Notable Settlements
Notable Whistleblower Settlements
Recent whistleblower cases that resulted in significant recoveries. These cases demonstrate the impact of whistleblowers in exposing fraud and recovering taxpayer funds.
TL;DR: These are notable whistleblower settlements from public sources, including the U.S. Department of Justice and cases we've personally assisted. Each case demonstrates the types of fraud that whistleblower laws are designed to address.
Medical
Pharma & Medical Devices
(8 cases)$60 Million
Pfizer/Biohaven — Migraine Medication Kickbacks
Pfizer Pays Nearly $60 Million for Biohaven Kickback Scheme
$17 Million
C.R. Bard — Urology Device Kickbacks
Medical Device Supplier Pays $17 Million for Urology Kickbacks
Bankruptcy Resolution
Endo Health Solutions — Opioid Marketing Practices
Endo Resolves Criminal and Civil Investigations Tied to Opana ER Marketing
$27 Million
Daniel Hurt & Affiliated Laboratories — Genetic Testing Kickbacks
Genetic Testing Scheme Resolves for Over $27 Million
$13 Million
RDx Bioscience — MSO and Marketing Kickbacks
Clinical Laboratory Pays Over $13 Million to Resolve Kickback Allegations
$12 Million
Innovasis — Spine Surgery Device Kickbacks
Spinal Device Manufacturer and Executives Pay $12 Million
Ongoing Litigation
Regeneron Pharmaceuticals — Drug Pricing and Medicare Reimbursement
DOJ Files False Claims Act Complaint Against Regeneron Over Eylea Pricing
$425 Million
Teva Pharmaceuticals — Pharmacy Kickbacks
Teva Pharmaceuticals Pays $425 Million for Illegal Kickbacks
COVID
Pandemic Fraud
(8 cases)$8.8 Million
Carson Tahoe Health System — PPP Eligibility Fraud
Health System Pays Over $8.8 Million for PPP Fraud
$18 Million
Unified Care Services — PPP Loan Fraud
Skilled Nursing Facilities Chain Pays $18 Million for PPP Fraud
$120 Million
Kabbage (KServicing) — PPP Loan Processing
Kabbage Agrees to Pay Up to $120 Million Over PPP Lending Practices
$6.3 Million
West Coast Dental Administrative Services — PPP Eligibility
Dental Practice Group Pays $6.3 Million for Improper PPP Loans
$2.6 Million
Hemisphere GNSS — PPP Certification Violations
GPS Technology Company Pays $2.6 Million Over False PPP Certifications
$40.6 Million
Capstone Diagnostics / Provista Health — COVID-19 Testing Fraud
COVID Testing Labs Pay Over $40 Million for Kickback and Billing Fraud
$12 Million
CityMD — HRSA Uninsured Program Claims
CityMD Pays Over $12 Million for Improper HRSA Uninsured Program Billing
$8 Million
Delta Airlines — Payroll Support Program Violations
Delta Airlines Pays Over $8 Million for PSP Violations
Cyber
Cybersecurity
(7 cases)$4.6 Million
MORSECORP — Army/Air Force Cybersecurity Fraud
Defense Contractor Pays $4.6 Million for Cybersecurity Fraud
$11.2 Million
Health Net/Centene — TRICARE Cybersecurity Failures
Health Net Pays Over $11 Million for TRICARE Cybersecurity Failures
$875,000
Georgia Institute of Technology — DoD Cybersecurity Compliance
Georgia Tech Pays $875,000 for Cybersecurity Failures on DoD Contracts
$11.3 Million
Guidehouse / Nan McKay — Grant-Funded Cybersecurity Failures
Government Contractors Pay $11.3 Million for Cybersecurity Testing Failures
$2.7 Million
Insight Global — Public Health Data Security
Contact Tracing Contractor Pays $2.7 Million for Data Security Failures
$14.75 Million
Hill Associates — GSA Cybersecurity Services Fraud
IT Company Pays $14.75 Million for GSA Contract Fraud
$8.4 Million
Raytheon — DOD Cybersecurity Compliance Violations
Raytheon Pays $8.4 Million for Cybersecurity False Claims
Defense
Defense & Government Contracting
(4 cases)$70 Million
Sikorsky Support Services / Derco Aerospace — Navy Procurement Overcharges
Defense Contractors Pay $70 Million for Overcharging Navy on Spare Parts
$811,259
Austal USA — Military Specification Violations
Shipbuilder Pays $811,259 for Supplying Non-Compliant Valves
Ongoing Litigation
Insect Shield — DoD Testing and Certification Fraud
DOJ Files Complaint Against Insect Shield for Falsified Testing Results
$428 Million
Raytheon Company — Pricing Fraud and Double Billing
Raytheon Pays $428 Million for Defense Contract Fraud
Health
Healthcare
(22 cases)$62 Million
Seoul Medical Group — Medicare Advantage Spinal Diagnosis Fraud
Medicare Advantage Provider Pays Over $62 Million for Diagnosis Fraud
$29 Million
Saint Vincent's Catholic Medical Centers — DOD Overpayment Retention
New York Health System Pays $29 Million for Retaining DOD Overpayments
$556 Million
Kaiser Permanente — Medicare Advantage Diagnosis Fraud
Kaiser Permanente Affiliates Pay $556 Million for Medicare Advantage Fraud
$15 Million
Dana-Farber Cancer Institute — Research Grant Fraud
Dana-Farber Pays $15 Million for NIH Research Grant Fraud
Bankruptcy Resolution
Rite Aid — Controlled Substance Dispensing
Rite Aid Resolves Allegations Over Opioid Dispensing Practices
Court Judgment
Dr. Gregory Gerber — Unlawful Prescribing and Kickbacks
Federal Court Enters Judgment Against Physician for Unlawful Opioid Prescribing
Settlement
Crossroads — Substance Use Disorder Clinics
Substance Use Disorder Clinics Resolve Medicaid Overbilling Allegations
Settlement
Strauss Ventures / Grand Health Care System — Skilled Nursing Facilities
Skilled Nursing Facilities Resolve Allegations of Inflated Therapy Billing
Settlement
Acadia Healthcare — Behavioral Health Services
Acadia Healthcare Resolves Allegations Over Inpatient Behavioral Health Billing
$345 Million
Community Health Network — Stark Law Violations
Community Health Network Pays $345 Million for Stark Law Violations
$350 Million
DaVita — Dialysis Referral Inducements
DaVita Pays $350 Million for Dialysis Referral Kickback Scheme
Consent Judgment
Prema Thekkek / Paksn Inc. — Nursing Facility Kickbacks
Nursing Facilities Enter Consent Judgment for Physician Kickback Scheme
$106.8 Million
Walgreens — Uncollected Prescription Billing
Walgreens Pays $106.8 Million for Billing Prescriptions Never Dispensed
$30.6 Million
Silver Lake Hospital — Medicare Cost Outlier Claims
Long-Term Care Hospital Pays $30.6 Million for Outlier Payment Scheme
$19.4 Million
Gentiva / Kindred at Home — Hospice Eligibility
Hospice Provider Pays $19.4 Million for Ineligible Patient Billing
$300+ Million (Alleged)
Uniformed Services Family Health Plan — Overpayment Retention
DOJ Files Complaint Alleging $300 Million in Overpayment Retention
$98 Million
Independent Health — Medicare Advantage Diagnosis Fraud
Independent Health to Pay Up to $98 Million for Medicare Advantage Fraud
$18.5 Million
NuWay Alliance — Substance Use Disorder Kickbacks
Treatment Provider Pays $18.5 Million for Medicaid Kickback Scheme
$9.2 Million
Creative Hospice Care — Medical Director Kickbacks
Hospice Company Pays $9.2 Million for Kickback Scheme
$31.5 Million
Fresno Community Health System — Stark Law Violations
California Health System Pays $31.5 Million for Physician Kickbacks
$202 Million
Gilead Sciences — HIV Medication Kickbacks
Gilead Sciences Pays $202 Million for Speaker Program Kickbacks
$350 Million
Walgreens — Opioid Prescription Fraud
Walgreens Pays $350 Million for Illegally Filling Opioid Prescriptions
The summaries above are based on publicly available information released by the U.S. Department of Justice and are provided for informational purposes only. They do not constitute legal advice, investigative findings, or allegations by Disclosure Strategy. Our commentary reflects general, experience-based observations about how False Claims Act matters commonly arise and is not a statement about any party's liability.