HHS-OIG LEIE Healthcare Exclusion Tracker – Provider Sanctions API

An HHS-OIG LEIE API and healthcare-exclusion feed that downloads the official List of Excluded Individuals/Entities and normalizes each into a clean record: excluded individual or business, specialty, NPI, exclusion type and dates. Use it to build a provider-screening/exclusion-check tool, a credentialing safeguard, or a payer compliance feed — screening against LEIE is federally required for anyone billing Medicare/Medicaid.

Who uses it

Healthcare compliance and credentialing teams, payers and health plans, staffing and locum agencies, pharmacies, and provider-screening/verification products.

Why this is worth charging for

Employing or contracting an OIG-excluded provider exposes an organization to civil monetary penalties per claim — screening is mandatory. OIG publishes LEIE only as a monthly CSV with fixed date codes and placeholder NPIs. This actor parses the CSV robustly (quoted fields and all), normalizes names/dates and drops placeholder NPIs, and lets you filter by name, NPI or state to screen your roster.

Output

Each dataset item is one normalized record:

{
  "excludedParty": "JOHN A SMITH",
  "entityType": "Individual",
  "lastName": "SMITH",
  "firstName": "JOHN",
  "general": "PHYSICIAN",
  "specialty": "INTERNAL MEDICINE",
  "npi": "1234567890",
  "dob": "1970-01-01",
  "address": "1 MAIN ST, STE 2",
  "city": "BOSTON",
  "state": "MA",
  "zip": "02118",
  "exclusionType": "1128a1",
  "exclusionDate": "2023-01-15",
  "reinstateDate": null,
  "source": "HHS-OIG LEIE"
}

Input

Field	Description
lastName	Filter by individual last name (substring match).
firstName	Filter by individual first name (substring match).
businessName	Filter by excluded business name (substring match).
npi	Exact NPI to screen against the exclusion list.
state	Filter by state.
exclusionType	Filter by exclusion authority code, e.g. 1128a1.
csvUrl	Advanced: override the LEIE CSV source URL (defaults to the official OIG UPDATED.csv).
onlyNewSinceLastRun	Recommended for schedules — skips records already returned by a previous run using persisted state, so you're only charged for genuinely new items.
maxItems	Stop after this many normalized records.

Pricing (Pay-Per-Event)

• query — $0.03, charged once per run for the API query/poll.
• exclusion-record — $0.01 per normalized record pushed. This is the primary event.
• apify-actor-start (Apify-managed) — covers baseline compute per run.

The query event covers downloading and parsing the full monthly LEIE file; screening a roster returns only your matches. A monthly scheduled screen with onlyNewSinceLastRun flags newly-added exclusions.

Source & reliability

Data comes from the official OIG LEIE downloadable CSV. Dates in YYYYMMDD are converted to ISO and placeholder NPIs (0000000000) are dropped. No key or proxies required. Run npm test for the offline self-test covering the normalizer, including edge cases and missing-field handling.

FAQ

Is there an API for the OIG exclusion list?

OIG publishes LEIE as a monthly CSV; this actor turns it into a queryable, normalized API you can screen names or NPIs against.

Can I screen my provider roster?

Yes. Filter by NPI, last name or business name; run monthly with onlyNewSinceLastRun to catch newly-added exclusions. Always confirm a hit against OIG's official verification before acting.

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