H33publishedNPD release DY 2023 (RY2025 P05)

DMEPOS suppliers on federal exclusion lists

DMEPOS has historically been the highest-fraud category in Medicare. CMS imposed enrollment moratoria in multiple states (most recently Florida, March 2026). Cross-checking the active supplier directory against federal exclusion lists is a direct state and federal PI signal. **Result: 0 matches across 63,988 active DMEPOS suppliers** — the federal enrollment gate is working. Worth publishing as the comparison baseline against the H24, H25, H29, H30a, H30b non-zero findings.

Headline

0 of 63,988 active DMEPOS suppliers in the CMS Medicare DME, Devices & Supplies by Supplier file (DY 2023) appear on the active OIG LEIE ∪ SAM.gov exclusion list (8,619 excluded NPIs). This is the system working correctly: DMEPOS enrollment screens federally-excluded NPIs at the gate, which is what 42 CFR § 424.530(a)(2) and CMS DMEPOS Supplier Standard 11 require. Worth publishing as a reference point — when other federal program directories (NDH, see H24/H25; state Medicaid spending, see H29) show non-zero exposure, the DMEPOS zero is the comparison baseline.

0 / 64.0K = 0.00%

Null hypothesis

Zero NPIs in the current CMS DMEPOS Supplier Directory appear on the OIG LEIE or SAM.gov active exclusion lists.

Denominator

Every NPI in the most recent CMS DMEPOS Supplier Directory release (DY 2023, 63,988 suppliers), joined against the 8,619-NPI active LEIE ∪ SAM exclusion set.

Data source

CMS DMEPOS Supplier Directory (DY 2023, mup_dme_ry25_p05_v10_dy23_supr.csv) × `cms_npd.oig_leie` + `cms_npd.sam_exclusions`. See `analysis/claims_sources/dmepos.py`.

Notes

This is a national finding — DMEPOS supplier directory is itself the population, joined against the active LEIE ∪ SAM NPI set (8619 NPIs). Per-state breakdown chart shows the top 10 states by matched supplier count. VA-state slice at /api/v1/states/va/h33-dmepos-excluded-va.csv (0 rows) for state PI triage. Full national CSV with all 0 matched suppliers at /api/v1/findings/dmepos-excluded-detail.csv.