remains excluded. Records with a reinstatement date are counted in the total but not in the active figure.

States are ranked by active exclusion count using the provider's state of record in the LEIE; larger states tend to have more exclusions in absolute terms. The by-type breakdown groups every record by the statutory authority (42 U.S.C. § 1320a-7) cited for the exclusion. Figures are refreshed monthly from the OIG snapshot shown above.

Want to check a specific provider? Every state links to its full directory, and you can screen any NPI or name against the LEIE, SAM.gov, state board sanctions, and more for a CLEAR / WATCH / EXCLUDED result. See all the lists we screen.

▸ USE THIS RESEARCH

Cite or embed this study

This research is free to reference. Journalists and researchers are welcome to cite the figures with a link back to ProviderScore.

CITATION

ProviderScore. (2026). States With the Most Excluded Healthcare Providers. Retrieved from https://providerscore.io/excluded-providers-by-state

EMBED THIS STAT (paste the HTML into your article)

<a href="https://providerscore.io/excluded-providers-by-state" style="display:inline-block;border-left:4px solid #84cc16;padding:10px 14px;font:14px/1.4 system-ui,sans-serif;color:#0f172a;text-decoration:none;background:#f8fafc;border-radius:4px;max-width:520px"><strong>83,256 U.S. healthcare providers are currently excluded from Medicare and Medicaid</strong><br>Source: ProviderScore — States With the Most Excluded Healthcare Providers (2026)</a>

PREVIEW

83,256 U.S. healthcare providers are currently excluded from Medicare and Medicaid
Source: ProviderScore — States With the Most Excluded Healthcare Providers (2026)