Daniel Levinson, head of the U.S. Department of Health & Human Services Office of Inspector General (OIG), testified during a congressional hearing that waste and abuse of health programs cost an estimated $7.8 billion in 2009, or 7.8 percent of the fee-for-service claims paid by Medicare to providers who "did not meet program requirements." In addition, CMS often pays more for services than the cost of providing them, he said. Levinson outlined strategies that OIG could take to help uncover more Medicare fraud, and he said that the OIG’s Health Care Fraud Prevention and Enforcement Action Team has expanded its strike force from two locations in Miami and Los Angeles to seven in 2009, adding Brooklyn, Baton Rouge, Detroit, Houston and Tampa. The 2011 budget proposal includes an expansion of the strike force to 13 additional cities.