Screen Any Name Against HHS-OIG's Exclusion List

For healthcare compliance officers: screen a name, NPI, or state against HHS-OIG's exclusion list and get back only the rows that actually match, without opening a spreadsheet.

Check a name, NPI, or state against the federal government's own current list of people and businesses banned from billing Medicare, Medicaid, or any other federal health program. One row back for every match.

Introduction

Federal law lets HHS's Office of Inspector General ban a person or a business from ever billing a federal health program again — for a health care fraud conviction, patient abuse, a revoked license, kickbacks, and more. OIG publishes every exclusion that is in effect right now as the List of Excluded Individuals/Entities (LEIE), and federal guidance expects a hospital or medical practice to check every new hire and every contractor against it — and to check its whole staff again every month — because knowingly employing or contracting with someone on this list can trigger civil monetary penalties against the employer, not just the excluded person.

This Actor reads OIG's own current-month file live on every run and returns the exact rows that match your search. It never uses a cached or historical copy: the file it reads is the same one OIG publishes today.

Tutorial

1. Set Name to some or all of a person's or business's name, e.g. SMITH or ACME HOME HEALTH. Leave it empty to skip this filter.
2. Optionally set State to a two-letter code, e.g. TX.
3. Optionally set NPI to an exact 10-digit National Provider Identifier. Only about 1 in 10 excluded parties has one on file with OIG, so a miss here does not clear someone — always also check by name.
4. Optionally set Individual or business to narrow the kind of result.
5. Optionally set Exclusion type code (e.g. 1128a1) to restrict to one statutory reason. See "Exclusion type codes" below for what each one means.
6. Optionally set Excluded on or after to a date, to run a "what's new" check instead of a full search.
7. Set Maximum rows as your spend cap, then click Start.

Pricing

$0.01 per row. No start fee.

A run that matches nobody costs nothing — most single-name checks will. A run built to monitor a state, for example every new exclusion in Texas since the first of the month, might return a few dozen rows in a typical month, costing well under a dollar. Maximum rows is the hard cap: the run cannot cost more than that number multiplied by $0.01, whatever the search matches.

Input and output examples

Input:

{"state": "NY", "maxItems": 10}

Output (one row, from a live run on 2026-09-15):

{
  "entity_type": "business",
  "last_name": null,
  "first_name": null,
  "middle_name": null,
  "business_name": "PURPLE HEART TRANSPORTATION, I",
  "provider_type": "OTHER BUSINESS",
  "specialty": "TRANSPORTATION CO",
  "npi": null,
  "state": "NY",
  "exclusion_type_code": "1128a1",
  "exclusion_type_label": "Mandatory exclusion: conviction of program-related crimes (42 U.S.C. 1320a-7(a)(1))",
  "exclusion_date": "2026-09-20",
  "reinstatement_date": null,
  "waiver_date": null,
  "waiver_state": null,
  "source_url": "https://oig.hhs.gov/exclusions/downloadables/UPDATED.csv",
  "fetched_at": "2026-09-15T17:04:07Z"
}

Every field in a row:

Field	What it holds
entity_type	individual or business
last_name / first_name / middle_name	Set only for an individual
business_name	Set only for a business
provider_type	OIG's own broad category, e.g. NURSE, PHARMACY, OTHER BUSINESS
specialty	A narrower category when OIG recorded one
npi	The 10-digit National Provider Identifier, only when OIG has one on file (about 1 in 10 rows)
state	Two-letter state on OIG's own record
exclusion_type_code	OIG's own short code for the reason, e.g. 1128a1
exclusion_type_label	Plain-English meaning of that code — see the table below; null for a small number of codes OIG's file uses but does not publicly define
exclusion_date	When the exclusion took effect
reinstatement_date	Always null in the current file — see Limitations
waiver_date / waiver_state	Set only on the rare record where a state obtained a waiver to keep employing this person in a specific role
source_url	The exact file this row was read from
fetched_at	When this run read OIG's file, in UTC

Exclusion type codes this Actor can label

Code	Meaning
1128a1	Mandatory: conviction of program-related crimes
1128a2	Mandatory: conviction relating to patient abuse or neglect
1128a3	Mandatory: felony conviction relating to health care fraud
1128a4	Mandatory: felony conviction relating to a controlled substance
1128b1–1128b16	Permissive exclusions: misdemeanor fraud/controlled-substance convictions, a revoked license, exclusion from another federal or state program, excessive or unnecessary billing, kickbacks, ownership by a sanctioned party, failing to disclose required information or grant access, loan default, false statements, and more
1156	Failure to meet standards for medically necessary services (a QIO finding)

A code OIG's file uses that is not in this table — seen live: 1128Aa, 1160, BRCH CIA, BRCH SA — is still returned as OIG's own raw code, with exclusion_type_label left null rather than guessed at.

Recommendations

Run monthly per state (or per employee roster) with Excluded on or after set to the first of the previous month, matching the required cadence for checking staff against federal exclusion lists. Always screen by name; treat an NPI check as a bonus, not a substitute, since most excluded individuals never had an NPI in the first place.

Limitations

This file only ever lists exclusions in effect today. OIG's own documentation states reinstated individuals and entities are removed from this file entirely, and every row this Actor ever returns confirmed that live on 2026-09-15 (0 of 84,001 rows carried a reinstatement date). A name not appearing here means OIG does not currently list that exact name as excluded — it is not a full identity-verified clearance, since this Actor (like OIG's own downloadable file) carries no Social Security Number or Employer ID Number to disambiguate common names. For a legally identity-verified check on a specific person, use OIG's own Online Searchable Database at exclusions.oig.hhs.gov, which can match against an SSN or EIN you supply; this Actor is built for scanning a roster or a state, not for that final identity confirmation step.

No street address, city, ZIP, or date of birth is returned, even though OIG's own file carries them. This Actor drops them; a row here is only ever name, role, state, and the exclusion itself.

A handful of exclusion dates run slightly ahead of the file's own publication date. OIG's file is refreshed by the 10th of each month but can carry a small number of records dated for later in that same month; this is OIG's own listed date, not a fetch error, and is passed through as OIG wrote it.

Updates monthly, at OIG's pace. OIG republishes this file roughly monthly ("generally updated by the middle of each month" — its own FAQ). Running this Actor twice in the same week will not find anything new that a single run did not already have.

A file OIG cannot serve is reported, not guessed at. If OIG's site is briefly down, the run pushes no rows, costs nothing, and returns a status of UNKNOWN with the error.

FAQ

Where does the data come from? HHS's Office of Inspector General, the List of Excluded Individuals/Entities, downloaded live from oig.hhs.gov/exclusions/downloadables/UPDATED.csv on every run.

Does it need an API key or a login? No. It is a public file anyone can download from a browser.

Why did I get fewer rows than Maximum rows? Either your search matched fewer records than that, or more matched than Maximum rows allowed through — check OUTPUT.warnings and OUTPUT.rows_matched for the true count.

What happens if OIG's site is down? The run pushes no rows, costs nothing, and writes a status of UNKNOWN with the error to OUTPUT. It never fills the gap with made-up rows.

Is there support? Issues can be raised through the Apify Store issues tab for this Actor. No response time is promised.

Refunds and support

Refunds: if a run returns zero rows for a valid input, email operations@ustechautomations.com within 7 days and we refund that run. Support: same address, replies within 2 business days.