In Wichita, Kansas a notorious cardiologist, who has paid settlements to the government before, recently paid $5.8 million to settle claims regarding unnecessary cardiac procedures. While this significant settlement amount is noteworthy, Dr. Galichia also agreed to a three year exclusion, demonstrating that Three Times Is No Charm. The whistleblower case was brought in 2014, but Galichia had already paid $1.5 million in 2000 for services that were claimed at a higher level than documented, that were billed twice in some instances or were not provided. Bad as that was, in 2009 he paid again $1.3 million in a settlement for services not documented properly or not provided. The 2014 investigation of a whistleblower claim was conducted by the US Attorney’s Office, the DOJ Civil Division in conjunction with the HHS-OIG, the FBI, the Defense Health Agency for TRICARE, the Defense Criminal Investigative Service of the IG for the Department of Defense and the OIG of the Office of Personnel Management. Given the array of prosecutors, it is unclear whether this was a settlement of criminal charges (after two prior settlements) or civil charges only. He is out of the program for three years; but the case demonstrates the firepower the government has available to investigate and punish bad acts.