Medicaid Decision Index (1977-2010)

• Index is also available in Portable Document Format (PDF)

Abortion services – scope of services covered by fee code

Planned Parenthood Health Services of Northeastern New York – 4/16/02.doc

Acquired immune deficiency syndrome and human immunodeficiency virus

Mikhail Makhlin, M.D. – 9/15/05.doc

Actifed

Kong Seng The, M.D. – 12/26/86.pdf

Adjournments – SEE Hearing procedures – adjournments

Administrative law judge – legality of using Department employee

Concourse Nursing Home – 2/18/81.pdf
Dr. Bruce Dribbon – 12/14/79.pdf
Murray Edelstein – 10/18/79.pdf
Dr. Edward Fischman – 2/11/80.pdf
Arthur Gudeon, D.P.M. – 1/7/80.pdf
Theodore Hali, D.P.M. – 1/7/80
Elias Rand, M.D. – 10/6/83
Raymond Sendker – 12/11/78

Administrative law judge – recusal – SEE Recusal of administrative law judge

Adult day health care program

Northern Metropolitan Residential Health Care Facility – 2/28/03

Affidavits – SEE Hearing procedures – affidavits

Affiliate – definition

Amiya Dhar, Ph.D. – 6/10/98
Zahid Khawaja, Shahid Khawaja and MMK Pharmacy, Inc. – 5/1/95
Martin Ziporkin and Leemar Drugs, Inc. – 3/12/92

Affiliate – standards for ascribing blame to one affiliate for acts of the other

Jan Scott, RPA – 7/1/93

AIDS – SEE Acquired immune deficiency syndrome and human immunodeficiency virus

Alcoholism treatment providers

A.R.E.B.A. Casriel, Inc. – 6/15/01
Community Related Services, Inc. – 8/31/09
Cornerstone of Medical Arts Center Hospital – 4/19/01
Treatment Center of Westchester, Roger B. Williams and Les Amy – 11/13/00
Treatment Center of Westchester, Roger B. Williams and Les Amy – 6/15/04
820 River Street, Inc. – 3/18/03

Alcoholism treatment providers – reimbursement for services provided in excess of licensed capacity

A.R.E.B.A. Casriel, Inc. – 6/15/01
Cornerstone of Medical Arts Center Hospital – 4/19/01

Alternate level of care reimbursement – SEE Hospitals – reimbursement – alternate level of care (ALC) rate v. acute care rate

Ambulatory care clinics – SEE Clinics Ambulatory Patient Group (APG) rates

Montefiore Medical Center – 3/5/04

Ambulette service providers – SEE Transportation providers

Ambulette services – persons authorized to order ambulette services

Lyudmila Zhulyov – 6/3/99

Anemia

Lorenzo Acea, M.D. – 10/23/78
Donald H. Applebaum, D.O. – 3/31/87
Kuen Hai Chen, M.D. – 12/31/82
Ivan Colef, M.D. – 4/5/99
Jan Keppler, M.D. – 11/4/93
Josefina Velasquez, M.D. – 7/7/94
Hugo Viloria, M.D. – 12/30/88

Anesthesia – billing requirements

Pyramid Physicians, P.C. – 1/11/99

Antibiotics – injection v. oral administration

Dr. Pierino Graziosi, M.D. – 2/13/89 Hugo Viloria, M.D, – 12/30/88

Antibiotics – reasons for prescribing

Jamil M. Abraham, M.D. – 4/19/83
Donald H. Applebaum, D.O. – 3/31/87
Naim Bakash, M.D. – 3/25/85
Kuen Hai Chen, M.D. – 12/31/82
Hee K. Choi, M.D. – 8/7/86
Robert Cordero, M.D. – 4/20/94
Mercea Damsker, M.D. – 12/26/86
Dr. Pierino Graziosi, M.D. – 2/13/89
Angela Insolera, M.D. – 12/1/97
Salwa Khouri, M.D. – 2/20/97
Jacques LaGuerre, M.D. – 11/25/94
Joseph Michaels, M.D. – 10/24/85
Jordan Mitroff, M.D. – 3/2/99
Chang Bai Park, M.D. – 6/4/97
Andrew Pogiatzis, M.D. – 3/30/89
Arun Sirohi, M.D. – 2/25/92
George Tsakonas, M.D. – 4/8/94
Hugo Viloria, M.D. – 12/30/88
Cheng Kai Yu, M.D. – 12/7/98

Applicable law – law at time of infraction or at time of audit or hearing

Jamil M Abraham, M.D. – 4/19/83
Community Drug Mart, Inc. and Larry Youngerman – 3/30/84
Joseph Eisenberg and Rafael Yerushalmi – 2/1/83
Moshe Hachamovitch, M.D. – 7/14/89
Medicon Diagnostic Laboratory, Inc. – 6/6/90
Irwin Pachter – 6/6/83

Asthma

Lorenzo Acea, M.D. – 10/23/78
Machado Polanco, M.D. – 6/30/93
Ishwar A. Rang, M.D. – 4/3/92
Kong Seng The, M.D. – 12/26/86.pdf
Hilario Toledo, M.D. – 8/3/98
Jerome Verdell, M.D. – 10/8/93
Ivan Young, M.D. – 6/12/95

Audit jurisdiction – authority of Department of Social Services v. Department of Health

Albert Levy, M.D. – 12/21/92
Felix Nicholas, M.D. – 9/23/93
Harshadray Patel – 4/11/85
Cary Pollack, M.D. – 4/20/94
Michael Rubin, M.D. – 3/30/93
Frantz St. Julien, M.D. – 11/8/94
Joseph Sarfo, M.D. – 9/8/94
Josefina Velasquez, M.D. – 7/7/94

Audit methodology – import of methodology not being promulgated as regulation

Jewish Home and Hospital for the Aged – 3/6/95

Audit procedures – absence of duty to audit for possible underpayments

Amsterdam House – 2/28/91
Community Action Organization of Erie County, Inc. – 6/15/82
Fiddlers Green Manor Nursing Home – 6/19/90
Genesee County Nursing Home – 2/18/93
Geneva General Nursing Home Company, Inc. – 4/26/91
Glen Island Care Center, formerly known as Woodland Nursing Home – 1/30/01
Mercy Health and Rehabilitation Center, Inc. – 2/27/95
Sunrise Psychiatric Center, Inc. – 11/28/01
Myung Ku Yuh, M.D. – 5/17/83

Audit procedures – adoption of findings of other government agencies and alleged duty to give deference to such findings

Holliswood Care Center – 10/13/94
Saverio Senape, M.D. – 6/21/01
Transitional Services for New York Inc. – 4/29/05

Audit procedures – entrance conference

Palm Tree Center for Nursing and Rehabilitation – 5/28/08

Audit procedures – exit conference

American Diagnostic Laboratories, Inc. – 12/10/86
Holliswood Care Center – 10/13/94
Palm Tree Center for Nursing and Rehabilitation – 5/28/08
Wells Nursing Home Co., Inc. – 5/9/06

Audit procedures – legality of procedures different from those in Federal Medicaid law

Kevin Maloney, M.D. – 5/19/95

Audit procedures – legality of using consultant to perform part of audit

Tekkno Laboratory, Inc. – 5/2/91

Audit procedures – on–site review

Palm Tree Center for Nursing and Rehabilitation – 5/28/08

Audit procedures – provider discussion

Dr. Chester Glazer – 12/14/79
Herbert Greenfield and the Milindsay Drug Company, Inc. – 10/3/78
Arthur Gudeon, D.P.M. – 1/7/80.pdf
Richard LoTempio, D.P.M. – 2/11/80
Dr. Andrew Portoghese – 7/12/78
Gerald Schaubman and the Jarrett Drug Corporation – 7/7/78
John Valente, D.P.M. – 2/20/80

Audit procedures – provider´s refusal to submit to audit

Altima Transportation, LLC, d/b/a/ Instant Ambulette – 10/1/08
Benjamin Chadi, M.D. – 3/11/94
Arnold Lipton, M.D. – 3/9/82

Audit procedures – reopening audit because of new developments

Cliffside Nursing Home – 4/27/99

Audit procedures – second audit of previously audited billings

Melmar Rehab, Inc. – 12/15/97

Audit procedures – service of final audit report on provider´s attorney as prerequisite to running of time to request hearing

820 River Street, Inc. – 3/18/03

Audit procedures – warnings – no duty to issue

Hoi Yat Kam, M.D. – 11/10/06

Augmentin

Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95

Back pain

Hee K. Choi, M.D. – 8/7/86
Jan Keppler, M.D. – 11/4/93
Jacques LaGuerre, M.D. – 11/25/94
MM Management Services, Inc. – 8/5/98
Teresita Tan, M.D. – 9/11/91

Bankruptcy – effect on Medicaid Program´s authority to audit, impose sanctions or recover Medicaid reimbursement

Fenton Park Nursing Home – 12/24/93

Bed hold Medicaid reimbursement – SEE Reserve bed Medicaid reimbursement

Bell´s Palsy

Jordan Mitroff, M.D. – 3/2/99

Benadryl

Joseph Michaels, M.D. – 10/24/85

Bentyl

Cheng Kai Yu, M.D. – 12/7/98

Billing for services performed by disqualified provider

Shankar Ganti, M.D., and Professional Group – 12/5/88
Michael Haselkorn, D.D.S. – 3/23/81
MM Management Services, Inc. – 8/5/98

Billing for services performed by unauthorized persons

Mahmood Alam d/b/a Hina Drug Corp. and Alam Drug Corp. – 10/17/91
All County Transportation Service, Donna Kapetanakis and Louis Balzano – 4/20/94
Peter DiMatteo and Ace Ambulette – 6/15/95
Mutsuoki Kai, M.D. – 12/20/79

Billing for services subcontracted to other provider

Sunrise Psychiatric Center, Inc. – 11/28/01

Billing for services that were not performed

William Capote, M.D. – 11/30/93
Robert Cestari, M.D. – 8/21/98
Ashok Chainani, D.D.S. – 2/24/05
Clin Path, Inc. – 4/27/92
Kristina Dahl, M.D. – 12/13/94
Rita Dieck, R.N. – 5/21/02
Robert Glatt, DPM – 10/15/92
Hyman A. Graver, D.P.M. – 8/22/78
Michael Robert Gray, M.D. – 4/1/98
Sharon Honegger, R.N. – 11/14/02
Bret Hughes, M.D. – 8/6/98
Glenn Hutnick and GFH Orthotics & Prosthetics Laboratories, Inc. – 5/9/97
Hoi Yat Kam, M.D. – 11/10/06
John F. Keating – 10/16/79
Deborah Keno, M.D. – 11/2/98
Zahid Khawaja, Shahid Khawaja and MMK Pharmacy, Inc. – 5/1/95
Anthony Lavista & Medi–Zine Ambulette Service, Inc. – 9/29/94
Lightening Drug Corp. – 10/24/91
Jose B. Llorens, M.D. – 6/23/92
Salvatore Mauro, M.D. – 7/27/87
McKibben at Graham Pharmacy, Inc. – 11/28/88
MM Management Services, Inc. – 8/5/98
Niagara Falls Memorial Medical Center – 8/16/81
Steven G. Nussbaum – 5/17/79
Adeniyi Ogunkoya, M.D. – 6/10/92
George S. Parlato, M.D. – 11/1/82
J. J. Damberville Philippe, M.D. – 9/9/96
Pyramid Physicians, P.C. – 1/11/99
Luis Rivas, M.D. – 2/14/97
David Rosenblum, M.D. – 10/16/92
Joseph Sarfo, M.D. – 9/8/94
Pragna Shah, M.D. – 3/31/98
Wayne Tabachnick, O.D. – 2/2/94
Yan Shin Tan, M.D. – 1/20/99
Louis Roland Timothee, M.D. – 5/16/94
TRC Drugs, Inc. D/B/A Red Crescent Pharmacy – 3/30/84
Jerome Weltfisch, D.P.M. – 11/28/86
H. J. Yeon, M.D. – 10/16/79
Yonkers Residential Center, Inc. – 3/14/08
Yorktown Medical Laboratory, Inc. – 10/17/90
Robert Zane, D.P.M. – 7/9/93

Billing Medicaid for services reimbursed by third party or patient

Frank P. Cariella, M.D., and Omar F. Sheikh, M.D. – 2/5/79

Billing Medicaid patients for amounts in excess of Medicaid reimbursement

Harold Brooks, O.D. – 12/31/82 Gordon Ruff, D.D.S. – 6/17/82

Billing mistakes – ordering v. claim provider

Rite Aid of New York, Inc., formerly d/b/a Eckerd Corporation Store 10839 – 7/7/10

Bribes and kickbacks – general

Mirahmad Hashemifard, M.D. – 3/12/93

Bribes and kickbacks – independent contractors v. employees

Keith Diamond and K. Diamond Pharmacy, Inc. – 5/11/98

Budgeted costs – authority to audit

Northern Metropolitan Residential Health Care Facility – 2/28/03

Burden of proof

A & I Health Aides, Dr. Nathaniel Aronoff – 11/13/96
Abe & Leon Shoes of Brighton, Inc. – 5/19/95
Albany County Nursing Home and Ann Lee Home – 8/21/90
Barmed Drugs, Inc. and Barry Adelman – 1/11/93
Buena Vista Pharmacy – 9/27/89
Ashok Chainani, D.D.S. – 2/24/05
M. Rafiq Chaudhry, M.D. – 11/26/96
Ravindra Ginde, M.D. – 12/3/91
Glen Island Care Center, formerly known as Woodland Nursing Home – 1/30/01
Harold Grushkin, M.D. – 5/9/90
James J. Hain, D.D.S. – 2/15/02
Alexander Hoffman, M.D. – 11/14/94
Angela Insolera, M.D. – 12/1/97
James Square Nursing Home – 12/31/92
Luba Katz – 7/18/97
Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C. – 4/29/93
Arnold Kolodny & Friendly Medical Transportation – 5/6/94
George Kreytak – 6/29/84
Frantz Lerebours, M.D. – 1/26/95
Serge Louis, M.D. – 3/13/92
Maine Medical Group – 3/20/81
Medicon Diagnostic Laboratory, Inc. – 6/6/90
Adeniyi Ogunkoya, M.D. – 6/10/92
Orange County Home and Infirmary – 7/14/03
Palm Tree Center for Nursing and Rehabilitation – 5/28/08
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Quantum Laboratory of Brooklyn, Inc. – 8/5/92
Luis Rivas, M.D. – 2/14/97
George Rubenstein, M.D. – 12/30/92
Salamanca Nursing Home, Inc. – 5/24/89
Steven Schlamowitz, M.D. – 11/1/00
Sea Crest Transportation, Inc., Joackim Charles – 12/12/95
Eugene Shapiro, D.P.M. – 11/15/96
Sheridan Manor Nursing Home, Inc. – 4/26/96
SNF Medical Corporation – 3/25/98
Sunrest Health Facilities, Inc. – 5/22/95
Frank Taddeo, Individually and as President of Able Medical Transportation, Inc. – 6/8/89
Teresian House Nursing Home Co., Inc. – 7/14/08
Upper Harlem Health Community Corporation – 4/30/91
Josefina Velasquez, M.D. – 7/7/94
Rami Waisman, Solomon Formon, Han Kissore Parbhudial and Halmor Trading Corporation – 7/22/98
John Weir and Ambu–Trans, Inc. – 12/18/97
Westmount Health Facility – 12/27/91
Conrad Williams, M.D. – 4/1/98
Peter Williams, D.P.M. – 6/2/93

Certificate of Relief from Disability

David Carver and Davenbill, Inc. – 2/29/84
Jax Drugs, Inc. – 4/12/78
Raul Morales, M.D. – 12/28/79
Sidney Sanders – 7/29/85
Seagirt Pharmacy, Inc., Harold Herman and Louis J. Feinberg – 5/25/83
Town Taxi of Rochester, Inc. – 11/15/84

Chemical dependence outpatient services – scope of reimbursable services

Yonkers Residential Center, Inc. – 3/14/08

Chemical dependence outpatient services providers

Community Related Services, Inc. – 8/31/09 Yonkers Residential Center, Inc. – 3/14/08

Child Health Assurance Program (CHAP)

Ansar Ahmed, M.D. – 3/31/87 Thomas D. Wasser, M.D. – 3/20/85

Chiropractors

Martin Cooperman, D.C. – 7/12/78
Joseph Ingbar, D.C. – 6/26/78
Frank Wacker, D.C. – 5/3/79

Cholesterol testing

Raisa Kuchment – 11/18/93

Clinic rate setting methodology and decisions – no authority to review

Upper Harlem Health Community Corporation – 4/30/91

Clinic reimbursement – services included in Medicaid rate

Erie County Medical Center – 9/15/98

Clinics

Montefiore Medical Center – 3/5/04
Planned Parenthood Health Services of Northeastern New York – 4/16/02.doc
Upper Harlem Health Community Corporation – 4/30/91

Cocaine abuse – treatment

Guito Wingfield, M.D. – 9/4/92

Codeine

Lekhu K. Lala, M.D. – 10/5/93

Collateral estoppel

Charles Abraham D/B/A/ Fine Fit Hearing Aid Services, Elizabeth Abraham – 5/15/84

Affiliated Home Care Homemaking Services, Ltd. And Richard Bernard – 2/11/83
Harold Agress – 3/17/82
Hamid Alizadeh – 11/10/81
Almarc Drugs, Inc., Alan Klein, Marc Klein, and "John Doe" being any person or persons involved in the operation of Almarc Drugs, Inc. – 9/3/85
Dr. Nicholas Aloi – 7/19/79
Thessaloniki Angelakos, M.D. – 1/16/84
Antelis Pharmacy, Inc. – 2/2/82
Benjamin Bernstein and B & B Pharmacy, Inc. – 5/12/83
Clarence Brown and C.B. Pharmaceuticals, Inc. – 10/31/78
Thomas P. Browne and Roann Drug Distributing Corp. – 6/19/84
Dr. Alfred Calfon – 1/25/79
Daughters of Sarah Nursing Center – 4/1/08
David Carver and Davenbill, Inc. – 2/29/84
Abraham Chaplan, M.D. – 1/8/79
Church Chemists, Inc. – 2/5/82
Lester Cohen, D.D.S. – 9/2/83
Cumberland Pharmacy, Inc. – 6/15/78
Peter Cutler, D.P.M. – 9/23/80
Dr. Michael Dattero – 8/17/79
Flore Delacadena, M.D. – 11/4/83
Flore Delacadena – 2/9/84
James Detura – 3/16/82
Dr. Bruce Dribbon – 12/14/79.pdf
Benjamin I. Dyett, M.D. – 1/31/84
Murray Edelstein – 10/18/79.pdf
Theodore Eden, D.P.M. – 1/21/80
John Leon Feldman, RPH – 9/30/85
Dr. Edward Fischman – 2/11/80.pdf
Dr. Stephen Foreman – 12/12/79
Forest View Nursing Home – 6/18/91
Dr. Bruce Frankel – 2/25/80
Genesee County Nursing Home – 4/22/96
Dr. Charles Glazer – 12/14/79
Nathan Goldberg – 1/7/82
Michael H. Greenbaum, D.O. – 2/27/85
Mortimer Greenberg, M.D. – 6/28/84
Philip A. Greene, D.O. – 4/25/85
Herbert Greenfield and the Milindsay Drug Company, Inc. – 10/3/78
Arthur Gudeon, D.P.M. – 1/7/80.pdf
Irwin Halper d/b/a Professional Diagnostic Laboratory – 11/20/78
Elie A. Horn, M.D. – 9/23/86
Joseph Horowitz and Michael Bruno – 6/29/84
Leonard Jasen, M.D. – 1/7/80
Carole Jones, M.D. – 7/7/82
Alfred Khalil and Del Med Pharmacy, Inc. – 9/7/82
Narendra Khurana, M.D. – 11/28/84
Kissena Pharmacy – 8/31/84
Lema Drug Corp., Inc. and Neil A. Gordon – 6/29/84
Harry Gem Hoy Lew and Harry Lew Pharmacy, Inc., d/b/a Chinese Community Pharmacy – 12/21/81
Richard LoTempio, D.P.M. – 2/11/80
MacLeod´s Prescription Pharmacy, Inc., Robert Kendzia and Matthew Peunic, Jr. – 8/19/85
Melrose Pharmacy, Inc. – 11/4/81
Pasquale Montesano, M.D. – 11/12/81
John Muzii, Muzii Drug Co., Inc. – 10/23/84
108 Siegel Farmacia, Inc. – 5/25/83
Mostafa Osman, M.D. – 5/16/79
Precision Medical Laboratories, Inc., and Elemer Gall – 9/15/78
Dolores Protagoras – 2/28/84
Frances Radocsay, M.D. – 5/9/84
Dr. Charles F. Ross – 1/7/80
Gordon J. Ruff, D.D.S. – 4/20/84
Gordon Ruff, D.D.S. – 4/25/85
Vijay Sakhuja, M.D. – 6/28/85
Seagirt Pharmacy, Inc., Harold Herman and Louis J. Feinberg – 5/25/83
Sarup Sharma, M.D. – 8/26/83
Richard Strauss, George Georghalli, J & N Pharmacy, Inc. – 3/27/85
Dr. Ira Tartack – 2/19/80
Ming Ching Tung – 11/2/84
John Valente, D.P.M. – 2/20/80
Justin Wernick, D.P.M. – 2/29/80
Charles E. Yasmer – 2/6/80

Collateral estoppel – whether there is exception for nolo contendere pleas

Charles Clement Lucas, Jr., M.D. – 4/30/86

Collateral estoppel – whether there is exception for Serrano–Alford guilty pleas

Herbert Greenfield and the Milindsay Drug Company, Inc. – 10/3/78
Leonard Jasen, M.D. – 1/7/80
Vincent Postiglione and Jomel Pharmacy, Inc. – 8/12/82
Gerald Schaubman and the Jarrett Drug Corporation – 7/7/78

Collateral person – SEE Mental health clinics – collateral person visit

Compound prescriptions – SEE Pharmacies – billable amount calculation for compound prescriptions

Computer generated payment records – presumption of accuracy

Sharon Blaire, Robert Simon, Anita Klein and 149 East Pharmacy, Inc. – 10/16/92
Patricia Buckridge, RN – 1/26/04
Joel Goldstein, D.P.M. – 1/25/88
Lekhu K. Lala, M.D. – 10/5/93
Hamid Lalani, M.D. – 11/13/91
Albert Levy, M.D. – 12/21/92
Mariano Mederos, M.D. – 1/10/94
Metzies Shoe Brooklyn New York Corp. – 11/6/86
Scott Newman, M.D. – 9/25/92
Serge Pamphile, M.D. – 12/10/91
Chang Bai Park, M.D. – 6/4/97
Machado Polanco, M.D. – 6/30/93
Joseph Sarfo, M.D. – 9/8/94
Abraham Sokol, M.D. – 9/10/96
Hilario Toledo, M.D. – 8/3/98
George Weintraub, D.P.M. – 1/11/94
Silas Zuttah, M.D. – 3/14/95

Condoms – purpose and use

Boston Drugs, Inc. and Muhammed Ashgar – 10/31/94

Consultant fee

Chandrashekarasetty Makam, M.D. – 1/20/95

Contracts – interpretation of terms

Hornell Gardens – 8/19/03

Controlled substance outpatient services providers – SEE Chemical dependence outpatient services providers – SEE Methadone maintenance clinics and treatment programs

Controlled substances – prescription requirements, excessive prescription and abuse

Giovanni Del Gizzo, M.D. – 8/5/92
Fevzi Ekince, M.D. – 10/8/91
Bernard Goodman, M.D. – 5/4/78
Stephen Kimani, M.D. – 9/11/85
Claude Leonard, M.D. – 1/29/88
Alessio Matera, M.D. – 6/15/88
Salvatore Mauro, M.D. – 7/27/87
Joseph Michaels, M.D. – 10/24/85
Frank Riforgiato, M.D. – 10/20/83
Aftab Siddiqui, M.D. – 8/15/89
TRC Drugs, Inc. D/B/A Red Crescent Pharmacy – 3/30/84
Robert C. Vixon, M.D. – 9/22/80

Corgard

Luis Locuratolo, M.D. – 7/22/98

Coronary conditions

Mercea Damsker, M.D. – 12/26/86
MM Management Services, Inc. – 8/5/98
Rubena Pugeda–Chan, M.D. – 10/20/94

Corporations – legal effect of change in ownership of corporate stock

Benjamin Bernstein and B & B Pharmacy, Inc. – 5/12/83
Jasper Dispatching Services – 12/18/97
John Muzii, Muzii Drug Co., Inc. – 10/23/84

Corporations – stockholders´ innocence of wrongdoing as defense against charges against corporation

Kissena Pharmacy – 8/31/84
108 Siegel Farmacia, Inc. – 5/25/83

Cortisone

Naim Bakash, M.D. – 3/25/85

Counterclaims

Dominick Barbara, M.D. – 1/8/79
Concourse Nursing Home – 2/18/81.pdf
Concourse Nursing Home – 3/17/95
Barry H. Dolich, M.D. – 6/9/83
Elderplan, Inc. – 4/19/04
Frank Ferrante, M.D. – 1/23/79
Genesee County Nursing Home – 2/18/93
Glen Island Care Center, formerly known as Woodland Nursing Home – 1/30/01
Dennis Hershey, DPM – 9/14/92
Stephen Kimani, M.D. – 12/31/85
MM Management Services, Inc. – 8/5/98
Orleans County Nursing Home – 6/16/94
Leslie Elliott Strong, M.D. – 12/19/83
Sunrise Psychiatric Center, Inc. – 11/28/01
Myung Ku Yuh, M.D. – 5/17/83

Court order as prohibition against conducting audit – SEE Judicial orders and settlements as bar to performing audits or limitation on scope of audits

Criminal conviction – duty of provider to disclose to Medicaid Program

Family Pharmacy, Inc., Martin Brounstein, Murray Katz and Lewis G. Erwich, R. Ph. – 11/2/94

Criminal conviction appeal – issuing final audit determination, holding hearing or issuing hearing decision regarding criminal conviction prior to exhaustion of appeals

Dr. Mark Buthorn – 5/4/78
Dr. Alfred Calfon – 1/25/79
Joseph Garfinkel – 11/16/81
Irwin Halper d/b/a Professional Diagnostic Laboratory – 11/20/78
Pasquale Montesano, M.D. – 11/12/81
Raul Morales, M.D. – 12/28/79
Dr. Andrew Portoghese – 7/12/78

Criminal investigation – whether administrative hearing may proceed while investigation expected or in progress

Bruce Herzog, M.D. – 8/12/91
Frantz Lerebours, M.D. – 1/26/95
Ashad Mahmud, Isaac Ayeni and Ray Pharmacy, Inc. – 3/29/91

Dalmane

Hee K. Choi, M.D. – 8/7/86

Darvocet

Alessio Matera, M.D. – 6/15/88

Darvon

Donald H. Applebaum, D.O – 3/31/87

Debridement of nails – definition

Robert Zane, D.P.M – 7/9/93

Dentistry – billing codes

Ashok Chainani, D.D.S. – 2/24/05
Douglas A. Fulton, D.D.S. – 11/8/78
Carl E. Williams, D.D.S. – 4/19/79

Dentistry – orthodontic care billing requirements

Rhona Gissen Stanley, D.D.S. – 6/17/98

Dentistry – periodontia

Ashok Chainani, D.D.S. – 2/24/05

Dentistry – restorative services

Ashok Chainani, D.D.S. – 2/24/05

Dentistry – tooth extractions

Ashok Chainani, D.D.S. – 2/24/05

Dentists

Stanley Brown, D.M.D. – 8/4/95
Ashok Chainani, D.D.S. – 2/24/05
Lester Cohen, D.D.S. – 9/2/83
Bhupendrakumar V. Doshi, D.D.S. – 2/17/95
Douglas A. Fulton, D.D.S. – 11/8/78
Jack Martin Gelb, D.D.S., Jack M. Gelb, P.C., Dynamic Dental Services, P.C. – 10/31/84
Benjy Goldstein, DDS – 2/25/00
Anant Ram Gupta, D.D.S. – 3/25/92
James J. Hain, D.D.S. – 2/15/02
John J. Hannibal III, D.D.S. – 6/15/79
Michael Haselkorn, D.D.S. – 3/23/81
Jean Kaplan, D.D.S. and Francesco Sciotto, D.D.S. – 3/23/78
Dominick Marvelli, D.D.S. – 4/5/94
John A. Massaro, D.D.S. – 8/18/81
Galina Milner, DDS – 11/24/98
Steven G. Nussbaum – 5/17/79
Gordon Ruff, D.D.S. – 6/17/82
Gordon J. Ruff, D.D.S. – 4/20/84
Gordon Ruff, D.D.S. – 4/25/85
Adolph K. Schmidt, DDS – 3/23/78
Rhona Gissen Stanley, D.D.S. – 6/17/98
Carl E. Williams, D.D.S. – 4/19/79

Dentures

Ashok Chainani, D.D.S. – 2/24/05

Dermatological conditions and treatments

Mohammed Akhtar, M.D. – 5/14/98 Chang Bai Park, M.D. – 6/4/97

Diabetes

Donald H. Applebaum, D.O. – 3/31/87
Rudolfo Byrne, M.D. – 2/8/99
Kuen Hai Chen, M.D. – 12/31/82
Hee K. Choi, M.D. – 8/7/86
Aruna Rao Ramanadham, M.D. – 8/2/99

Diagnosis – SEE Medical records – general adequacy

Discovery – computer program for taking a sample of Medicaid cases

Rite Aid of New York, Inc., formerly d/b/a Eckerd Corporation Store 10839 – 7/7/10

Disqualified provider – SEE Billing for services performed by disqualified provider

Double jeopardy – whether Medicaid sanction constitutes double jeopardy when punishment has been imposed by other government agency

Michael H. Greenbaum, D.O. – 2/27/85

Drug abuse outpatient services providers – SEE Chemical dependence outpatient services providers – SEE Methadone maintenance clinics and treatment programs

Due process of law – SEE Notice requirements – due process of law Duplicate billing and duplicate payments

Jonathan Allen, M.D. – 10/30/84
Dominick Barbara, M.D. – 1/8/79
Barry H. Dolich, M.D. – 6/9/83
Rosario Drago, M.D. – 1/10/79
Frank Ferrante, M.D. – 1/23/79
Golden Age Chairmobile, Inc. and Donald Mattice – 5/2/79
Stephen Kimani, M.D. – 12/31/85
Joseph Sarfo, M.D. – 9/8/94
Leslie Elliott Strong, M.D. – 12/19/83
H. J. Yeon, M.D. – 10/16/79

Duplicate punishment for unacceptable practices

Donald H. Applebaum, D.O. – 3/31/87

Durable medical equipment – documentation requirements for billing

Prothotic Laboratory, Inc. – 4/13/09

Durable medical equipment – provider eligible for reimbursement (dealer or SNF, ALP, etc.)

Adam Healthcare Equipment Corp. – 5/14/98 Pepco Pharmacy, Inc. – 7/13/09

Durable medical equipment dealers – SEE Medical and surgical supplies, durable medical equipment, orthotic and prosthetic device dealers

Ear infections

Aruna Rao Ramanadham, M.D. – 8/2/89 Kong Seng The, M.D. – 12/26/86.pdf

Elavil

Joseph Michaels, M.D. – 10/24/85
Aftab Siddiqui, M.D. – 8/15/89

Eldercare program – chronic care benefit and personal care services

Elderplan, Inc. – 4/19/04

Eldercare program – excess income calculation

Elderplan, Inc. – 4/19/04

Eldercare providers

Elderplan, Inc. – 4/19/04

Electrocardiograms

Frank Applegate, M.D. – 8/6/92
Mercea Damsker, M.D. – 12/26/86
Jacob Feynman, M.D. – 9/30/88
Alexander Hoffman, M.D. – 11/14/94
Bret Hughes, M.D. – 8/6/98
Salwa Khouri, M.D. – 2/20/97
Roopa Khurana, M.D. – 7/7/94
Stephen Kimani, M.D. – 9/11/85
Jose B. Llorens, M.D. – 6/23/92
Abraham Lock, M.D. – 4/21/93
Joseph Michaels, M.D. – 10/24/85
MM Management Services, Inc. – 8/5/98
Adeniyi Ogunkoya, M.D. – 6/10/92
Anatoly Pekarsky, M.D. – 5/6/97
Rene Prevost, M.D. – 10/31/86
Aruna Rao Ramanadham, M.D. – 8/2/99
Michael Rubin, M.D. – 3/30/93
Aftab Siddiqui, M.D. – 8/15/89
Louis Roland Timothee, M.D. – 5/16/94
Jerome Verdell, M.D. – 10/8/93
Silas Zuttah, M.D. – 3/14/95

ELISA HIV antibody test

Mikhail Makhlin, M.D. – 9/15/05.doc

Emergency room reimbursement – SEE Hospitals – reimbursement AND Physicians – reimbursement for services provided in emergency room

Ensure Plus

Mikhail Makhlin, M.D. – 9/15/05.doc

Entrance conference – SEE Audit procedures – entrance conference

Epilepsy

Robert C. Vixon, M.D. – 9/22/80

Epinephrine

Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95

Equitable estoppel and detrimental reliance

Stephan C. Auster, O.D. – 10/28/88
Brooklyn Center for Psychotherapy and Interborough Development and Counseling Center, Inc. – 9/15/98
Central Diagnostic Laboratory – 7/24/89
Community Related Services, Inc. – 8/31/09
Concourse Nursing Home – 6/17/03
Finlay Medical Laboratory, Inc. – 4/19/91
Green Cab Company, Samuel Ignizio, President – 8/24/82
Hudson View Nursing Home – 1/29/93
James Square Nursing Home – 12/31/92
Jewish Home and Hospital for the Aged – 3/6/95
King Street Home, Inc. – 1/28/85
Jose B. Llorens, M.D. – 6/23/92
Orleans County Nursing Home – 6/16/94
Rego Park Nursing Home – 2/16/93
SNF Medical Corporation – 3/25/98
Rhona Gissen Stanley, D.D.S. – 6/17/98
Winsome Stewart, R.N. – 7/26/04
Tasos Triant, M.D. – 3/19/84
Winterkorn Orthopedic Appliance Co. – 12/18/97

Evidence – alleged duty of agency to produce auditor as witness

Niagara Falls Memorial Medical Center – 8/16/81

Evidence – duty of agency to provide documents to appellant

B.J.K. Pharmacy, Inc., d/b/a/ Long Beach Chemists – 9/28/83
Joel Goldstein, D.P.M. – 1/25/88
Kong Seng The, M.D. – 12/26/86.pdf

Evidence – prior testimony of witness – admissibility

Wells Nursing Home Co., Inc. – 5/9/06

Excessive dental services

Ashok Chainani, D.D.S. – 2/24/05

Excessive ordering of services (lab tests, prescriptions, ambulette services, etc.)

Donald H. Applebaum, D.O. – 3/31/87
M. Rafiq Chaudhry, M.D. – 11/26/96
Kuen Hai Chen, M.D. – 12/31/82
Hee K. Choi, M.D. – 8/7/86
Giovanni Del Gizzo, M.D. – 8/5/92
Fevzi Ekince, M.D. – 10/8/91
Tariq Javaid, M.D. – 3/11/92
Stephen H. Klein, M.D. – 4/1/98
Hamid Lalani, M.D. – 11/13/91
Claude Leonard, M.D. – 1/29/88
Mikhail Makhlin, M.D. – 9/15/05.doc
Anatoly Pekarsky, M.D. – 5/6/97
George Rubenstein, M.D. – 12/30/92
Jerome Weltfisch, D.P.M. – 11/28/86

Excessive performance of tests (spirometry, hearing tests, range of motion tests, etc.)

Alexander Hoffman, M.D. – 11/14/94
Jacques LaGuerre, M.D. – 11/25/94
Jose B. Llorens, M.D. – 6/23/92
MM Management Services, Inc. – 8/5/98
Felix Nicholas, M.D. – 4/8/97
Aruna Rao Ramanadham, M.D. – 8/2/99
Jay Stanley Saunders, M.D. – 4/12/99
Pragna Shah, M.D. – 3/31/98

Excessive return visits for patients

Mihaly Bartalos, M.D. – 5/22/85
Kuen Hai Chen, M.D. – 12/31/82
Douglas A. Fulton, D.D.S. – 11/8/78

Exit conference – SEE Audit procedures – exit conference

Eyeglasses – half diopter rule

Harold Brooks, O.D. – 12/31/82

Eyeglasses – lost and stolen glasses

Harold Brooks, O.D. – 12/31/82

Eyeglasses – prior approval requirements

Harold Brooks, O.D. – 12/31/82

Family planning services – counseling as alleged necessary component for billing

Planned Parenthood Health Services of Northeastern New York – 4/16/02.doc

Family planning services – reimbursement when service provided subsequent to abortion

Planned Parenthood Health Services of Northeastern New York – 4/16/02.doc

Fee splitting

Thessaloniki Angelakos, M.D. – 11/4/83
Thessaloniki Angelakos, M.D. – 1/16/84
Flore Delacadena, M.D. – 11/4/83
Flore Delacadena – 2/9/84
Patrick Bradley Moore, M.D. – 1/10/95
Virgiliu Necula, M.D. – 12/6/94
Allen Pomerantz, M.D. – 12/28/94
Delores Protagoras, M.D. – 11/14/83
Dolores Protagoras – 2/28/84
Angeles S. Tiangco, M.D. – 1/11/99

Flexeril

Frantz St. Julien, M.D. – 11/8/94

Fluoride treatments

Ashok Chainani, D.D.S. – 2/24/05

Follow–up care after surgery – billing limitations

Pyramid Physicians, P.C. – 1/11/99

Foot molds

Jerome Weltfisch, D.P.M. – 11/28/86

Gangrene

Peter Strassberg, M.D. – 6/24/83

Generic drugs – substitution for brand name drugs

BSK Pharmacy, Inc. and Mr. Robert Blaire, RPH and Mr. Robert S. Simon, SP, and Mrs. Sharyn Blaire, and Anita Klein, and Seymour Klein, RPH – 6/29/94
James Detura – 3/16/82

Group therapy – SEE Mental health clinics – group therapy duration of service requirement

HAART medications

Mikhail Makhlin, M.D. – 9/15/05.doc

Hay fever

Jordan Mitroff, M.D. – 3/2/99

Hearing aid providers

A & I Hearing Aids, Dr. Nathaniel Aronoff – 11/13/96
Charles Abraham D/B/A Fine Fit Hearing Aid Services, Elizabeth Abraham – 5/15/84
C and D Hearing Laboratories and Bernard Harmon – 3/22/78
Betty Chissin, Arie Chissin, Automatic Professional Hearing Aids – 3/16/80

Hearing procedures – adjournments

Bruce Herzog, M.D. – 8/12/91
Deborah Keno, M.D. – 11/2/98

Hearing procedures – affidavits

Steven Schlamowitz, M.D. – 11/1/00

Hearing procedures – alleged duty of Department to find and produce Appellant when Appellant´s attorney can´t find his client

Lyudmila Zhulyov – 6/3/99

Hearing procedures – decision made by person other than administrative law judge

Concourse Nursing Home – 2/18/81.pdf Elias Rand, M.D. – 10/6/83

Hearing procedures – judicial notice

Rubena Pugeda–Chan, M.D. – 10/20/94

Hearing procedures – legality of hearing being decided by agency that performed investigation

Raymond Sendker – 12/11/78

Hearing procedures – motion to dismiss

Lester Cohen, D.D.S. – 9/2/83
McKeever Drug Corporation and Norman Schulman – 7/23/82
Felix Nicholas, M.D. – 9/23/93
Harshadray Patel – 4/11/85
Sunset Taxi Company, Inc. – 3/9/78
George Tsakonas, M.D. – 4/8/94
Laurence Wynn, M.D. – 3/23/94

Hearing procedures – replacement of attorney insufficient reason for starting hearing over

Albert Levy, M.D. – 12/21/92

Hearing procedures – representation of appellant by person who is not an attorney

Nancy W. Kirshenbaum, M.D., Andrzej Lysikiewicz, M.D. – 11/13/00

Hearing procedures – response to draft audit report – effect of failure to submit

Sheridan Manor Nursing Home, Inc. – 9/19/06

Hearing procedures – self incrimination issues

Joseph Garfinkel – 11/16/81

Hearing procedures – striking direct examination of witness from record because witness not produced for cross examination

George Tsakonas, M.D. – 4/8/94 Silas Zuttah, M.D. – 3/14/95

Hearing tests

Kevin Maloney, M.D. – 5/19/95
Aruna Rao Ramanadham, M.D. – 8/2/99
Jay Stanley Saunders, M.D. – 4/12/99
Pragna Shah, M.D. – 3/31/98

Hearsay evidence

Barmed Drugs, Inc. and Barry Adelman – 1/11/93
Din Pharmacy Corp. – 7/15/87
Shankar Ganti, M.D., and Professional Group – 12/5/88
Robert Glatt, DPM – 10/15/92
Gershon A. Goldman, DPM – 9/14/92
Anthony Lavista & Medi–Zine Ambulette Service, Inc. – 9/29/94
Ray Pharmacy, Inc. – 6/17/87
Laurence Wynn, M.D. – 3/23/94

Hemoglobin electrophoresis tests

Modern Medical Laboratory, Inc. – 2/28/94

Hepatitis – testing and treatment

Clin Path, Inc. – 4/27/92
Ivan Colef, M.D. – 4/5/99
Jan Keppler, M.D. – 11/4/93
Raisa Kuchment – M.D. – 11/18/93
Machado Polanco, M.D. – 6/30/93
Donald Woodburn, M.D. – 5/11/98

HIV – SEE Acquired immune deficiency syndrome and human immunodeficiency virus

HIV wasting syndrome

Mikhail Makhlin, M.D. – 9/15/05.doc

Home health care – home health aide service provided at adult home

First to Care Home Care, Inc. – 11/5/04

Home health care – personal care services – some assistance v. total assistance

First to Care Home Care, Inc. – 11/5/04

Home health care – quality of care

Annamarie Helm – 12/11/79

Home health care – supervision of employees

Superior Care, Inc. – 11/28/86

Home health care – unlicensed operation

Metro Health Care Services, Inc., Blanca Jaravata, R.N. – 11/6/98

Home health care employees – qualifications and requirements for employment

Homemakers of Western New York, Inc. (Upjohn Health Care Services, Inc.) – 12/31/84
Homemakers of Western New York, Inc. (Upjohn Health Care Services, Inc.) – 12/31/85
Quality Care, Inc. – 1/26/82
Superior Care, Inc. – 11/28/86
Upjohn Health Care Services – 11/28/82

Home health care providers

Affiliated Home Care Homemaking Services, Ltd. and Richard Bernard – 2/11/83
Patricia Buckridge, RN – 1/26/04
Deputy Mothers Agency – 3/9/78
First to Care Home Care, Inc. – 11/5/04
Annamarie Helm – 12/11/79
Homemakers of Western New York, Inc. (Upjohn Health Care Services, Inc.) – 12/31/84
Homemakers of Western New York, Inc. (Upjohn Health Care Services, Inc.) – 12/31/85
Island Employment Service – 3/27/78
Metro Health Care Services, Inc., Blanca Jaravata, R.N. – 11/6/98
Quality Care, Inc. – 1/26/82
Superior Care, Inc. – 11/28/86
Upjohn Health Care Services – 11/28/82

Hospitals

Auburn Memorial Hospital – 6/4/93
The Brooklyn Hospital – 12/2/82
Community General Hospital of Sullivan County – 5/5/80
Corning Hospital – 7/29/94
Ellis Hospital – 7/14/83
Erie County Medical Center – 9/15/98
Genesee Hospital – 12/14/93
Mercy Hospital of Watertown – 4/17/89
Moses–Ludington Hospital – 4/13/81
St. Luke´s–Roosevelt Hospital Center – 4/15/83
St. Luke´s–Roosevelt Hospital Center – 11/20/96
St. Mary´s Hospital – 12/31/82
St. Mary´s Hospital – 12/5/88
Sisters of Charity Hospital – 8/15/79

Hospitals – reimbursement – alternate level of care (ALC) rate v. acute care rate

Corning Hospital – 7/29/94
Genesee Hospital – 12/14/93

Hospitals – reimbursement – emergency room and inpatient treatment on the same day

The Brooklyn Hospital – 12/2/82
Ellis Hospital – 7/14/83

Hospitals – reimbursement – emergency room reimbursement limitations

Mercy Hospital of Watertown – 4/17/89
St. Mary´s Hospital – 12/31/82

Hospitals – overutilization of inpatient care, retention of patients in inpatient care because they cannot be safely discharged or RHCF placement is unavailable

Moses–Ludington Hospital – 4/13/81
St. Mary´s Hospital – 12/5/88
Sisters of Charity Hospital – 8/15/79

Human immunodeficiency virus – SEE Acquired immune deficiency syndrome and human immunodeficiency virus

Hycodan

Joseph Michaels, M.D. – 10/24/85

Hypertension

Donald H. Applebaum, D.O – 3/31/87
Ivan Colef, M.D. – 4/5/99
Cheng Kai Yu, M.D. – 12/7/98

Immunizations for children – standards, requirements and fee codes

Angela Insolera, M.D. – 12/1/97
Myung Ku Yuh, M.D. – 5/17/83

Inadequate treatment – failure to respond to patient complaints, physical exam findings or lab results

Samson Adegbite, M.D. – 8/5/93
Donald H. Applebaum, D.O – 3/31/87
Mihaly Bartalos, M.D. – 5/22/85
William Capote, M.D. – 11/30/93
Kuen Hai Chen , M.D. – 12/31/82
Hee K. Choi, M.D. – 8/7/86
Anant Ram Gupta, D.D.S. – 3/25/92
Hoi Yat Kam, M.D. – 11/10/06
Jordan Mitroff, M.D. – 3/2/99
Felix Nicholas, M.D. – 4/8/97
Anatoly Pekarsky, M.D. – 5/6/97
J. J. Damberville Philippe, M.D. – 9/9/96
Aruna Rao Ramanadham, M.D. – 8/2/99
Arun Sirohi, M.D. – 2/25/92
Peter Strassberg, M.D. – 6/24/83
Teresita Tan, M.D. – 9/11/91
Otis Williams, M.D. – 3/30/98
Ivan Young, M.D. – 6/12/95
Cheng Kai Yu, M.D. – 12/7/98

Inadequate treatment – treatment contraindicated by patient´s condition, dangerous treatment and ineffective treatment

Kuen Hai Chen, M.D. – 12/31/82
Hee K. Choi, M.D. – 8/7/86
Giovanni Del Gizzo, M.D. – 8/5/92
Roopa Khurana, M.D. – 7/7/94
Stephen H. Klein, M.D. – 4/1/98
Young W. Koh, M.D. – 6/29/89
Jacques LaGuerre, M.D. – 11/25/94
Lekhu K. Lala, M.D. – 10/5/93
Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95
Luis Locuratolo, M.D. – 7/22/98
Joseph Michaels, M.D. – 10/24/85
Jordan Mitroff, M.D. – 3/2/99
J. J. Damberville Philippe, M.D. – 9/9/96
Andrew Pogiatzis, M.D. – 3/30/89
Aruna Rao Ramanadham, M.D. – 8/2/99
Teresita Tan, M.D. – 9/11/91
Kong Seng The, M.D. – 12/26/86.pdf
Hugo Viloria, M.D. – 12/30/88
Robert C. Vixon, M.D. – 9/22/80
Jerome Weltfisch, D.P.M. – 11/28/86
Otis Williams, M.D. – 3/30/98
Benjamin Yentel, M.D. – 2/13/97
Ivan Young, M.D. – 6/12/95
Cheng Kai Yu, M.D. – 12/7/98

Indocin

Luis Locuratolo, M.D. – 7/22/98

Inference drawn from party´s failure to call witness

Hoi Yat Kam, M.D. – 11/10/06
John F. Keating – 10/16/79
Sunrise Psychiatric Center, Inc. – 11/28/01
Sunset Taxi Company, Inc. – 3/9/78

Inference drawn from party´s failure to testify

A & I Health Aids, Dr. Nathaniel Aronoff – 11/13/96
John Karanja d/b/a Lari Pharmacy – 11/28/90
Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95
William Pollen, M.D. – 7/24/86
Wallace J. Redner, M.D. – 8/16/78
Conrad Williams, M.D. – 4/1/98
Lyudmila Zhulyov – 6/3/99

Input Price Adjustment Factor – SEE RHCF rate computation – Input Price Adjustment Factor (IPAF)

Insomnia

Joseph Michaels, M.D. – 10/24/85
Dennis Roggemann, M.D. – 6/18/92

Interest on Medicaid overpayments

American Diagnostic Laboratories, Inc. – 12/10/86
The Brooklyn Hospital – 12/2/82
Frank P. Cariella, M.D., and Omar F. Sheikh, M.D. – 2/5/79
Barry H. Dolich, M.D. – 6/9/83
Rosario Drago, M.D. – 1/10/79
Elderplan, Inc. – 4/19/04
Ellis Hospital – 7/14/83
Fort Tryon Nursing Home – 2/23/94
Karel Karsai, M.D. – 6/25/82
George S. Parlato, M.D. – 11/1/82
William Pollen, M.D. – 7/24/86
Leslie Elliott Strong, M.D. – 12/19/83

Inventory audits – SEE Pharmacies – inventory audits

Judicial orders and settlements as bar to performing audits or limitation on scope of audits

Amsterdam House – 2/28/91
Concourse Nursing Home – 6/17/03
Modern Medical Laboratory, Inc. – 2/28/94
Montclair Nursing Home, Belair Nursing Home and Forest Manor Health Related Facility – 3/27/91
Moses–Ludington Hospital – 4/13/81
Nyack Manor Nursing Home – 6/15/94
Ramapo Manor Nursing Home – 12/31/96
Elias Rand, M.D. – 10/6/83
Saverio Senape, M.D. – 6/21/01

Labor Cost Review Panel

Crest Manor Nursing Home – 7/30/87

Laboratories, laboratory directors and laboratory owners

American Diagnostic Laboratories, Inc. – 12/10/86
Biologic Laboratory, Inc. – 5/17/93
Biometric Affiliated Research Laboratories, Inc. – 10/23/80
Central Diagnostic Laboratory – 7/24/89
Clin Path, Inc. – 4/27/92
Clin–Path/Tox Laboratory – 3/9/93
Continental Laboratory, Inc. – 8/20/90
Amiya Dhar, Ph.D. – 6/10/98
Eastwick Medical Laboratories – 11/4/91
Finlay Medical Laboratory, Inc. – 4/19/91
Ronald Gambardella – 2/23/94
G.J.L. Medical Laboratories, Inc. – 3/23/78
Jason C. Guice, and Putnam Laboratories Incorporated A/K/A Putnam Diagnostic Laboratories – 5/18/78
Irwin Halper d/b/a Professional Diagnostic Laboratory – 11/20/78
Interboro Labs and Fred Kelly – 3/22/78
Inter–City Medical Laboratory, Inc. – 8/28/89
Long Island Clinical Laboratories – 5/26/78
Medicon Diagnostic Laboratory, Inc. – 6/6/90
Modern Medical Laboratory – 5/17/93
Modern Medical Laboratory, Inc. – 2/28/94
Niagara Clinical Laboratory and Joseph A. Stumpo – 9/6/78
Precision Medical Laboratories, Inc., and Elemer Gall – 9/15/78
Quantum Laboratory of Brooklyn, Inc. – 5/1/90
Quantum Laboratory of Brooklyn, Inc. – 8/5/92
Queens Medical Laboratory – 7/6/90
Wallace J. Redner, M.D. – 8/16/78
Rockland Medilabs, Inc. – 3/9/90
Shiel Medical Laboratory, Inc., Israel Rivkin, Isaac Bernstein, David Friedman, Miksa Blau and Abraham Rooz – 6/15/94
Tekkno Laboratory, Inc. – 5/2/91
Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998
Yorktown Medical Laboratory, Inc. – 10/17/90

Laboratories – accession records

Wallace J. Redner, M.D. – 8/16/78

Laboratories – duty to inform ordering physician when order arrives without specimen

Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998

Laboratories – failure to perform ordered tests or to report results to ordering physician

Clin Path, Inc. – 4/27/92
Modern Medical Laboratory, Inc. – 2/28/94
Quantum Laboratory of Brooklyn, Inc. – 8/5/92
Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998

Laboratories – fraudulent physicians´ orders – test performed and billed to Medicaid Program in good faith as defense to restitution demand

Continental Laboratory, Inc. – 8/20/90
Quantum Laboratory of Brooklyn, Inc. – 5/1/90
Queens Medical Laboratory – 7/6/90
Rockland Medilabs, Inc. – 3/9/90

Laboratories – general requirements

Clin Path, Inc. – 4/27/92

Laboratories – hepatitis testing requirements

Clin Path, Inc. – 4/27/92

Laboratories – illegal sales practices

Clin Path, Inc. – 4/27/92
Shiel Medical Laboratory, Inc., Israel Rivkin, Isaac Bernstein, David Friedman, Miksa Blau and Abraham Rooz – 6/15/94

Laboratories – Medicare participation as prerequisite to Medicaid participation

Inter–City Medical Laboratory, Inc. – 8/28/89

Laboratories – physician´s orders – duty to retain and produce for audit

Clin Path, Inc. – 4/27/92
Quantum Laboratory of Brooklyn, Inc. – 8/5/92
Queens Medical Laboratory – 7/6/90

Laboratories – providing phlebotomists in physicians´ offices

Shiel Medical Laboratory, Inc., Israel Rivkin, Isaac Bernstein, David Friedman, Miksa Blau and Abraham Rooz – 6/15/94

Laboratories – reference laboratories

Wallace J. Redner, M.D. – 8/16/78
Rockland Medilabs, Inc. – 3/9/90

Laboratories – unlicensed operation

Central Diagnostic Laboratory – 7/24/89
Clin Path, Inc. – 4/27/92
Clin–Path/Tox Laboratory – 3/9/93
Finlay Medical Laboratory, Inc. – 4/19/91
Inter–City Medical Laboratory, Inc. – 8/28/89
Wallace J. Redner, M.D. – 8/16/78

Laboratory audits – scope

Tekkno Laboratory, Inc. – 5/2/91

Laboratory billing – billing for tests not authorized by laboratory´s license

Yorktown Medical Laboratory, Inc. – 10/17/90

Laboratory billing – billing for tests performed by another laboratory

Long Island Clinical Laboratories – 5/26/78
Modern Medical Laboratory, Inc. – 2/28/94
Yorktown Medical Laboratory, Inc. – 10/17/90

Laboratory billing – billing in excess of fee to general public

American Diagnostic Laboratories, Inc. – 12/10/86

Laboratory billing – physician denial that laboratory order is authentic

Continental Laboratory, Inc. – 8/20/90
Medicon Diagnostic Laboratory, Inc. – 6/6/90
Modern Medical Laboratory, Inc. – 2/28/94
Quantum Laboratory of Brooklyn, Inc. – 5/1/90
Quantum Laboratory of Brooklyn, Inc. – 8/5/92
Queens Medical Laboratory – 7/6/90
Rockland Medilabs, Inc. – 3/9/90

Laboratory billing – test not ordered or order form not signed

Modern Medical Laboratory, Inc. – 2/28/94
Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998

Laboratory director – responsibility for the acts of others

Ronald Gambardella – 2/23/94
Wallace J. Redner, M.D. – 8/16/78
Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998

Laboratory owner or officer– responsibility for the acts of others

Ronald Gambardella – 2/23/94
Shiel Medical Laboratory, Inc., Israel Rivkin, Isaac Bernstein, David Friedman, Miksa Blau and Abraham Rooz – 6/15/94
Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998

Laboratory technicians – certification requirements

Clin Path, Inc. – 4/27/92

Laboratory tests – degenerated samples

Clin Path, Inc. – 4/27/92
Modern Medical Laboratory, Inc. – 2/28/94

Laboratory tests – ordering profiles or panels of tests, billing for profiles or panels

Jean Adrien, M.D. – 10/10/91
Mohammed Akhtar, M.D. – 5/14/98
American Diagnostic Laboratories, Inc. – 12/10/86
William Insuck Cho, M.D. – 12/19/91
Robert Cordero, M.D. – 4/20/94
Kristina Dahl, M.D. – 12/13/94
Augustin Enaw, M.D. – 9/23/93
Jeffrey Falk, M.D. – 2/17/93
Jan Keppler, M.D. – 11/4/93
Stephen H. Klein, M.D. – 4/1/98
Albert Levy, M.D. – 12/21/92
Jose B. Llorens, M.D. – 6/23/92
J. J. Damberville Philippe, M.D. – 9/9/96
Machado Polanco, M.D. – 6/30/93
Jean–Robert Richard, M.D. –
9/25/92 George Rubenstein, M.D. –
12/30/92 Felicitas F. Santiago, M.D. – 5/20/93
Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998 Josefina Velasquez, M.D. – 7/7/94
Donald Woodburn, M.D. – 5/11/98

Laboratory tests –ordering tests as screening device

Augustin Enaw, M.D. – 9/23/93
Bret Hughes, M.D. – 8/6/98
Jan Keppler, M.D. – 11/4/93
Roopa Khurana, M.D. – 7/7/94
Raisa Kuchment, M.D. – 11/18/93
Jose B. Llorens, M.D. – 6/23/92
Kevin Maloney, M.D. – 5/19/95
Serge Pamphile, M.D. – 12/10/91
Chang Bai Park, M.D. – 6/4/97
Frantz St. Julien, M.D. – 11/8/94
Otis Williams, M.D. – 3/30/98
Silas Zuttah, M.D. – 3/14/95

Laboratory tests – ordering tests to establish baseline for patient

Tahweh Beysolow, M.D. – 11/7/94
Felix Nicholas, M.D. – 4/8/97

Laboratory tests – positive test results as alleged justification for ordering test

Stephen H. Klein, M.D. – 4/1/98
MM Management Services, Inc. – 8/5/98
Scott Newman, M.D. – 9/25/92
Josefina Velasquez, M.D. – 7/7/94
Otis Williams, M.D. – 3/30/98

Laboratory tests – quantitative tests v. qualitative screening

Yorktown Medical Laboratory, Inc. – 10/17/90

Lasix

Hugo Viloria, M.D. – 12/30/88

Lead tests

Modern Medical Laboratory, Inc. – 2/28/94

Legibility – SEE Medical records – legibility

Lincocin

Dr. Pierino Graziosi, M.D. – 2/13/89

Malpractice litigation fears – inadequate justification for performing services and billing Medicaid or for prescribing medications

MM Management Services, Inc. – 8/5/98
Ivan Young, M.D. – 6/12/95

Management Assessment Review (MAR)

Amsterdam House – 2/28/91
Birchwood Nursing Home – 9/27/90
Geneva General Nursing Home Company, Inc. – 4/26/91
Kent Nursing Home – 6/16/89
Monroe Community Hospital – 6/18/90
Mount Loretto Convalescent and Rest Home – 4/26/89
Salamanca Nursing Home, Inc. – 5/24/89

Marilol

The Medicine Shoppe and Anthony Grejda – 6/7/02

Medicaid Management Information System (MMIS) Provider Manual – import of not being filed as regulation

Stanley Goldstein, D.P.M. – 4/29/88
Adeniyi Ogunkoya, M.D. – 6/10/92
George Weintraub, D.P.M. – 1/11/94

Medicaid requirements more demanding than Federal Medicaid requirements – authority to impose

Hamid Lalani, M.D. – 11/13/91
Syed A. Mahmoud, Oceanside Community Pharmacy, Inc. – 11/18/91

Medicaid requirements more demanding than standards of the profession or requirements of licensing agency– authority to impose

B.J.K. Pharmacy, Inc., d/b/a Long Beach Chemists – 9/28/83
Yorktown Medical Laboratory, Inc. – 10/17/90

Medical and surgical supplies, durable medical equipment, orthotic and prosthetic device dealers

A & B Prosthetics & Orthotics – 11/6/97
A & I Health Aids, Dr. Nathaniel Aronoff – 11/13/96
Adam Healthcare Equipment Corp. – 5/14/98
Biofit Orthotics, Mordechay Rosenblum – 4/11/97
Glenn Hutnick and GFH Orthotics & Prosthetics Laboratories, Inc. – 5/9/97
Melmar Rehab, Inc. – 12/15/97
Pepco Pharmacy, Inc. – 7/13/09
Prothotic Laboratory, Inc. – 4/13/09
SNF Medical Corporation – 3/25/98
Total Care Health Industries, Inc. – 5/11/98

Medical and surgical supplies and equipment – general

A & I Health Aids, Dr. Nathaniel Aronoff – 11/13/96

Medical and surgical supplies and equipment – provider eligible for reimbursement (dealer or SNF)

A & B Prosthetics & Orthotics – 11/6/97
Melmar Rehab, Inc. – 12/15/97
SNF Medical Corporation – 3/25/98

Medical care standards – deviation from standards based on alleged differences in Medicaid population from general population

Hee K. Choi, M.D. – 8/7/86
Kristina Dahl, M.D. – 12/13/94
Fevzi Ekince, M.D. – 10/8/91
Augustin Enaw, M.D. – 9/23/93
Joy G. Harrison, M.D. – 8/5/94
Hoi Yat Kam, M.D. – 11/10/06
Jan Keppler, M.D. – 11/4/93
Stephen H. Klein, M.D. – 4/1/98
Jacques LaGuerre, M.D. – 11/25/94
Serge Pamphile, M.D. – 12/10/91
Chang Bai Park, M.D. – 6/4/97
Alice Piasecki, M.D. – 2/28/94
Andrew Pogiatzis, M.D. – 3/30/89
Frantz St. Julien, M.D. – 11/8/94
Silas Zuttah, M.D. – 3/14/95

Medical care standards – urgent care clinic v. standard medical practice

Angelo Gelpi, RPA – 11/4/98

Medical history – SEE Medical records – general adequacy

Medical records – abbreviations

Jamil M. Abraham, M.D. – 4/19/83
Lorenzo Acea, M.D. – 10/23/78
Abraham Lock, M.D. – 4/21/93

Medical records – adult home patients

Tasos Triant, M.D. – 3/19/84

Medical records – billing records or attendance records as substitute for medical charts

Jonathan Allen, M.D. – 10/30/84
Bedford Stuyvesant Community Mental Health Center – 12/31/03
Transitional Services for New York Inc. – 4/29/05
Ralph Walton, M.D. – 3/29/83

Medical records – CHAP examination record keeping requirements

Thomas D. Wasser, M.D. – 3/20/85

Medical records – deletion of information from chart

Mariano Nevarez–Tapia, M.D. – 10/5/06

Medical records – dentists

James J. Hain, D.D.S. – 2/15/02

Medical records –duty to produce for audit v. doctor–patient confidentiality concerns and patient right of privacy concerns

Henry Camperlengo, M.D. – 11/14/84
Pierino Graziosi, M.D. – 7/6/83
Charles McGuire, M.D. – 12/20/94
Raymond Nadell, M.D. – 1/11/94
Jeffrey Wiersum, M.D. – 4/22/80

Medical records – duty to retain and produce for audit

Jonathan Allen, M.D. – 6/30/87
Altima Transportation, LLC, d/b/a/ Instant Ambulette – 10/1/08
American Diagnostic Laboratories, Inc. – 12/10/86
Naim Bakash, M.D. – 3/25/85
Eduardo Cacas, M.D. – 12/7/92
Henry Camperlengo, M.D. – 11/14/84
Betty Chissin, Arie Chissin, Automatic Professional Hearing Aids – 3/16/80
Raymond Cintron, M.D. – 5/30/96
Ivan Colef, M.D. – 4/5/99
Constantine Constant, M.D. – 12/30/92
Giovanni Del Gizzo, M.D. – 8/5/92
Joseph Fowlkes, M.D. – 8/5/93
Alice Francisco, M.D. – 5/16/94
Freeport Optical Plan and Stephen Ratner – 10/2/78
Frank Garofalo, M.D. – 5/21/93
Kali K. Ghosal, M.D. – 11/19/92
Benjy Goldstein, DDS – 2/25/00
Joel Goldstein, D.P.M. – 1/25/88
Pierino Graziosi, M.D. – 7/6/83
Mark Gromisch, M.D. – 2/7/97
Joy G. Harrison, M.D. – 8/5/94
Mirahmad Hashemifard, M.D. – 3/12/93
Alexander Hoffman, M.D. – 11/14/94
Tariq Javaid, M.D. – 3/11/92
Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C. – 4/29/93
John F. Keating – 10/16/79
Salma Khouri, M.D. – 2/20/97
Stephen H. Klein, M.D. – 4/1/98
Peter Klieger, M.D. – 9/12/91
John Karanja d/b/a Lari Pharmacy – 11/28/90
Arnold Lipton, M.D. – 3/9/82
Jose B. Llorens, M.D. – 6/23/92
Long Island Clinical Laboratories – 5/26/78
Serge Louis, M.D. – 3/13/92
Boris Machovsky, M.D. – 6/20/97
Maine Medical Group – 3/20/81
Chandrashekarasetty Makam, M.D. – 1/20/95
Liaquat Malik, M.D. – 3/23/94
Vivienne Manderson, L.P.N. – 2/3/95
Joseph Mecca, M.D. – 11/23/92
Raymond Nadell, M.D. – 1/11/94
Scott Newman, M.D. – 9/25/92
Andresito Pacis, M.D. – 9/16/94
Serge Pamphile, M.D. – 12/10/91
Cary Pollack, M.D. – 4/20/94
William Pollen, M.D. – 7/24/86
Quantum Laboratory of Brooklyn, Inc. – 8/5/92
Queens Medical Laboratory – 7/6/90
Jennette Reid, Rita Bruney, Sandra Walker, and Pamela Reid–Harris – 2/28/97
Nestor Rios, M.D. – 12/21/92
Rite Aid of New York, Inc., formerly d/b/a as Eckard Corporation Store 10839 – 7/7/10
Michael Rubin, M.D. – 3/30/93
Steven Schlamowitz, M.D. – 11/1/00
Aftab Siddiqui, M.D. – 8/15/89
Carol Wright Stallings, LPN, Barbara Gardner, LPN – 7/6/98
Rhona Gissen Stanley, D.D.S. – 6/17/98
Wayne Tabachnick, O.D. – 2/2/94
Bernardo Tobon, M.D. – 7/17/91
Thomas D. Wasser, M.D. – 3/20/85
Jerome Weltfisch, D.P.M. – 11/28/86
Conrad Williams, M.D. – 4/1/98
Donald Woodburn, M.D. – 5/11/98
Yonkers Residential Center, Inc. – 3/14/08

Medical records – fabricated records

Joel Goldstein, D.P.M. – 1/25/88
Hoi Yat Kam, M.D. – 11/10/06
Mariano Nevarez–Tapia, M.D. – 10/5/06
Moses A. Tambe, M.D. – 10/18/89
Kong Seng The, M.D. – 12/26/86.pdf
Hugo Viloria, M.D. – 12/30/88
Randulf M. Yanney, M.D. – 5/8/90

Medical records – general adequacy (patient medical history, elaboration of complaint, physical exam, diagnosis, medications, etc.)

Jamil M. Abraham, M.D. – 4/19/83
Lorenzo Acea, M.D. – 10/23/78
Samson Adegbite, M.D. – 8/5/93
Jean Adrien, M.D. – 10/10/91
Ansar Ahmed, M.D. – 3/31/87
Neera Ahuja, M.D. – 3/31/99
Slobodan Aleksic, M.D. – 11/20/90
Jonathan Allen, M.D. – 10/30/84
Rosa Ang, M.D. – 4/5/90
Donald H. Applebaum, D.O. – 3/31/87
Frank Applegate, M.D. – 8/6/92
Naim Bakash, M.D. – 3/25/85
Michael Bartalos, M.D. – 2/25/94
Mihaly Bartalos, M.D. – 5/22/85
Gurbusan Singh Basra, M.D. and Surinder Pal Singh Gill, M.D. – 2/15/94
Lev Z. Bentsianov, M.D. – 7/17/91
Tahweh Beysolow, M.D. – 11/7/94
Rudolfo Byrne, M.D. – 2/8/99
William Capote, M.D. – 11/30/93
Edmund Carloni, M.D. – c.1998 Robert Cestari, M.D. – 8/21/98
Ashok Chainani, D.D.S. – 2/24/05
M. Rafiq Chaudhry, M.D. – 11/26/96
Kuen Hai Chen, M.D. – 12/31/82
Kuen Hai Chen, M.D. – 6/1/83
William Insuck Cho, M.D. – 12/19/91
Hee K. Choi, M.D. – 8/7/86
Ivan Colef, M.D. – 4/5/99
Robert Cordero, M.D. – 4/20/94
Kristina Dahl, M.D. – 12/13/94
Mercea Damsker, M.D. – 12/26/86
Cleve R. Dawson, M.D. – 7/8/93
Giovanni Del Gizzo, M.D. – 8/5/92
Augustin Enaw, M.D. – 9/23/93
Anthony J. Enrico, D.P.M. – 4/29/93
Jeffrey Falk, M.D. – 2/17/93
Gencer Feliz, M.D. – 12/31/96
Jacob Feynman, M.D. – 9/30/88
Samuel Galeota, M.D. – 6/8/89
Angelo Gelpi, RPA – 11/4/98
Kali K. Ghosal, M.D. – 11/19/92
Stanley Goldstein, D.P.M. – 4/29/88
Gerson Gomes, M.D. – 10/17/96
Bernard Goodman, M.D. – 5/4/78
Richard Gordon, M.D. – 4/27/95
Dr. Pierino Gaziosi, M.D. – 2/13/89
Harold Grushkin, M.D. – 5/9/90
Joy G. Harrison, M.D. – 8/5/94
Bret Hughes, M.D. – 8/6/98
Angela Insolera, M.D. – 12/1/97
Tariq Javaid, M.D. – 3/11/92
Luba Katz – 7/18/97
John F. Keating – 10/16/79
Deborah Keno, M.D. – 11/2/98
Jan Keppler, M.D. – 11/4/93
Salwa Khouri, M.D. – 2/20/97
Roopa Khurana, M.D. – 7/7/94
Stephen Kimani, M.D. – 9/11/85
Stephen Kimani, M.D. – 12/31/85
Stephen H. Klein, M.D. – 4/1/98
Young W. Koh, M.D. – 6/28/89
Raisa Kuchment, M.D. – 11/18/93
Jacques LaGuerre, M.D. – 11/25/94
Lekhu K. Lala, M.D. – 10/5/93
Hamid Lalani, M.D. – 11/13/91
Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95
Claude Leonard, M.D. – 1/29/88
Frantz Lerebours, M.D. – 1/26/95
Gerald Levinson, M.D. – 10/8/91
Albert Levy, M.D. – 12/21/92
Jose B. Llorens, M.D. – 6/23/92
Luis Locuratolo, M.D. – 7/22/98
Serge Louis, M.D. – 3/13/92
Issa Madhoun, M.D. – 11/8/91
Mikhail Makhlin, M.D. – 9/15/05.doc
Kevin Maloney, M.D. – 5/19/95
Alessio Matera, M.D. – 6/15/88
Jose Matos, M.D. – 12/15/92
Salvatore Mauro, M.D. – 7/27/87
Mariano Mederos, M.D. – 1/10/94
Joseph Michaels, M.D. – 10/24/85
Jordan Mitroff, M.D. – 3/2/99
MM Management Services, Inc. – 8/5/98
Mariano Nevarez–Tapia, M.D. – 10/5/06
Scott Newman, M.D. – 9/25/92
Felix Nicholas, M.D. – 4/8/97
Steven G. Nussbaum – 5/17/79
Adeniyi Ogunkoya, M.D. – 6/10/92
Mostafa Osman, M.D. – 5/16/79
Chang Bai Park, M.D. – 6/4/97
George S. Parlato, M.D. – 11/1/82
Anatoly Pekarsky, M.D. – 5/6/97
J. J. Damberville Philippe, M.D. – 9/9/96
Alice Piasecki, M.D. – 2/28/94
Planned Parenthood Health Services of Northeastern New York – 4/16/02.doc
Andrew Pogiatzis, M.D. – 3/30/89
Machado Polanco, M.D. – 6/30/93
Cary Pollack, M.D. – 4/20/94
Rubena Pugeda–Chan, M.D. – 10/20/94
Pyramid Physicians, P.C. – 1/11/99
Aruna Rao Ramanadham, M.D. – 8/2/99
Ishwar A. Rang, M.D. – 4/3/92
Sharad Regay, M.D. – 5/30/97
Juan Reyes, M.D. – 2/16/94
Jean–Robert Richard, M.D. – 9/25/92
Dennis Roggemann, M.D. – 6/18/92
David Rosenblum, M.D. – 10/16/92
Robert Roth, M.D. – 11/19/82
George Rubenstein, M.D. – 12/30/92
Michael Rubin, M.D. – 3/30/93
Frantz St. Julien, M.D. – 11/8/94
Felicitas F. Santiago, M.D. – 5/20/93
Joseph Sarfo, M.D. – 9/8/94
Pragna Shah, M.D. – 3/31/98
Aftab Siddiqui, M.D. – 8/15/89
Shahid Siddiqui, M.D. – 10/3/89
Arun Sirohi, M.D. – 2/25/92
Yacov Smotkin, Smotkin Yacov Shoe Repair – 5/13/98
Michael A. Solomon, M.D. – 1/27/99
Peter Strassberg, M.D. – 6/24/83
Wayne Tabachnick, O.D. – 2/2/94
Teresita Tan, M.D. – 9/11/91
Kong Seng The, M.D. – 12/26/86.pdf
Louis Roland Timothee, M.D. – 5/16/94
Matthew Tolbin, M.D. – 11/26/97
Hilario Toledo, M.D. – 8/3/98
Tasos Triant, M.D. – 3/19/84
George Tsakonas, M.D. – 4/8/94
Josefina Velasquez, M.D. – 7/7/94
Jerome Verdell, M.D. – 10/8/93
Hugo Viloria, M.D. – 12/30/88
Robert C. Vixon, M.D. – 9/22/80
George Wang, M.D. – 6/20/95
Jerome Weltfisch, D.P.M. – 11/28/86
Jeffrey Wiersum, M.D. – 4/22/80
Otis Williams, M.D. – 3/30/98
Peter Williams, D.P.M. – 6/2/93
Guito Wingfield, M.D. – 9/4/92
Donald Woodburn, M.D. – 5/11/98
Laurence Wynn, M.D. – 3/23/94
Randulf M. Yanney, M.D. – 5/8/90
Benjamin Yentel, M.D. – 2/13/97
Ivan Young, M.D. – 6/12/95
Cheng Kai Yu, M.D. – 12/7/98
Myung Ku Yuh, M.D. – 5/17/83
Silas Zuttah, M.D. – 3/14/95

Medical records – HIPAA as rationale for keeping minimal records

Mariano Nevarez–Tapia, M.D. – 10/5/06

Medical records – legibility

Jamil M. Abraham, M.D. – 4/19/83
Slobodan Aleksic, M.D. – 11/20/90
M. Rafiq Chaudhry, M.D. – 11/26/96
Gencer Feliz, M.D. – 12/31/96
Samuel Galeota, M.D. – 6/8/89
Roopa Khurana, M.D. – 7/7/94
Young W. Koh, M.D. – 6/29/89
Garwood Leckband, M.D., Angelo Aiello, R.P.A – 9/22/95
Arnold Lipton, M.D. – 3/9/82
Issa Madhoun, M.D. – 11/8/91
Salvatore Mauro, M.D. – 7/27/87
Mariano Mederos, M.D. – 1/10/94
Joseph Michaels, M.D. – 10/24/85
MM Management Services, Inc. – 8/5/98
Sharad Regay, M.D. – 5/30/97
Juan Reyes, M.D. – 2/16/94
Pragna Shah, M.D. – 3/31/98
Shahid Siddiqui, M.D. – 10/3/89

Medical records – nursing services – record keeping requirements for nursing services provided in the patient´s home

Velda Blackman, L.P.N., Marjorie Campbell, L.P.N., Sylvanus Blackman, L.P.N. – 10/8/98
Rita Dieck, R.N. – 5/21/02
Nancy Duroseau, L.P.N., Jacqueline Victor, L.P.N. – 4/16/97

Medical records – ordered services audits – duty of physician not enrolled in Medicaid Program to maintain and produce records

Mariam Huda, M.D. – 9/30/91
Charles McGuire, M.D. – 12/20/94
Raymond Nadell, M.D. – 1/11/94

Medical records – outpatient mental health clinic services, psychiatric day care services

Bedford Stuyvesant Community Mental Health Center – 12/31/03
Niagara Falls Memorial Medical Center – 8/16/81
Rochester Mental Health Center – 1/22/87
Sunrise Psychiatric Center, Inc. – 11/28/01
Transitional Services for New York Inc. – 4/29/05
Woodward Mental Health Center – 5/30/80

Medical records – patient´s name and address

Kristina Dahl, M.D. – 12/13/94
Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95
Abraham Lock, M.D. – 4/21/93
Louis Roland Timothee, M.D. – 5/16/94
Jerome Verdell, M.D. – 10/8/93

Medical records – pharmacies

Rite Aid of New York, Inc., formerly d/b/a Eckhard Corporation Store 10839 – 7/7/10
The New Pharmacy, Inc., and Shailesh R. Patel, R.Ph. – 4/6/09

Medical records – psychiatrists

Daniel DeSole, M.D. – 11/28/88
Luis Locuratolo, M.D. – 7/22/98
Mariano Nevarez–Tapia, M.D. – 10/5/06
George S. Parlato, M.D. – 11/1/82
Ralph Walton, M.D. – 3/29/83
H. J. Yeon, M.D. – 10/16/79

Medical records – records not contemporaneous with provision of service

Mariano Nevarez–Tapia, M.D. – 10/5/06
Thomas D. Wasser, M.D. – 3/20/85

Medical records – signature of provider

Michael Finigan, M.D. – 9/30/81
Joseph Michaels, M.D. – 10/24/85
Mariano Nevarez–Tapia, M.D. – 10/5/06

Medicare Part B – duplicate payments

Aurora Park Health Care Center, Inc. – 12/3/91
Child´s Nursing Home – 1/22/88
Concourse Nursing Home – 2/18/81.pdf
Concourse Nursing Home – 3/17/95
Eger Nursing Home – 5/29/87
Fenton Park Nursing Home – 12/14/88
Frances Schervier Home and Hospital – 6/4/90
Harr–Wood Nursing Home, Inc. – 4/16/84
Hudson View Nursing Home – 1/29/93
Hyde Park Nursing Home – 3/20/84
James Square Nursing Home – 12/31/92
Jewish Home and Hospital for the Aged – 3/6/95
King Street Home, Inc. – 1/28/85
Nyack Manor Nursing Home – 6/15/94
Pine Haven Home – 3/25/88
Rego Park Nursing Home – 2/16/93
Albert Schwartzberg and Sigmund Lefkowitz, Kings Harbor Manor and Kings Harbor Care Center – 4/21/87

Medicare Part B – Medicaid Program responsibility for payment of Part B premiums, deductibles and coinsurance

Total Health Care Industries, Inc. – 5/11/98

Medicare optimization – Medicaid as payor of last resort

American Diagnostic Laboratories, Inc. – 12/10/86
Cliffside Nursing Home – 4/27/99

Mental health clinics

Bedford Stuyvesant Community Mental Health Center – 12/31/03
Brooklyn Center for Psychotherapy and Interborough Development and Counseling Center, Inc. – 9/15/98
Formico Psychiatric Clinic Corp. d/b/a Hempstead Psychiatric Therapy Services – 3/22/78
New York City Health & Hospitals Corporation – 3/17/97
Niagara Falls Memorial Medical Center – 8/16/81
Rochester Mental Health Center – 1/22/87
Sunrise Psychiatric Center, Inc. – 11/28/01
Transitional Services for New York Inc. – 4/29/05
Treatment Center of Westchester, Roger B. Williams and Les Amy – 11/13/00
Treatment Center of Westchester, Roger B. Williams and Les Amy – 6/15/04
Woodward Mental Health Center – 5/30/80

Mental health clinics – ambulatory care and RHCF patients

Brooklyn Center for Psychotherapy and Interborough Development and Counseling Center, Inc. – 9/15/98

Mental health clinics – applicability of 18 NYCRR 505.25 to clinics regulated under 14 NYCRR Parts 587 and 588

Bedford Stuyvesant Community Mental Health Center – 12/31/03
Transitional Services for New York Inc. – 4/29/05

Mental health clinics – billing requirements

Bedford Stuyvesant Community Mental Health Center – 12/31/03 New York City Health & Hospitals Corporation – 3/17/97

Mental health clinics – collateral person visit

Bedford Stuyvesant Community Mental Health Center – 12/31/03

Mental health clinics – due diligence requirement of Office of Mental Health regulations

Bedford Stuyvesant Community Mental Health Center – 12/31/03

Mental health clinics – five percent rule (14 NYCRR 588.5[l])

Bedford Stuyvesant Community Mental Health Center – 12/31/03

Mental health clinics – group therapy duration of service requirement

Bedford Stuyvesant Community Mental Health Center – 12/31/03

Mental health clinics – roles of Department of Health, Department of Social Services and Office of Mental Health in regulating Medicaid participation

Bedford Stuyvesant Community Mental Health Center – 12/31/03

Methadone maintenance clinics and treatment programs

Community Action Organization of Erie County, Inc. – 6/15/82
Guillermo Seco, M.D., Gramercy Park Medical Group – 11/19/02

Methadone maintenance treatment preferred provider program

Guillermo Seco, M.D., Gramercy Park Medical Group – 11/19/02

Methadone maintenance treatment reimbursement

St. Luke´s–Roosevelt Hospital Center – 11/20/96
Guillermo Seco, M.D., Gramercy Park Medical Group – 11/19/02

Mevacor

Otis Williams, M.D. – 3/30/98

Mitigating factors – SEE Sanctions for unacceptable practices – mitigating factors

Monetary penalties – standards for determining amount of penalty

The New Pharmacy, Inc, and Shailesh R. Patel, R.Ph. – 4/6/09
Rite Aid Corporation – 10/28/04

Mycoplasma

Cheng Kai Yu, M.D. – 12/7/98

Mycotic toenails

Hyman A. Graver, D.P.M. – 8/22/78

Naprosyn

William Insuck Cho, M.D. – 12/19/91

Net Available Monthly Income (NAMI)

Aishel Avraham Residential Health Facility, Inc. – 11/20/92
Orange County Home and Infirmary – 7/14/03
Sea Crest Nursing Home and Shore View Nursing Home – 3/27/98

Nonprescription drugs – telephone orders

TDI Pharmacy, Inc, Lisa St. Peter, Richard Oestrich – 4/6/05

Nonsteroidal Anti–inflammatory drugs (NSAIDs)

Robert Cordero, M.D. – 4/20/94
Anthony J. Enrico, D.P.M. – 4/29/93
Joy G. Harrison, M.D. – 8/5/94
Raisa Kuchment, M.D. – 11/18/93
Jose Matos, M.D. – 12/15/92
Arun Sirohi, M.D. – 2/25/92
Peter Williams, D.P.M. – 6/2/93

Notice of agency action – legality of charges not in proposed notice of agency action – differences between proposed and final notices of agency action

Abraham Lock, M.D. – 4/21/93
People Ambulette Service, Inc. – 10/13/93

Notice requirements – due process of law

All County Transportation Service, Donna Kapetanakis and Louis Balzano – 4/20/94
Jonathan Allen, M.D. – 10/30/84
BSK Pharmacy, Inc. and Mr. Robert Blaire, RPH and Mr. Robert S. Simon, SP, and Mrs. Sharyn Blaire, and Anita Klein, and Seymour Klein, RPH – 6/29/94
Ashok Chainani, D.D.S. – 2/24/05
Chapin Home for the Aged – 10/5/04
Community Related Services, Inc. – 8/31/09
Concourse Nursing Home – 2/18/81.pdf
Robert Cordero, M.D. – 4/20/94
Cypress Pharmacy, Inc. – 8/7/87
John Leon Feldman, RPH – 9/30/85
Dr. Edward Fischman – 2/11/80.pdf
Michael Freed and 1733 Prescriptions, Ltd. – 1/11/94
Frank Garofalo, M.D. – 5/21/93
Genesee County Nursing Home – 2/18/93
Dana Rene Gignac, R.Ph., Saratoga Pharmacy – 12/10/08
Gerson Gomes, M.D. – 10/17/96
Hebrew Hospital for Chronic Sick, Inc. – 12/21/90
Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C. – 4/29/93
Deborah Keno, M.D. – 11/2/98
Stephen Kimani, M.D. – 9/11/85
Stephen Kimani, M.D. – 12/31/85
Stephen H. Kleon, M.D. – 4/1/98
Frantz Lerebours, M.D. – 1/26/95
Jack Lippes, M.D., and Harold Castilone, M.D. – 7/31/81
Abraham Lock, M.D. – 4/21/93
Liaquat Malik, M.D. – 3/23/94
Jose Matos, M.D. – 12/15/92
McKeever Drug Corporation and Norman Schulman – 7/23/82
Joseph Mecca, M.D. – 11/23/92
Medicon Diagnostic Laboratory, Inc. – 6/6/90
MM Management Services, Inc. – 8/5/98
Andresito Pacis, M.D. – 9/16/94
Harshadray Patel – 4/11/85
Planned Parenthood Health Services of Northeastern New York – 4/16/02.doc
Dr. Andrew Portoghese – 7/12/78
Albert Schwartzberg and Sigmund Lefkovitz, Kings Harbor Manor and Kings Harbor Care Center – 4/21/87
Richard Silverman, M.D. – 1/30/79
Peter Strassberg, M.D. – 6/24/83
Sunrise Psychiatric Center, Inc. – 11/28/01
Moses A. Tambe, M.D. – 10/18/89
Tasos Triant, M.D. – 3/19/84
Upjohn Health Care Services – 11/28/82
Carl E. Williams, D.D.S. – 4/19/79
Myung Ku Yuh, M.D. – 5/17/83
Silas Zuttah, M.D. – 3/14/95

Notice requirements – method of service, proof of service

Harshadray Patel – 4/11/85
Delores Protagoras, M.D. – 11/14/83
Marcia Wesley, M.D. – 2/12/93

Notice requirements – service on provider´s attorney

820 River Street, Inc. – 3/18/03

Notice requirements – unsigned or undated final audit report or notice of agency action

Arnold Kolodny & Friendly Medical Transportation – 5/6/94
Kunchel Yoon, M.D. – 11/7/83

Nuclear medicine – billing codes and limitations

Rudolph Sada, M.D. – 11/14/88

Nurses

Velda Blackman, L.P.N., Marjorie Campbell, L.P.N., Sylvanus Blackman, L.P.N. – 10/8/98
Patricia Buckridge, RN – 1/26/04
Rita Dieck, R.N. – 5/21/02
Nancy Duroseau, L.P.N., Jacqueline Victor, L.P.N. – 4/16/97
Sharon Honegger, R.N. – 11/14/02
Luba Katz – 3/23/95 Luba Katz – 7/18/97
Vivienne Manderson, L.P.N. – 2/3/95
Metro Health Care Services, Inc., Blanca Jaravata, R.N. – 11/6/98
Jennette Reid, Rita Bruney, Sandra Walker, and Pamela Reid–Harris – 2/28/97
Carol Wright Stallings, LPN, Barbara Gardner, LPN – 7/6/98
Winsome Stewart, R.N. – 7/26/04

Obesity

Hugo Viloria, M.D. – 12/30/88

Obstetrical services – fee codes and requirements

Moheb N. Khouzam, M.D. – 3/18/99
Jack Lippes, M.D., and Harold Castilone, M.D. – 7/31/81

Office visits – level of service (comprehensive visit v. first visit v. extended visit v. intermediate visit v. prolonged follow–up v. routine follow–up v. subsequent visit v. brief visit v. minimal visit v. physical exam visit)

Jamil M. Abraham, M.D. – 4/19/83
Ansar Ahmed, M.D. – 3/31/87
Neera Ahuja, M.D. – 3/31/99
Frank Applegate, M.D. – 8/6/92
Naim Bakash, M.D. – 3/25/85
Tahweh Beysolow, M.D. – 11/7/94
Robert Cestari, M.D. – 8/21/98
Mercea Damsker, M.D. – 12/26/86
Giovanni Del Gizzo, M.D. – 8/5/92
Jacob Feynman, M.D. – 9/30/88
Prasanta K. Ghosh, M.D. – 12/27/91
Dr. Pierino Graziosi, M.D. – 2/13/89
Alexander Hoffman, M.D. – 11/14/94
Bret Hughes, M.D. – 8/6/98
Salwa Khouri, M.D. – 2/20/97
Roopa Khurana, M.D. – 7/7/94
Stephen Kimani, M.D. – 9/11/85
Stephen Kimani, M.D. – 12/31/85
Young W. Koh, M.D. – 6/28/89
Maine Medical Group – 3/20/81
Kevin Maloney, M.D. – 5/19/95
Salvatore Mauro, M.D. – 7/27/87
Mariano Mederos, M.D. – 1/10/94
Scott Newman, M.D. – 9/25/92
Adeniyi Ogunkoya, M.D. – 6/10/92
Rene Prevost, M.D. – 10/31/86
Pyramid Physicians, P.C. – 1/11/99
Sharad Regay, M.D. – 5/30/97
David Rosenblum, M.D. – 10/16/92
Joseph Sarfo, M.D. – 9/8/94
Aftab Siddiqui, M.D. – 8/15/89
Richard Silverman, M.D. – 1/30/79
Arun Sirohi, M.D. – 2/25/92
Kong Seng The, M.D. – 12/26/86.pdf
Hugo Viloria, M.D. – 12/30/88
George Wang, M.D. – 6/20/95
Thomas D. Wasser, M.D. – 3/20/85
Laurence Wynn, M.D. – 3/23/94
Myung Ku Yuh, M.D. – 5/17/83

Opticians

Harold Brooks, D.O., Tupper Opticians – 7/12/78
Harold Brooks, O.D. – 12/31/82
Frame–Up Prescription Opticians, Inc. and Bruce Raines – 11/22/78
Freeport Optical Plan and Stephen Ratner – 10/2/78

Optometrists

Stephan C. Auster, O.D. – 10/28/88
Dr. Leonard Burros and Dewitt Optical World, Inc. – 6/1/79
Dr. Richard Coleman and Sight Unlimited, Inc. – 2/18/79
Dr. Robert Malinoff and DeWitt Optical World, Inc. – 6/11/79
Dr. Andrew Portoghese – 7/12/78
Wayne Tabachnick, O.D. – 2/2/94
George Weinstein, O.D. – 4/14/93

Optometrists – salaried v. self–employed

Stephan C. Auster, O.D. – 10/28/88
Dr. Leonard Burros and Dewitt Optical World, Inc. – 6/1/79
Dr. Richard Coleman and Sight Unlimited, Inc. – 2/18/79
Dr. Robert Malinoff and DeWitt Optical World, Inc. – 6/11/79

Ordered services – orders not by authorized provider, forged orders

Gurbhusan Singh Basra, M.D. and Surinder Pal Singh Gill, M.D. – 2/15/94

Ordered services audits – authority to audit ordering physician who is not Medicaid provider

Miriam Huda, M.D. – 9/30/91
Charles McGuire, M.D. – 12/20/94
Raymond Nadell, M.D. – 1/11/94
Bernardo Tobon, M.D. – 7/17/91
Conrad Williams, M.D. – 4/1/98

Ordered services audits – authority to hold ordering physician responsible for Medicaid payments made to others

Ivan Colef, M.D. – 4/5/99
Mariam Huda, M.D. – 9/30/91
Cary Pollack, M.D. – 4/20/94
Josefina Velasquez, M.D. – 7/7/94
George Wang, M.D. – 6/20/95

Ordered services audits – duplicate recovery of Medicaid reimbursement

Frank Applegate, M.D. – 8/6/92
Ivan Colef, M.D. – 4/5/99
Augustin Enaw, M.D. – 9/23/93
Kali K. Ghosal, M.D. – 11/19/92
Lekhu K. Lala, M.D. – 10/5/93
Serge Louis, M.D. – 3/13/92
Chandrashekarasetty Makam, M.D. – 1/20/95
Scott Newman, M.D. – 9/25/92
Chang Bai Park, M.D. – 6/4/97
Rubena Pugeda–Chan, M.D. – 10/20/94
Ishwar A. Rang, M.D. – 4/3/92
David Rosenblum, M.D. – 10/16/92
Frantz St. Julien, M.D. – 11/8/94
George Tsakonas, M.D. – 4/8/94
Silas Zuttah, M.D. – 3/14/95

Orthodontics – SEE Dentistry

Orthotic device dealers – SEE Medical and surgical supplies, durable medical equipment, orthotic and prosthetic device dealers

Orthopedic shoe providers

Abe & Leon Shoes of Brighton, Inc. – 5/19/95
Greenfield Shoes – 1/19/88
Metzies Shoe Brooklyn New York Corp. – 11/6/86
Yacov Smotkin, Smotkin Yacov Shoe Repair – 5/13/98
Winterkorn Orthopedic Appliance Co. – 12/18/97
Chaim Wolner d/b/a Fashion Comfort Shoes – 3/29/94

Orthopedic shoe providers – duty to retain fiscal orders

Metzies Shoe Brooklyn New York Corp. – 11/6/86

Orthopedic shoes – reasons for prescribing

Eugene Shapiro, D.P.M. – 11/15/96

Orthopedic shoes – signature requirement for fiscal order

Greenfield Shoes – 1/19/88

Osmolality test

Ivan Colef, M.D. – 4/5/99

Out–of–state pharmacies – SEE Pharmacies – out–of–state pharmacies – duty to comply with New York State law

Outpatient alcoholism treatment providers – SEE Alcoholism treatment providers

Outpatient chemical dependence services providers – SEE Chemical dependence outpatient services providers – SEE Methadone maintenance clinics and treatment programs

Outpatient clinics – SEE Clinics

Outpatient mental health programs – SEE Mental health clinics Overpayments – discretion of Medicaid Program to waive recovery

Bedford Stuyvesant Community Mental Health Center – 12/31/03

Overpayments – persons who can be held responsible

Yehuda Barsel, M.D. – 7/13/81
Arthur Blaire – 6/6/83
Cary Pollack, M.D. – 4/20/94
Leslie Elliott Strong, M.D. – 12/19/83
Bruce A. Surosky, M.D. – 11/8/99
John Weir and Ambu–Trans, Inc. – 12/18/97

Overpayments – recovery of overpayments caused by Department of Health error

Department of Medicine Medical Services Group – 12/19/05

Overpayments – recovery prior to hearing decision

Castle Rest Nursing Home – 3/30/89

Overpayments caused by failure to notify provider of amendment to fee code

Biologic Laboratory, Inc. – 5/17/93
Department of Medicine Medical Services Group – 12/19/05
Modern Medical Laboratory, Inc. – 5/17/93
Guillermo Seco, M.D., Gramercy Park Medical Group – 11/19/02

Overutilization of services

Donald H. Applebaum, D.O. – 3/31/87
Ivan Colef, M.D. – 4/5/99
Alessio Matera, M.D. – 6/15/88
MM Management Services, Inc. – 8/5/98
Peter Strassberg, M.D. – 6/24/83
George Wang, M.D. – 6/20/95

Oxandrin

Mikhail Makhlin, M.D. – 9/15/05.doc

Payment mechanism for providers – Federal Medicaid requirements

Brooklyn Center for Psychotherapy and Interborough Development Counseling Center, Inc. – 9/15/98

Payor of last resort – SEE Medicare optimization – Medicaid as payor of last resort – SEE Third party payor optimization – Medicaid as payor of last resort

Pedi–boro

Jerome Weltfisch, D.P.M. – 11/28/86

Peptic ulcer disease

William Insuck Cho, M.D. – 12/19/91
MM Management Services, Inc. – 8/5/98
Chang Bai Park, M.D. – 6/4/97
Arun Sirohi, M.D. – 2/25/92

Periactin

Cary Pollack, M.D. – 4/20/94
Kong Seng The, M.D. – 12/26/86.pdf

Periodontia – SEE Dentistry – periodontia

Personal care services – SEE Home health care – personal care services Pharmacies, pharmacists and pharmacy owners

Ageless Pharmacy Consultants, Inc. and Leslie Rosen – 3/22/84
Harold Agress – 3/17/82
Mahmood Alam d/b/a Hina Drug Corp. and Alam Drug Corp. – 10/17/91
Almarc Drugs, Inc., Alan Klein, Marc Klein, and "John Doe" being any person or persons involved in the operation of Almarc Drugs, Inc – 9/3/85
Amar Pharmacy, Inc. – 7/28/87
Annex Pharmacy, Inc. – 12/11/92
Antelis Pharmacy, Inc. – 10/27/81
Antelis Pharmacy, Inc. – 2/2/82
William Arca – 5/16/83
AUR Pharmacy, Inc. – 6/17/87
Awan Drugs, Inc. – 6/15/92
Barmed Drugs, Inc and Barry Adelman – 1/11/93
Ross Barone and Heath Drug Company, Inc. – 11/10/81
Benjamin Bernstein and B & B Pharmacy, Inc. – 5/12/83
B.J.K. Pharmacy, Inc., d/b/a Long Beach Chemists – 9/28/83
Arthur Blaire – 6/6/83
Sharyn Blaire, Robert Simon, Anita Klein and 149 East Pharmacy, Inc. – 10/16/92
Israel Bogdonow and 459 DeKalb Pharmacy, Inc. – 2/29/84
David Boschowitz – 5/15/78
Boston Drugs, Inc. and Muhammed Asghar – 10/31/94
Bousel Pharmacy, Inc., Reuben Colon and Louis Rebhun – 7/27/84
Brighton Pharmacy, Inc. – 1/22/09
Bronx Prescription Center South – 4/1/98
Clarence Brown and C.B. Pharmaceuticals, Inc. – 10/31/78
Thomas P. Browne and Roann Drug Distributing Corp. – 6/19/84
B.S. Mini–Med, Inc., Perry Saber, President – 11/4/93
BSK Pharmacy, Inc. and Mr. Robert Blaire, RPH and Mr. Robert S. Simon, SP, and Mrs. Sharyn Blaire, and Anita Klein, and Seymour Klein, RPH – 6/29/94
Buena Vista Pharmacy, Inc. – 7/28/87
Buena Vista Pharmacy – 9/29/89
David Carver and Davenbill, Inc. – 2/29/84
Charles Chemists, Inc. – 10/23/81
Charles Chemists, Inc. – 10/21/82
Chartin Pharmacy, Inc., d/b/a Meyer´s Pharmacy, Martin Solomon and Frank Danise – 5/31/85
Kum Ja Cho – 2/4/82
Church Chemists, Inc. – 10/27/81
Church Chemists, Inc. – 2/5/82
Jack Cobrin – 10/21/81
Cumberland Pharmacy, Inc. – 6/15/78
CVS/Caremark Corporation – Dunkirk Store #309 – 7/20/09
Cypress Pharmacy, Inc. – 8/7/87
Peter Della Mura and Circle Pharmacy, Inc. – 5/5/95
James Detura – 10/27/81
James Detura – 3/16/82
Keith Diamond, K. Diamond Pharmacy, Inc. – 5/11/98
Din Pharmacy Corp. – 7/15/87
Joseph Eisenberg and Rafael Yerushalmi – 2/1/83
Sandra Elvir, 26 Sandy Pharmacy, Inc. – 7/12/99
Family Pharmacy, Inc., Martin Brounstein, Murray Katz and Lewis G. Erwich, R.Ph. – 11/2/94
John Leon Feldman, RPH – 9/30/85
Martin Flacks – 2/28/84
Michael Freed and 1733 Prescriptions, Ltd. – 1/11/94
Michael Freed and 1733 Prescriptions, Ltd. – 4/18/95
Louis Freifeld – 6/6/83
Joseph Garfinkel – 11/16/81
Dana Rene Gignac, R.Ph., Saratoga Pharmacy – 12/19/08
Nathan Goldberg – 1/7/82
Stanley Goldstein, Howard Wild, George Liebmann and Value Mart, Inc. – 7/24/84
Herbert Gordon – 6/29/84
Herbert Greenfield and the Milindsay Drug Company, Inc. – 10/3/78
Young S. Hong – 8/25/82
Joseph Horowitz and Michael Bruno – 6/29/84
Chester Jacobs, C and H Drug Co., Inc. – 5/3/84
Jax Drugs, Inc. – 4/12/78
Michael Kaplan – 10/13/83
Alfred Khalil and Del Med Pharmacy, Inc. – 9/7/82
Farooq Khawaja – 1/24/85
Zahid Khawaja, Shahid Khawaja and MMK Pharmacy, Inc. – 5/1/95
Saiful Kibria and Bathgate Prescription Center, Inc. – 4/14/99
Kissena Pharmacy – 8/31/84
Myoung Ho Kong and C & K Drugs, Inc. – 6/26/85
George Kreytak – 6/29/84
John Karanja d/b/a Lari Pharmacy – 11/28/90
Lane Cosmetic Shoppe, Inc. (a/k/a Lane Pharmacy) – 5/3/84
Lema Drug Corp., Inc. and Neil A. Gordon – 6/29/84
Harry Gem Hoy Lew and Harry Lew Pharmacy, Inc., d/b/a Chinese Community Pharmacy – 12/21/81
The Lewis Corporation – 4/2/82
Lightening Drug Corp. – 10/24/91
MacLeod´s Prescription Pharmacy, Inc., Robert Kendzia and Matthew Peunic, Jr. – 8/19/85
Syed A. Mahmood, Oceanside Community Pharmacy, Inc. – 11/18/91
Ashad Mahmud, Isaac Ayeni and Ray Pharmacy, Inc. – 3/29/91
Arumugam Manoharan – 8/25/82
McKeever Drug Corporation and Norman Schulman – 7/23/82
McKibben at Graham Pharmacy, Inc. – 11/28/88
The Medicine Shoppe and Anthony Grejda – 6/7/02
Soel Melero – 8/24/82
Melrose Pharmacy. Inc. – 11/4/81
Victor Molinsky and the J. & V. Pharmacy, Inc. – 9/1/78
John Muzii, Muzii Drug Co., Inc. – 10/23/84
The New Pharmacy, Inc., and Shailesh R. Patel, R.Ph. – 4/6/09
96 Cents Goods & Drugs, Inc. – 9/15/93
108 Siegel Farmacia, Inc. – 5/25/83
Irwin Pachter – 6/6/83
Harshadray Patel – 4/11/85
Popatlal A. Patel – 5/25/83
Penmar Services, Inc., Louis Goss, President and Supervising Pharmacist – 12/21/94
Pharmhealth Infusion, Inc. – 5/28/09
Philstan Pharmacy, Philip Elmowitz and Stanley Elmowitz – 2/27/84
Vincent Postiglione and Jomel Pharmacy, Inc. – 8/12/82
Prince Pharmacy, Inc., Khalid Chaudhary, Supervising Pharmacist, Nighat Chaudhary, Corporate Officer – 4/24/96
Professional Pharmacy, Inc., Mohammed Aslam, Mohammed Ashraf, and Ahmed Aftab – 10/5/90
Mark Rauchwerger, Forest Rego Pharmacy, Inc. – 2/26/97
Ray Pharmacy, Inc. – 6/17/87
Ridgewood Pharmacy, Inc. – 5/19/95
Rite Aid Corporation – 10/28/04
Rite Aid of New York, Inc., formerly d/b/a Eckerd Corporation Store 10839 – 7/7/10
Rockville Apothecary DLAD, David Dechester and William Benson – 12/27/79
Joseph V. Russo – 5/23/83
Sage Pharmacy, Inc. d/b/a Lemar Pharmacy, Emil Allgauer – 9/29/83
Sidney Sanders – 7/29/85
Mohyi Sayed, Hassan Ibriham, El Sayed Abd Elmula, Hamdy Elamrousy and HMJ Drugs – 9/25/91
Gerald Schaubman and the Jarrett Drug Corporation – 7/7/78
Seagirt Pharmacy, Inc., Harold Herman and Louis J. Feinberg – 5/25/83
701 Pharmacy Drugs, Inc. and Leonard Epstein, R.Ph. and Stanley Spielvogel, R.Ph. – 5/3/93
Richard Strauss, George Georghalli, J & N Pharmacy, Inc. – 3/27/85
Muhammad Tariq and Mussarat Pharmacy, Inc. – 9/18/92
TDI Pharmacy, Inc., Lisa St. Peter, Richard Oestrich – 4/6/05
TRC Drugs Inc. D/B/A Red Crescent Pharmacy – 3/30/84
Tu Farmacia, Inc. – 7/28/87
Ming Ching Tung – 11/2/84
Rami Waisman, Solomon Forman, Han Kissore Parbhudial and Halmor Trading Corporation – 7/22/98
Martin Ziporkin and Leemar Drugs, Inc. – 3/12/92

Pharmacies – accuracy of prescriber information on claim form

CVS/Caremark Corporation – Dunkirk Store #309 – 7/20/09
Dana Rene Gignac, R.Ph, Saratoga Pharmacy – 12/19/08
Pharmhealth Infusion, Inc. – 5/28/09

Pharmacies – adequacy of records – SEE Medical records – pharmacies

Pharmacies – billable amount calculation

AUR Pharmacy, Inc. – 6/17/87
Lane Cosmetic Shoppe, Inc. (a/k/a Lane Pharmacy) – 5/3/84
Ray Pharmacy, Inc. – 6/17/87

Pharmacies – billable amount calculation for compound prescriptions

TRC Drugs, Inc. D/B/A Red Crescent Pharmacy – 3/30/84

Pharmacies – billing as ordered by facility rather than by prescriber

Pharmhealth Infusion, Inc. – 5/28/09

Pharmacies – billing when a fraction of a unit of nonprescription drug dispensed

Mahmood Alam d/b/a Hina Drug Corp. and Alam Drug Corp. – 10/17/91
Din Pharmacy Corp. – 7/15/87
Ray Pharmacy, Inc. – 6/17/87

Pharmacies – dispensing fee for prescription refills

Sage Pharmacy, Inc. d/b/a Lemar Pharmacy, Emil Allgauer – 9/29/83

Pharmacies – duty to maintain and produce prescriptions for audit

B.J.K. Pharmacy, Inc., d/b/a/ Long Beach Chemists – 9/28/83
Bronx Prescription Center South – 4/1/98
Family Pharmacy, Inc., Martin Brounstein, Murray Katz and Lewis G. Erwich, R.Ph. – 11/2/94
The Medicine Shoppe and Anthony Grejda – 6/7/02
Pharmhealth Infusion, Inc. – 5/28/09
Rite Aid Corporation – 10/28/04
TDI Pharmacy, Inc, Lisa St. Peter, Richard Oestrich – 4/6/05

Pharmacies – fax–back renewal prescriptions

Dana Rene Gignac, R.Ph., Saratoga Pharmacy – 12/19/08
Pharmhealth Infusion, Inc. – 5/28/09

Pharmacies – fraudulent billing

Rite Aid Corporation – 10/28/04

Pharmacies – fraudulent prescriptions – filled and billed to Medicaid Program in good faith

Peter Della Mura and Circle Pharmacy, Inc. – 5/5/95
Saiful Kibria and Bathgate Prescription Center, Inc. – 4/14/99

Pharmacies – fraudulent prescriptions – indicators of fraud

Sharyn Blaire, Robert Simon, Anita Klein and 149 East Pharmacy, Inc. – 10/16/92
Penmar Services, Inc., Louis Goss, President and Supervising Pharmacist – 12/21/94
Prince Pharmacy, Inc., Khalid Chaudhary, Supervising Pharmacist, Nighat Chaudhary, Corporate Officer – 4/24/96
Rami Waisman, Solomon Forman, Han Kissore Parbhudial and Halmor Trading Corporation – 7/22/98
Martin Ziporkin and Leemar Drugs, Inc. – 3/12/92

Pharmacies – general duties and requirements

Buena Vista Pharmacy – 9/27/89
Rockville Apothecary DLAD, David Dechester and William Benson – 12/27/79

Pharmacies – inventory audits

Annex Pharmacy, Inc. – 12/11/92
John Karanja d/b/a Lari Pharmacy – 11/28/90
Lightening Drug Corp. – 10/24/91
Syed A. Mahmood, Oceanside Community Pharmacy, Inc. – 11/18/91
Ashad Mahmud, Isaac Ayeni and Ray Pharmacy, Inc. – 3/29/91

Pharmacies – label requirements for prescription medications

Ray Pharmacy, Inc. – 6/17/87
Rite Aid Corporation – 10/28/04
TRC Drugs, Inc. D/B/A Red Crescent Pharmacy – 3/30/84

Pharmacies – out–of–state pharmacies – duty to comply with New York State law

TDI Pharmacy, Lisa St. Peter, Richard Oestrich – 4/6/05

Pharmacies – prohibition on reimbursement when prescription written by provider excluded from Medicaid Program

Bronx Prescription Center South – 4/1/98

Pharmacies – repackaging drugs

Buena Vista Pharmacy – 9/27/89

Pharmacy owners and corporate officers – responsibility for acts of others

Arthur Blaire – 6/6/83
Sharyn Blaire, Robert Simon, Anita Klein and 149 East Pharmacy, Inc. – 10/16/92
Bousel Pharmacy, Inc., Reuben Colon and Louis Rebhun – 7/27/84
Thomas P. Browne and Roann Drug Distributing Corp. – 6/19/84
Charles Chemists, Inc. – 10/21/82
Community Drug Mart, Inc. and Larry Youngerman – 3/30/84
Joseph Eisenberg and Rafael Yerushalmi – 2/1/83
Martin Flacks – 2/28/84
Stanley Goldstein, Howard Wild, George Liebman and Value Mart, Inc. – 7/24/84
Herbert Gordon – 6/29/84
Herbert Greenfield and the Milindsay Drug Company, Inc. – 10/3/78
Chester Jacobs, C and H Drug Co., Inc. – 5/3/84
Zahid Khawaja, Shahid Khawaja and MMK Pharmacy, Inc. – 5/1/95
McKibben at Graham Pharmacy, Inc. – 11/28/88
The New Pharmacy, Inc., and Shailesh R. Patel, R.Ph. – 4/6/09
108 Siegel Farmacia, Inc. – 5/25/83
Irwin Pachter – 6/6/83
Rockville Apothecary DLAD, David Dechester and William Benson – 12/27/79
Joseph V. Russo – 5/23/83
Seagirt Pharmacy, Inc., Harold Herman and Louis J. Feinberg – 5/25/83
TDI Pharmacy, Inc., Lisa St. Peter, Richard Oestrich – 4/6/05

Phenobarbitol

Donald H. Applebaum, D.O. – 3/31/87

Phlebotomists – SEE Laboratories – providing phlebotomists in physicians´ office Physical examinations – SEE Medical records – general adequacy

Physical therapists

Raymond Sendker – 12/11/78

Physician´s assistants – SEE Registered physician´s assistants

Physicians

Sami Abdul–Malak, M.D. – 6/13/95
Jamil M. Abraham, M.D. – 4/19/83
Lorenzo Acea, M.D. – 10/23/78
Samson Adegbite, M.D. – 8/5/93
Jean Adrien, M.D. – 10/10/91
Ansar Ahmed, M.D. – 3/31/87
Neera Ahuja, M.D. – 3/31/99
Mohammed Akhtar, M.D. – 5/14/98
Adeliya Akpan, M.D. – 3/5/99
Slobodan Aleksic, M.D. – 11/20/90
A. Hamid Alizadeh, M.D. – 11/10/81
Jonathan Allen, M.D. – 10/30/84
Jonathan Allen, M.D. – 4/21/87
Rosa Ang, M.D. – 4/5/90
Thessaloniki Angelakos, M.D. – 11/4/83
Thessaloniki Angelakos, M.D. – 1/16/84
Donald H. Applebaum, D.O. – 3/31/87
Frank Applegate, M.D. – 8/6/92
Camille Armand, M.D. – 5/29/92
Swraiya Abdul Aziz – 5/15/90
Naim Bakash, M.D. – 3/25/85
Farhang Bakhtiar, M.D. – 6/16/94
Dominick Barbara, M.D. – 1/8/79
Yehuda Barsel, M.D. – 7/13/81
Michael Bartalos, M.D. – 2/25/94
Mihaly Bartalos, M.D. – 5/22/85
Gurbhusan Singh Basra, M.D. and Surinder Pal Singh Gill, M.D. – 2/15/94
Lev Z. Bentsianov, M.D. – 7/17/91
Anna Berenstein, M.D. – 11/3/97
Salvador Beris, M.D. – 9/23/82
Henry S. Berkan, M.D. – 3/23/78
Tahweh Beysolow, M.D. – 11/7/94
Victor S. Bichera, M.D. – 10/23/78
Robert Brown, M.D. – 7/22/85
Rudolfo Byrne, M.D. – 2/8/99
Eduardo Cacas, M.D. – 12/7/92
Dr. Alfred Calfon – 1/25/79
Manuel Camejo, M.D. – 2/17/93
Henry Camperlengo, M.D. – 11/14/84
William Capote, M.D. – 11/30/93
Frank P. Cariella, M.D., and Omar F. Sheikh, M.D. – 2/5/79
Edmund Carloni, M.D. – c. 1998
Erol Caypinar, M.D. – 3/9/78
Robert Cestari, M.D. – 8/21/98
Benjamin Chadi, M.D. – 1/24/94
Benjamin Chadi, M.D. – 3/11/94
Abraham Chaplan, M.D. – 1/8/79
M. Rafiq Chaudhry, M.D. – 11/26/96
Carl Cheifetz, M.D. – 3/27/78
Kuen Hai Chen, M.D. – 12/31/82
Kuen Hai Chen, M.D. – 6/1/83
William Insuck Cho, M.D. – 12/19/91
Woon Y. Cho, M.D. – 12/2/96
Hee K. Choi, M.D. – 8/7/86
Sanjiv Chopra, M.D. – 3/12/01
Madan Chugh, M.D. – 11/15/82
Raymond Cintron, M.D. – 5/30/96
Irwin Cohen, M.D. – 11/3/94
Ivan Colef, M.D. – 4/5/99
Constantine Constant, M.D. – 12/30/92
William S. Cooley, M.D. – 6/27/86
Robert Cordero, M.D. – 4/20/94
Kristina Dahl, M.D. – 12/13/94
Mercea Damsker, M.D. – 12/26/86
Dr. Alvin Daniels – 9/15/78
Sablon Dartique, M.D. – 1/28/92
Cleve R. Dawson, M.D. – 7/8/93
Flore Delacadena, M.D. – 11/4/83
Flore Delacadena – 2/9/84
Giovanni Del Gizzo, M.D. – 8/5/92
Department of Medicine Medical Services Group – 12/19/05
Daniel DeSole, M.D. – 1/8/79
Daniel DeSole, M.D. – 11/28/88
Victor Diaz, M.D. – 5/29/92
Barry H. Dolich, M.D. – 6/9/83
Christine Donnelly, M.D. and Frederick Bierman, M.D. – 11/17/00
Rosario Drago, M.D. – 1/10/79
R. Stuart Dyer, M.D. – 5/14/81
Benjamin I. Dyett, M.D. – 1/31/84
Teddy Efkarpides, M.D. – 8/20/96
Joseph Eisenstein, MD – 3/22/78
Fevzi Ekince, M.D. – 10/8/91
Augustin Enaw, M.D. – 9/23/93
James Esser, M.D. – 8/17/94
Jeffrey Falk, M.D. – 2/17/93
Gencer Feliz, M.D. – 12/31/96
Frank Ferrante, M.D. – 1/23/79
Jacob Feynman, M.D. – 9/30/88
Michael Finigan, M.D. – 9/30/81
Edward Flaschner, M.D. – 5/15/92
Joseph Fowlkes, M.D. – 8/5/93
Alice Francisco, M.D. – 5/16/94
Gladstone Gadsby, M.D. – 4/12/79
Samuel Galeota, M.D. – 6/8/89
Shankar Ganti, M.D., and Professional Group – 12/5/88
Frank Garofalo, M.D. – 5/21/93
Kali Ghosal, M.D. – 11/19/92
Prasanta K. Ghosh, M.D. – 12/27/91
Ravindra Ginde, M.D. – 12/3/91
Theodore Morton Ginsberg, M.D. – 1/26/78
Barry Goldberg, M.D. – 10/13/93
Richard Goldberg, M.D. – 11/4/93
Gerson Gomes, M.D. – 10/17/96
Bernard Goodman, M.D. – 5/4/78
David Gordon, M.D. – 3/31/94
Edward Gordon, M.D. – 4/1/80
Richard Gordon, M.D. – 4/27/95
Michael Robert Gray, M.D. – 4/1/98
Pierino Graziosi, M.D. – 7/6/83
Dr. Pierino Graziosi, M.D. – 2/13/89
Michael Greenbaum, D.O. – 5/21/03
Michael H. Greenbaum, D.O. – 2/27/85
Mortimer Greenberg, M.D. – 6/28/84
Philip A. Greene, D.O. – 4/25/85
Mark Gromisch, M.D. – 2/7/97
Harold Grushkin, M.D. – 5/9/90
Moshe Hachamovitch, M.D. – 7/14/89
Naghmana Haque, M.D. – 4/1/98
Jacob Harris, M.D. – 1/11/80
Joy G. Harrison, M.D. – 8/5/94
Mirahmad Hashemifard, M.D. – 3/12/93
Suresh Hemrajani, M.D. – 12/10/98
Bruce Herzog, M.D. – 8/12/91
Teruo Hirose, M.D. – 2/14/85
Laura S. Hobgood, M.D. – 1/14/04
Alexander Hoffman, M.D. – 11/14/94
Elie A. Horn, M.D. – 9/23/86
Mariam Huda, M.D. – 9/30/91
Bret Hughes, M.D. – 8/6/98
Gilmore Hyman, D.O. – 6/7/83
Angela Insolera, M.D. – 12/1/97
Philip Irie, M.D. – 4/13/94
Leonard Jasen, M.D. – 1/7/80
Tariq Javaid, M.D. – 3/11/92
Herbert Jernow, M.D. – 9/16/80
Carole Jones, M.D. – 7/7/82
Mutsuoki Kai, M.D. – 12/20/79
Hoi Yat Kam, M.D. – 11/10/06
Peter Kang, M.D. – 6/1/99
Karel Karsai, M.D. – 6/25/82
Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C. – 4/29/93
Deborah Keno, M.D – 11/2/98
Jan Keppler, M.D. – 11/4/93
Parviz Khodadadian, M.D. – 2/2/94
Salwa Khouri, M.D. – 2/20/97
Moheb N. Khouzam, M.D. – 3/18/99
Narendra Khurana, M.D. – 11/28/84
Roopa Khurana, M.D. – 7/7/94
Stephen Kimani, M.D. – 9/11/85
Stephen Kimani, M.D. – 12/31/85
Nancy W. Kirshenbaum, M.D., Andrzej Lysikiewicz, M.D. – 11/13/00
Stephen H. Klein, M.D. – 4/1/98
Iosef Kleynerman, M.D. – 11/7/01
Peter Klieger, M.D. – 9/12/91
Young W. Koh, M.D. – 6/29/89
Raisa Kuchment, M.D. – 11/18/93
Jacques LaGuerre, M.D. – 11/25/94
Lekhu K. Lala, M.D. – 10/5/93
Hamid Lalani, M.D. – 11/13/91
Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95
June Woo Lee, M.D. – 1/5/79
Claude Leonard, M.D. – 1/29/88
Frantz Lerebours, M.D. – 1/26/95
Nathan Levin, M.D. – 3/19/97
Gerald Levinson, M.D. – 10/8/91
Albert Levy, M.D. – 12/21/92
Jack Lippes, M.D., and Harold Castilone, M.D. – 7/31/81
Arnold Lipton, M.D. – 3/9/82
Jose B. Llorens, M.D. – 6/23/92
Abraham Lock, M.D. – 4/21/93
Luis Locuratolo, M.D. – 7/22/98
Serge Louis, M.D. – 3/13/92
Charles Clement Lucas, Jr., M.D. – 4/30/86
Boris Machovsky, M.D. – 6/20/97
Issa Madhoun, M.D. – 11/8/91
Maine Medical Group – 3/20/81
Chandrashekarasetty Makam, M.D. – 1/20/95
Mikhail Makhlin, M.D. – 9/15/05.doc
Liaquat Malik, M.D. – 3/23/94
Kevin Maloney, M.D. – 6/30/92
Kevin Maloney, M.D. – 5/19/95
Michael Maskaron, M.D. – 3/19/96
Alessio Matera, M.D. – 6/15/88
Jose Matos, M.D. – 12/15/92
Salvatore Mauro, M.D. – 7/27/87
Charles McGuire, M.D. – 12/20/94
Denise H. McNair, M.D. – 11/5/93
Joseph Mecca, M.D. – 11/23/92
Mariano Mederos, M.D. – 1/10/94
Joseph Michaels, M.D. – 10/24/85
Dr. Moshe Mirilashvili – 11/8/93
Anil Mistry, M.D. – 4/14/93
Jordan Mitroff, M.D. – 3/2/99
MM Management Services, Inc. – 8/5/98
Charles Momah, M.D. – 11/2/99
Pasquale Montesano, M.D. – 11/12/81
Patrick Bradley Moore, M.D. – 1/10/95
Raul Morales, M.D. – 12/28/79
Raymond Nadell, M.D. – 1/11/94
Virgiliu Necula, M.D. – 12/6/94
Mariano Nevarez–Tapia, M.D. – 10/5/06
Scott Newman, M.D. – 9/25/92
Felix Nicholas, M.D. – 9/23/93
Felix Nicholas, M.D. – 4/8/97
Adeniyi Ogunkoya, M.D. – 6/10/92
Mostafa Osman, M.D. – 5/16/79
Andresito Pacis, M.D. – 9/16/94
Warren Palmer, M.D. – 5/9/95
Serge Pamphile, M.D. – 12/10/91
Avtandil Papiasvili, M.D. – 8/12/96
Chang Bai Park, M.D. – 6/4/97
George S. Parlato, M.D. – 11/1/82
Edgar A. Parmer, M.D. – 11/4/92
J. J. Patel, M.D. – 12/18/78
Anatoly Pekarsky, M.D. – 5/6/97
J. J. Damberville Philippe, M.D. – 9/9/96
Alice Piasecki, M.D. – 2/28/94
Andrew Pogiatzis, M.D. – 3/30/89
Machado Polanco, M.D. – 6/30/93
Cary Pollack, M.D. – 4/20/94
William Pollen, M.D. – 7/24/86
Murray Polsky, M.D. – 4/2/79
Allen Pomerantz, M.D. – 12/28/94
Rene Prevost, M.D. – 10/31/86
Delores Protagoras, M.D. – 11/14/83
Dolores Protagoras – 2/28/84
Francis J. Pschierer, M.D. – 7/24/80
Rubena Pugeda–Chan, M.D. – 10/20/94
Pyramid Physicians, P.C. – 1/11/99
Frances Radocsay, M.D. – 5/9/84
Aruna Rao Ramanadham, M.D. – 8/2/99
Elias Rand, M.D. – 10/6/83
Ishwar A. Rang, M.D. – 4/3/92
Mohammad Rashid, M.D. – 9/30/03
Wallace J. Redner, M.D. – 8/16/78
Sharad Regay, M.D. – 5/30/97
Juan Reyes, M.D. – 2/16/94
Jean–Robert Richard, M.D. – 9/25/92
Frank Riforgiato, M.D. – 10/20/83
Nestor Rios, M.D. – 12/21/92
Luis Rivas, M.D. – 2/14/97
Dennis Roggemann, M.D. – 6/18/92
David Rosenblum, M.D. – 10/16/92
Robert Roth, M.D. – 11/19/82
George Rubenstein, M.D. – 12/30/92
Gabriel Rubin, M.D. – 4/19/82
Michael Rubin, M.D. – 3/30/93
Rudolph Sada, M.D. – 11/14/88
Audrey C. Sadaphal, M.D. – 5/17/93
Frantz St. Julien, M.D. – 11/8/94
Vijay Sakhuja, M.D. – 6/28/85
Jane San Jose, M.D. – 12/6/99
Felicitas F. Santiago, M.D. – 5/20/93
Joseph Sarfo, M.D. – 9/8/94
Maurice Sasson, M.D. – 6/30/86
Jay Stanley Saunders, M.D. – 4/12/99
Henry Schechter, M.D. – 8/14/79
Steven Schlamowitz, M.D. – 11/1/00
Myron R. Schoenfeld, M.D. – 3/21/89
Herbert Schwarz, M.D. – 12/20/84
Earl Anthony Scott, M.D. – 5/13/94
Guillermo Seco, M.D., Gramercy Park Medical Group – 11/19/02
Saverio Senape, M.D. – 6/21/01
Pragna Shah, M.D. – 3/31/98
Stephen Shapiro, M.D. – 8/7/85
Sarap Sharma, M.D. – 8/26/83
Aftab Siddiqui, M.D. – 8/15/89
Shahid Siddiqui, M.D. – 10/3/89
Richard Silverman, M.D. – 1/30/79
Arun Sirohi, M.D. – 2/25/92
Vijayalakshmi Sivaprakasapillai, M.D. – 5/7/92
Joseph Slovak, M.D. – 6/10/87
Abraham Sokol, M.D. – 9/10/96
Michael A. Solomon, M.D. – 1/27/99
Ralph G. Sorley, M.D. – 7/21/78
Samuel Splitter, MD – 3/22/78
Peter Strassberg, M.D. – 6/24/83
Leslie Elliott Strong, M.D. – 12/19/83
Bruce A. Surosky, M.D. – 11/8/99
Moses A. Tambe, M.D. – 10/18/89
Teresita Tan, M.D. – 9/11/91
Yan Shin Tan, M.D. – 1/20/99
Kong Seng The, M.D. – 12/26/86.pdf
Angeles S. Tiangco, M.D. – 1/11/99
Louis Roland Timothee, M.D. – 5/16/94
Bernardo Tobon, M.D. – 7/17/91
Matthew Tolbin, M.D. – 11/26/97
Hilario Toledo, M.D. – 8/3/98
Tasos Triant, M.D. – 3/19/84
George Tsakonas, M.D. – 4/8/94
Mark Tsinker, M.D. – 12/10/98
Twin City Physicians Group, P.C., Kenmore–Tonawanda Medical Associates, P.C., South Park Physicians Group, P.C. – 12/2/94
Herman Urbano, M.D. – 11/5/93
Yefim Vaynshelbaum, M.D. – 4/25/94
Bokkahalli Veerabhadrappa, M.D. – 6/24/91
Josefina Velasquez, M.D. – 7/7/94
Jerome Verdell, M.D. – 10/8/93
Thelma Villanueva, M.D. – 12/12/95
Hugo Viloria, M.D. – 12/30/88
Leonard F. Vitale, M.D. – 1/24/89
Robert C. Vixon, M.D. – 9/22/80
Thornton Walker, M.D. – 7/8/93
Ralph Walton, M.D. – 3/29/83
George Wang, M.D. – 6/20/95
Thomas D. Wasser, M.D. – 3/20/85
Marcia Wesley, M.D. – 2/12/93
Jeffrey Wiersum, M.D. – 4/22/80
Conrad Williams, M.D. – 4/1/98
Otis Williams, M.D. – 3/30/98
Guito Wingfield, M.D. – 9/4/92
Stanley Wolfson, M.D. – 12/10/98
Donald Woodburn, M.D. – 5/11/98
Laurence Wynn, M.D. – 3/23/94
Randulf M. Yanney, M.D. – 5/8/90
Benjamin Yentel, M.D. – 9/17/96
Benjamin Yentel, M.D. – 2/13/97
H. J. Yeon, M.D. – 10/16/79
Kunchel Yoon, M.D. – 11/7/83
Ivan Young, M.D. – 6/12/95
Cheng Kai Yu, M.D. – 12/7/98
Myung Ku Yuh, M.D. – 5/17/83
Silas Zuttah, M.D. – 3/14/95

Physicians – billing for services performed by another person

Ansar Ahmed, M.D. – 3/31/87
Michael Finigan, M.D. – 9/30/81
Edward Gordon, M.D. – 4/1/80
Mutsuoki Kai, M.D. – 12/20/79
Jack Lippes, M.D., and Harold Castilone, M.D. – 7/31/81
Dr. Moshe Mirilashvili – 11/8/93

Physicians – billing for two office visits by patient on one day

Kevin Maloney, M.D. – 5/19/95

Physicians – critical care fee code requirements

Kevin Maloney, M.D. – 5/19/95

Physicians – personal and identifiable service requirement

Jacob Feynman, M.D. – 9/30/88
Jack Lippes, M.D., and Harold Castilone, M.D. – 7/31/81
Aftab Siddiqui, M.D. – 8/15/89

Physicians – reimbursement for additional procedures performed at initial office visit

Stephen Kimani, M.D. – 12/31/85

Physicians – reimbursement for services provided at adult home

Peter Strassberg, M.D. – 6/24/83

Physicians – reimbursement for services provided in emergency room

Ansar Ahmed, M.D. – 3/31/87
Twin City Physicians Group, P.C., Kenmore–Tonawanda Medical Associates, P.C., South Park Physicians Group, P.C. – 12/2/94

Physicians – reimbursement for services provided in hospital outpatient department

Department of Medicine Medical Services Group – 12/19/05

Physicians – reimbursement for specialist providing service outside his specialty

Stephen Kimani, M.D. – 9/11/85
Stephen Kimani, M.D. – 12/31/85
Maine Medical Group – 3/26/81
Rene Prevost, M.D. – 10/31/86
Aftab Siddiqui, M.D. – 8/15/89
Hugo Viloria, M.D. – 12/30/88
Leonard F. Vitale, M.D. – 1/24/89
Myung Kai Yuh, M.D. – 5/17/83

Physicians – responsibility for physician´s assistants and others working under physician´s supervision

Frank Applegate, M.D. – 8/6/92
Bret Hughes, M.D. – 8/6/98
Stephen H. Klein, M.D. – 4/1/98
Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95
Machado Polanco, M.D. – 6/30/93
Frantz St. Julien, M.D. – 11/8/94
Louis Roland Timothee, M.D. – 5/16/94

Podiatrists

Dr. Nicholas Aloi – 7/19/79
Arthur Autz, D.P.M. – 1/13/94
Robert S. Bronstein, DPM – 9/18/92
Dr. Mark Buthorn – 5/4/78
Peter Cutler, D.P.M. – 9/23/80
Dr. Michael Dattero – 8/17/79
Dr. Bruce Dribbon – 12/14/79.pdf
Murray Edelstein – 10/18/79.pdf
Theodore Eden, D.P.M. – 1/21/80
Anthony J. Enrico, D.P.M. – 4/29/93
Dr. Ross Fanara – 5/21/79
Dr. Edward Fischman – 2/11/80.pdf
Dr. Stephen Foreman – 12/12/79
Dr. Seymour Frank – 2/19/80
Dr. Bruce Frankel – 2/25/80
Vincent Gerardi – 5/26/78
Robert Glatt, DPM – 10/15/92
Dr. Charles Glazer – 12/14/79
Gershon A. Goldman, DPM – 9/14/92
Joel Goldstein, D.P.M – 1/25/88
Stanley Goldstein, D.P.M. – 4/29/88
Hyman A. Graver, D.P.M. – 8/22/78
Arthur Gudeon, D.P.M. – 1/7/80.pdf
Theodore Hali, D.P.M. – 1/7/80
Dennis Hershey, DPM – 9/14/92
John F. Keating – 10/16/79
Alan Leshnower, DPM – 12/13/99
Richard LoTempio, D.P.M. – 2/11/80
Dr. Charles F. Ross – 1/7/80
Gary Schefler, DPM – 12/29/92
Eugene Shapiro, D.P.M. – 11/15/96
Dr. Arthur Silberspitz – 4/30/93
Mark Silver, D.P.M. – 1/14/94
Stephen Solomon – 12/12/79
Edward Sperling, D.P.M. – 2/26/93
Dr. Ira Tartack – 2/19/80
Paul Tobin, DPM – 11/26/90
John Valente, D.P.M. – 2/20/80
George Weintraub, D.P.M. – 1/11/94
Jerome Weltfisch, D.P.M. – 11/28/86
Justin Wernick, D.P.M. – 2/29/80
Peter Williams, D.P.M. – 6/2/93
Charles E. Yasmer – 2/6/80
Robert Zane, D.P.M. – 7/9/93

Podiatry – reimbursement for multiple surgical procedures at same time

Gershon A. Goldman, DPM – 9/14/92
Gary Schefler, DPM – 12/29/92
Dr. Arthur Silberspitz – 4/30/93
Paul Tobin, DPM – 11/26/90
George Weintraub, D.P.M. – 1/11/94

Podiatry – reimbursement for services to RHCF residents

Dr. Ross Fanara – 5/21/79

Preferred Primary Care Provider (PPCP) Program – Chapter 81 of the Laws of 1995

Montefiore Medical Center – 3/5/04

Preferred Primary Care Provider (PPCP) Program – designation of providers

Montefiore Medical Center – 3/5/04

Preferred Primary Care Provider (PPCP) Program – school clinics

Montefiore Medical Center – 3/5/04

Prenatal Care Assistance Program (PCAP) – responsibility of PCAP provider for duplicate Medicaid reimbursement to other providers

Erie County Department of Health – 7/20/98
Jefferson County Public Health Service – 12/10/08
Mid–Hudson Family Health Services – 1/9/07
Soundview Health Center – 8/9/96

Prenatal Care Assistance Program (PCAP) – scope of program

Erie County Department of Health – 7/20/98

Prenatal Care Assistance Program (PCAP) providers

Erie County Department of Health – 7/20/98
Jefferson County Public Health Service – 12/10/08
Mid–Hudson Family Health Services – 1/9/07
Soundview Health Center – 8/9/96

Prescriptions – deviating from terms

AUR Pharmacy, Inc. – 6/17/87
B.J.K. Pharmacy, Inc., d/b/a/ Long Beach Chemists – 9/28/83
Israel Bogdonow and 459 DeKalb Pharmacy, Inc. – 2/29/84
BSK Pharmacy, Inc. and Mr. Robert Blaire, RPH and Mr. Robert S. Simon, SP, and Mrs. Sharyn Blaire, and Anita Klein, and Seymour Klein, RPH – 6/29/94
Jack Cobrin – 10/21/81

Prescriptions – fraudulent – SEE Pharmacies – fraudulent prescriptions

Prescriptions – medical and surgical supplies

Dana Rene Gignac, R.Ph., Saratoga Pharmacy – 12/19/08

Prescriptions – patient request as basis for issuing

Edmund Carloni, M.D. – c. 1998 Luis Locuratolo, M.D. – 7/22/98
Mariano Mederos, M.D. – 1/10/94
Jerome Verdell, M.D. – 10/8/93
Robert C. Vixon, M.D. – 9/22/80
George Wang, M.D. – 6/20/95

Prescriptions – proof of delivery

Dana Rene Gignac, R.Ph., Saratoga Pharmacy – 12/19/08
Pharmhealth Infusion, Inc. – 5/28/09

Prescriptions – requirements

AUR Pharmacy, Inc. – 6/17/87
B.J.K. Pharmacy, Inc., d/b/a/ Long Beach Chemists – 9/28/83
Brighton Pharmacy, Inc. – 1/22/09
Bronx Prescription Center South – 4/1/98
Buena Vista Pharmacy – 9/27/89
The Medicine Shoppe and Anthony Grejda – 6/7/02
Pharmhealth Infusion, Inc. – 5/28/09
Rite Aid Corporation – 10/28/04
Rite Aid of New York, Inc., formerly d/b/a Eckerd Corporation Store 10839 – 7/7/10
Sage Pharmacy, Inc. d/b/a Lemar Pharmacy, Emil Allgauer – 9/29/83
TDI Pharmacy, Inc., Lisa St. Peter, Richard Oestrich – 4/6/05
TRC Drugs, Inc. D/B/A Red Crescent Pharmacy – 3/30/84

Prescriptions – requirements for prescriptions written by physician´s assistants

Boston Drugs, Inc. and Muhammed Asghar – 10/31/94
Family Pharmacy, Inc., Martin Brounstein, Murray Katz and Lewis G. Erwich, R.Ph. – 11/2/94
Mohyi Sayed, Hassan Ibriham, El Sayed Abd Elmula, Hamdy Elamrousy and HMJ Drugs – 9/25/91
701 Pharmacy Drugs, Inc. and Leonard Epstein, R.Ph. and Stanley Spielvogel, R.Ph. – 5/3/93

Prescriptions – Schedule II controlled substances – requirements

TDI Pharmacy, Inc., Lisa St. Peter, Richard Oestrich – 4/6/05

Prescriptions – telephone or fax prescriptions

B.J.K. Pharmacy, Inc., d/b/a Long Beach Chemists – 9/28/83
Dana Rene Gignac, R.Ph., Saratoga Pharmacy 12/19/08
The Medicine Shoppe and Anthony Grejda – 6/7/02
Pharmhealth Infusion, Inc. – 5/28/09
Rite Aid of New York, Inc., formerly d/b/a Eckerd Corporation Store 10839 – 7/7/10
TDI Pharmacy, Inc., Lisa St. Peter, Richard Oestrich – 4/6/05

Preserving issues for hearing – new matter & 18 NYCRR 519.18(a)

Mohammed Akhtar, M.D. – 5/14/98
CVS/Caremark Corporation – Dunkirk Store #309 – 7/20/09
Cleve R. Dawson, M.D. – 7/8/93
Keith Diamond and K. Diamond Pharmacy, Inc. – 5/11/98
Elderplan, Inc. – 4/19/04
Erie County Department of Health – 7/20/98
Family Pharmacy, Inc., Martin Brounstein, Murray Katz and Lewis G. Erwich, R.Ph. – 11/2/94
Fenton Park Nursing Home – 12/24/93
Fort Tryon Nursing Home – 11/13/92
Franklin Nursing Home – 5/3/00
Angelo Gelpi, RPA – 11/4/98
Genesee County Nursing Home – 2/18/93
Dana Rene Gignac, R.Ph., Saratoga Pharmacy – 12/19/08
Naghmana Haque, M.D. – 4/1/98
Highbridge–Woodycrest Center, Inc. – 5/17/06
Kingsbridge Heights Rehabilitation and Care Center – 9/25/07
Abraham Lock, M.D. – 4/21/93
Issa Madhoun, M.D. – 11/8/91
Manor Oak Skilled Nursing Facilities, Inc. – 6/7/94
Northern Metropolitan Residential Health Care Facility – 2/28/03
Orleans County Nursing Home – 6/16/94
Pepco Pharmacy, Inc. – 7/13/09
Mark Rauchwerger, Forest Rego Pharmacy, Inc. – 2/26/97
Sheridan Manor Nursing Home, Inc. – 4/26/96
Sheridan Manor Nursing Home, Inc. – 9/19/06
Abraham Sokol, M.D. – 9/10/96
Sunrest Health Facilities, Inc. – 5/22/95
Teresita Tan, M.D. – 9/11/91
Three Rivers Health Care Center, Inc. – 9/20/94
Westmount Health Facility – 12/27/91
Guito Wingfield, M.D. – 9/4/92
Silas Zuttah, M.D. – 3/14/95

Principals – responsibility for acts of agents

Yehuda Barsel, M.D. – 7/13/81
Frank P. Cariella, M.D., and Omar F. Sheikh, M.D. – 2/5/79
Charles Chemists, Inc. – 10/21/82
Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C. – 4/29/93
Arnold Kolodny & Friendly Medical Transportation – 5/6/94
Joseph Mecca, M.D. – 11/23/92
Montgomery County Infirmary – 9/30/87
The New Pharmacy, Inc, and Shailesh R. Patel, R.Ph. – 4/6/09

Prior approval requirements

Daniel DeSole, M.D. – 1/8/79

Private duty nursing services – hospitalized patients

Rita Dieck, R.N. – 5/21/02
Sharon Honegger, R.N. – 11/14/02

Private duty nursing services – prior approval, physician´s order

Rita Dieck, R.N – 5/21/02
Sharon Honegger, R.N. – 11/14/02

Private duty nursing services – reimbursement

Winsome Stewart, R.N. – 7/26/04

Procardia

Rubena Pugeda–Chan, M.D. – 10/20/94

Products of Ambulatory Care (PACs) rates

Montefiore Medical Center – 3/5/04

Profiles or panels of laboratory tests – SEE Laboratory tests – ordering profiles or panels of tests, billing for profiles or panels

Pronemia

Hilario Toledo, M.D. – 8/3/98
Josefina Velasquez, M.D. – 7/7/94

Prosthetic device dealers – SEE Medical and surgical supplies, durable medical equipment, orthotic and prosthetic device dealers

Protein electrophoresis test

Ivan Colef, M.D. – 4/5/99
Chang Bai Park, M.D. – 6/4/97

Proventil

Joseph Sarfo, M.D. – 9/8/94

Provider – definition

Benjamin Bernstein and B & B Pharmacy, Inc. – 5/12/83
David Carver and Davenbill, Inc. – 2/29/84
Kum Ja Cho – 2/4/82
James Detura – 3/16/82
Murray Edelstein – 10/18/79.pdf
Nathan Goldberg – 1/7/82
Arthur Gudeon, D.P.M. – 1/7/80.pdf
Annamarie Helm – 12/11/79
Michael Kaplan – 10/13/83
Harry Gem Hoy Lew and Harry Lew Pharmacy, Inc., d/b/a Chinese Community Pharmacy – 12/21/81
Arumugam Manoharan – 8/25/82
Philstan Pharmacy, Philip Elmowitz and Stanley Elmowitz – 2/27/84
Sidney Sanders – 7/29/85
Dr. Ira Tartack – 2/19/80

Provider discussion – SEE Audit procedures – provider discussion

Provider number – provider´s responsibility for use by others

Irwin Cohen, M.D. – 11/3/94
Cary Pollack, M.D. – 4/20/94

Prozac

Ivan Young, M.D. – 6/12/95

Psychiatric care records – SEE Medical records – psychiatrists

Psychiatric care reimbursement – billing codes

Michael Robert Gray, M.D. – 4/1/98
H. J. Yeon, M.D. – 10/16/79

Psychiatric care reimbursement – billing for missed appointments

Edward Gordon, M.D. – 4/1/80
George S. Parlato, M.D. – 11/1/82

Psychiatric care reimbursement – staff psychiatrist of inpatient facility

R. Stuart Dyer, M.D. – 5/14/81

Psychiatric clinics and day treatment providers– SEE Mental health clinics

Psychiatric day care – definition

Woodward Mental Health Center – 5/30/80

Psychiatric day care – payment from sources in addition to Medicaid Program

Woodward Mental Health Center – 5/30/80

Psychologists

Michael Baer, Ph.D. – 7/18/79
Pearl Rohde – 1/29/79

Pulmonary function tests – spirometry, vital capacity screening test, etc.

Neera Ahuja, M.D. – 3/31/99
Robert Cordero, M.D. – 4/20/94
Alexander Hoffman, M.D. – 11/14/94
Albert Levy, M.D. – 12/21/92
Salvatore Mauro, M.D. – 7/27/87
Jay Stanley Saunders, M.D. – 4/12/99
Pragna Shah, M.D. – 3/31/98
Jerome Verdell, M.D. – 10/8/93
Otis Williams, M.D. – 3/30/98
Silas Zuttah, M.D. – 3/14/95

Pulpotomies – billing requirements and limitations

Carl E. Williams, D.D.S. – 4/19/79

Radiology – misinterpretation of X–rays

Donald H. Applebaum, D.O. – 3/31/87

Radiology – X–rays – documentation and billing requirements

Jacob Feynman, M.D. – 9/30/88

Rate appeal – audit of rate appeal resulting in recovery of amount greater than amount granted in appeal

Concourse Nursing Home – 6/17/03

Rate appeal – availability after performance of rate audit

Van Duyn Home & Hospital – 8/7/01

Rate appeal – pending rate appeal as reason for stay of rate audit overpayment recovery

The Manor at Seneca Hill – 5/21/08

Rate audit hearings – no jurisdiction regarding unaudited costs

Glen Island Care Center, formerly known as Woodland Nursing Home – 1/30/01
New Glen Oaks Nursing Home – 4/11/89
Niagara Geriatric Center, Inc. – 2/24/09

Rate audits – authority to substitute actual costs for budgeted costs

Betsy Ross Health Related Facility – 6/22/90
Franklin Nursing Home – 5/3/00
Garden Gate Manor – 7/31/90
Genesee County Nursing Home – 2/18/93
Sunrest Health Facilities, Inc. – 5/22/95

Rate audits – challenges to scope and subject matter of audit, substitution of auditor´s judgment for rate setter´s judgment

Adirondack Tri–County Health Care Center, Inc. – 4/15/04
Aurora Park Nursing Home – 8/31/87
Birchwood Nursing Home – 9/27/90
Chapin Home for the Aged – 10/5/04
Concourse Nursing Home – 6/17/03
Crouse Community Center – 4/15/03
Daughters of Sarah Nursing Center – 4/1/08
Fairport Baptist Home – 8/23/93
Fenton Park Nursing Home – 5/29/91
Fiddlers Green Manor Nursing Home – 6/19/90
Franklin Nursing Home – 5/3/00
Genesee County Nursing Home – 2/18/93
Geneva General Nursing Home Company, Inc. – 4/26/91
Mercy Health and Rehabilitation Center, Inc. – 2/27/95
Monroe Community Hospital – 6/18/90
Neponsit Health Care Center – 11/24/99
New Glen Oaks Nursing Home – 4/11/89
Northern Metropolitan Residential Health Care Facility – 2/28/03
Orleans County Nursing Home – 6/16/94
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Ramapo Manor Nursing Home – 12/31/96
Salamanca Nursing Home, Inc. – 5/24/89
Teresian House Nursing Home Co., Inc. – 7/14/08
Westmount Health Facility – 12/27/91

Rate audits – choice of years to be audited

Concourse Nursing Home – 6/17/03

Rate audits – duplicate reimbursement of an expense

Daughters of Sarah Nursing Center – 4/1/08
Daughters of Sarah Nursing Home – 7/19/04
Teresian House Nursing Home Co., Inc. – 7/14/08

Rate audits – duty to supply financial records to auditors

Montclair Nursing Home, Belair Nursing Home and Forest Manor Health Related Facility – 3/27/91

Recusal of administrative law judge

Castle Rest Nursing Home – 3/30/89
Arthur Gudeon, D.P.M. – 1/7/80.pdf
Benjamin Yentel, M.D. – 9/17/96

Reference laboratories – SEE Laboratories – reference laboratories

Registered physician´s assistant prescriptions – SEE Prescriptions – requirements for prescriptions written by physician´s assistants

Registered physician´s assistants

Angelo Gelpi, RPA – 11/4/98
Vittorio Harris, R.P.A. – 8/5/93
Garwood Leckband, M.D., Angelo Aiello, R.P.A. – 9/22/95
Mumanga Mumbi, R.P.A. – 8/8/94
Francis Narcisse, R.P.A. – 4/23/92
Francis Narcisse, R.P.A. – 2/15/94
Jan Scott, RPA – 7/1/93

Reinstatement into Medicaid Program – no jurisdiction to review reinstatement requirements through administrative hearing

Charles Clement Lucas, Jr., M.D. – 4/30/86

Res judicata

Victor Molinsky and the J. & V. Pharmacy, Inc. – 9/1/78

Reserve bed Medicaid reimbursement

Lemberg Home & Geriatric Institute – 1/19/10
Metropolitan Jewish Geriatric Center – 11/4/09
Palm Tree Center for Nursing and Rehabilitation – 5/28/08
Ramapo Manor Nursing Home 12/31/96

Residential health care facilities

Adirondack Tri–County Health Care Center, Inc. – 4/15/04
Aishel Avraham Residential Health Care Facility, Inc. – 11/20/92
Albany County Nursing Home – 1/29/88
Albany County Nursing Home and Ann Lee Home – 8/21/90
Amsterdam House – 2/28/91
Arbor Hill Living Center – 5/17/01
Aurora Park Health Care Center, Inc. – 9/25/91
Aurora Park Health Care Center, Inc. – 12/3/91
Aurora Park Health Care Center, Inc. – 2/22/96
Aurora Park Nursing Home – 8/31/87
Beechwood Sanitarium – 10/31/88
Beechwood Sanitarium – 4/21/93
Beth Abraham Health Services – 11/24/98
Beth Abraham Hospital – 3/6/81
Betsy Ross Health Related Facility – 6/22/90
Birchwood Nursing Home – 9/27/90
Brandywine Nursing Home, Inc. – 7/23/04
Bridge View Nursing Home – 6/22/92
Broadacres Skilled Nursing Facility – 6/29/92
Carmel Richmond Nursing Home – 2/27/95
Castle Rest Nursing Home – 3/30/89
Cedar Lodge Nursing Home – 8/31/88
Chapin Home for the Aged – 10/5/04
Child´s Nursing Home – 1/22/88
Cliffside Nursing Home – 4/27/99
College Nursing Home – 4/13/93
Concord Nursing Home – 11/24/98
Concord Nursing Home – 7/23/04
Concourse Nursing Home – 2/18/81.pdf
Concourse Nursing Home – 3/17/95
Concourse Nursing Home – 6/17/03
Crest Manor Nursing Home – 7/30/87
Crouse Community Center – 4/15/03
Daughters of Sarah Nursing Center – 4/1/08
Daughters of Sarah Nursing Home – 7/19/04
Deveaux Manor Nursing Home – 5/21/84
East Neck Nursing Home – 7/20/98
East Rockaway Nursing Home – 5/22/86
Eger Nursing Home – 5/29/87
Elderwood Health Care Center – 4/21/06
Fairport Baptist Home – 8/23/93
Fairport Baptist Home – 1/17/07
Fenton Park Nursing Home – 12/14/88
Fenton Park Nursing Home – 5/29/91
Fenton Park Nursing Home – 12/24/93
Fiddlers Green Manor Nursing Home – 6/19/90
Flatbush Manor Care Center – 6/15/95
Forest View Nursing Home – 6/18/91
Fort Tryon Nursing Home – 11/13/92
Fort Tryon Nursing Home – 2/23/94
Fort Tryon Nursing Home – 11/3/97
Fort Tryon Nursing Home – 11/24/98
Frances Schervier Home and Hospital – 6/4/90
Franklin Nursing Home – 5/3/00
Garden Gate Manor – 7/31/90
Genesee County Nursing Home – 2/18/93
Genesee County Nursing Home – 4/22/96
Geneva General Nursing Home Company, Inc. – 4/26/91
German Masonic Home d/b/a Dumont Masonic Home – 8/11/00
Glen Island Care Center, formerly known as Woodland Nursing Home – 1/30/01
Guilderland Center Nursing Home, Inc. – 10/30/87
Hamlin Terrace Health Care Center – 2/28/92
Harr–Wood Nursing Home, Inc. – 4/16/84
Haym Salomon Home for the Aged – 11/24/98
Hebrew Hospital for Chronic Sick, Inc. – 12/21/90
Heritage House Nursing Center – 4/9/04
Highbridge–Woodycrest Center, Inc. – 5/17/06
Highlands Living Center – 2/24/06
Holliswood Care Center – 10/13/94
Hornell Gardens – 8/19/03
Hudson View Nursing Home – 1/29/93
Hyde Park Nursing Home – 3/20/84
James Square Nursing Home – 12/31/92
Jewish Home and Hospital for the Aged – 3/6/95
Kateri Residence – 3/16/95
Kent Nursing Home – 6/16/89
King Street Hme, Inc. – 1/28/85
Kingsbridge Heights Rehabilitation and Care Center – 9/25/07
David Landa, Windsor Park Nursing Home, Inc. – 2/1/99
Lemberg Home & Geriatric Institute – 1/19/10
Livingston County Health Related Facility – 9/30/91
The Manor at Seneca Hill – 5/21/08
Manor Oak Skilled Nursing Facilities, Inc. – 6/7/94
Manor Oak Skilled Nursing Facility, Inc. – 4/10/90
Margaret Tietz Center for Nursing Care – 5/17/99
Masonic Home and Health Facility – 11/4/94
Meadow Park Nursing Home – 10/18/91
Menorah Home and Hospital for the Aged and Infirm – 10/16/03
Mercy Health and Rehabilitation Center, Inc. – 2/27/95
Metropolitan Jewish Geriatric Center – 11/4/09
Midway Nursing Home – 6/22/92
MJG Nursing Home – 11/24/98
Monroe Community Hospital – 8/31/88
Monroe Community Hospital – 6/18/90
Montclair Nursing Home, Belair Nursing Home and Forest Manor Health Related Facility – 3/27/91
Montgomery County Infirmary – 9/30/87
Moses–Ludington Nursing Home Co., Inc. – 12/30/88
Mount Loretto Convalescent and Rest Home – 4/26/89
Nassau Extended Care Facility – 12/8/08
Neponsit Health Care Center – 11/24/99
New Glen Oaks Nursing Home – 4/11/89
Niagara Geriatric Center, Inc. – 2/24/09
Northern Metropolitan Residential Health Care Facility – 2/28/03
Nyack Manor Nursing Home – 6/15/94
Oak Hill Manor Nursing Home – 7/23/90
Orange County Home and Infirmary – 7/14/03
Orchard Manor, Inc. – 1/29/02
Orleans County Nursing Home – 6/16/94
Palm Tree Center for Nursing and Rehabilitation – 5/28/08
Park Shore Health Care Center, Inc. – 9/23/99
Park Shore Health Care Center, Inc. – 4/21/03
Pine Haven Home – 3/25/88
Pinnacle Skilled Nursing Facility – 12/30/87
Port Chester Nursing Home – 11/9/93
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Ramapo Manor Nursing Home – 12/31/96
Rego Park Nursing Home – 2/16/93
Riverview Manor Nursing Home – 8/2/90
St. Camillus Residential Health Care Facility – 3/15/96
St. Luke´s Presbyterian Nursing Center, St. Andrew´s Presbyterian Manor – 8/17/89
Salamanca Nursing Home, Inc. – 5/24/89
Albert Schartzberg and Sigmund Lefkowitz, Kings Harbor Manor and Kings Harbor Care Center – 4/21/87
Sea Crest Nursing Home and Shore View Nursing Home – 3/27/98
Sheridan Manor Nursing Home, Inc. – 4/26/96
Sheridan Manor Nursing Home, Inc. – 9/19/06
Sheridan Manor Nursing Home, Inc. – 11/22/06
Silver Lake Nursing Home – 2/2/94
Sisters of Charity Hospital – 8/15/79
Stonehedge–Rome and Stonehedge–Chittenango Nursing Homes – 2/29/88
Stonehedge Rome Nursing Home, Stonehedge Chittenango Nursing Home – 6/30/93
Sullivan Park Health Care Center, Inc. – 5/31/94
Sunrest Health Facilities, Inc. – 5/22/95
Syracuse Home Association – 6/30/88
Teresian House Nursing Home Co., Inc. – 7/14/08
Three Rivers Health Care Center, Inc. – 9/20/94
University Nursing Home – 12/29/03
Van Allen Nursing Home – 12/20/88
Van Duyn Home & Hospital – 8/7/01
Walnut Mountain Care Center – 8/28/90
Wells Nursing Home Co., Inc. – 5/9/06
Westmount Health Facility – 12/27/91
Williamsville Suburban Nursing Home – 6/30/92

Residential health care facilities – duty to accept Medicaid patients

Sisters of Charity Hospital – 8/15/79

RHCF rate components – abandoned construction project

Chapin Home for the Aged – 10/5/04

RHCF rate components – accounting services

Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Salamanca Nursing Home, Inc. – 5/24/89
Sullivan Park Health Care Center, Inc. – 5/31/94

RHCF rate components – acting administrator

Birchwood Nursing Home – 9/27/90

RHCF rate components – administrator

Franklin Nursing Home – 5/3/00
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97

RHCF rate components – administrative costs

Glen Island Care Center, formerly known as Woodland Nursing Home – 1/30/01

RHCF rate components – advertising costs

Kingsbridge Heights Rehabilitation and Care Center – 9/25/07

RHCF rate components – ancillary services

Manor Oak Skilled Nursing Facility, Inc. – 4/10/90

RHCF rate components – approved project costs

Birchwood Nursing Home – 9/27/90
Chapin Home for the Aged – 10/5/04
Highlands Living Center – 2/24/06
Teresian House Nursing Home Co., Inc. – 7/14/08

RHCF rate components – architect and engineering fees

Nassau Extended Care Facility – 12/8/08

RHCF rate components – boiler repairs

Chapin Home for the Aged – 10/5/04

RHCF rate components – bond premiums and discounts

Teresian House Nursing Home Co., Inc. – 7/14/08

RHCF rate components – capital costs

Port Chester Nursing Home – 11/9/93

RHCF rate components – capital improvements v. current expenses

Chapin Home for the Aged – 10/5/04
Franklin Nursing Home – 5/3/00
Kingsbridge Heights Rehabilitation and Care Center – 9/25/07
Port Chester Nursing Home – 11/9/93
Sheridan Manor Nursing Home, Inc. – 4/26/96

RHCF rate components – casualty losses

Carmel Richmond Nursing Home – 2/27/95

RHCF rate components – classifying staff for assignment to a cost center

Castle Rest Nursing Home – 3/30/89
Crouse Community Center – 4/15/03
Elderwood Health Care Center – 4/21/06
Fairport Baptist Home – 1/17/07
Niagara Geriatric Center, Inc. – 2/24/09
Pinnacle Skilled Nursing Facility – 12/30/87
Three Rivers Health Care Center, Inc. – 9/20/94

RHCF rate components – classifying staff by duties v. job title

Aurora Park Health Care Center, Inc. – 2/22/96

RHCF rate components – computers

Beechwood Sanitarium – 10/31/88
Franklin Nursing Home – 5/3/00

RHCF rate components – construction costs

Albany County Nursing Home – 1/29/88
Highlands Living Center – 2/24/06
Kateri Residence – 3/16/95

RHCF rate components – dental services

Sunrest Health Facilities, Inc. – 5/22/95

RHCF rate components – depreciation of buildings and fixed equipment

Birchwood Nursing Home – 9/27/90
Teresian House Nursing Home Co., Inc. – 7/14/08

RHCF rate components – depreciation of capital costs

Port Chester Nursing Home – 11/9/93

RHCF rate components – depreciation of motor vehicles

Aurora Park Health Care Center, Inc. – 9/25/91
Beechwood Sanitarium – 10/31/88

RHCF rate components – depreciation of movable equipment

Hamlin Terrace Health Care Center – 2/28/92
Neponsit Health Care Center – 11/24/99
Teresian House Nursing Home Co., Inc. – 7/14/08

RHCF rare components – diapers

Birchwood Nursing Home – 9/27/90

RHCF rate components – disability insurance

Port Chester Nursing Home – 11/9/93

RHCF rate components – employee salaries

Pinnacle Skilled Nursing Facility – 12/30/87

RHCF rate components – endowment fund income

Syracuse Home Association – 6/30/88

RHCF rate components – equipment for new facility

Garden Gate Manor – 7/31/90

RHCF rate components – equity capital

Cedar Lodge Nursing Home – 8/31/88
Oak Hill Manor Nursing Home – 7/23/90

RHCF rate components – fees or rent from on–site vendors (barbers, beauticians, etc.)

Three Rivers Health Care Center, Inc. – 9/20/94

RHCF rate components – food

Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97

RHCF rate components – good will

Oak Hill Manor Nursing Home – 7/23/90
Riverview Manor Nursing Home – 8/2/90

RHCF rate components – grooming services

Three Rivers Health Care Center, Inc. – 9/20/94

RHCF rate components – heating costs

Monroe Community Hospital – 6/18/90

RHCF rate components – health insurance

Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97

RHCF rate components – incentive payments for construction contractor

Highlands Living Center – 2/24/06

RHCF rate components – insurance proceeds

Carmel Richmond Nursing Home – 2/27/95

RHCF rate components – interest free loans and equity capital

Birchwood Nursing Home – 9/27/90

RHCF rate components – interest income and expense

Albany County Nursing Home and Ann Lee Home – 8/21/90
Arbor Hill Living Center – 5/17/01
Port Chester Nursing Home – 11/9/93
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Teresian House Nursing Home Co., Inc. – 7/14/08
Westmount Health Facility – 12/27/91

RHCF rate components – laundry and linens expenses

Daughters of Sarah Nursing Home – 7/19/04
Daughters of Sarah Nursing Center – 4/1/08

RHCF rate components – leasehold improvements

Hornell Gardens – 8/19/03
Kingsbridge Heights Rehabilitation and Care Center – 9/25/07

RHCF rate components – legal fees

Castle Rest Nursing Home – 3/30/89
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Salamanca Nursing Home, Inc. – 5/24/89

RHCF rate components – liability insurance

Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97

RHCF rate components – life insurance

Kingsbridge Heights Rehabilitation and Care Center – 9/25/07
Masonic Home and Health Facility – 11/4/94

RHCF rate components – litigation settlements

Chapin Home for the Aged – 10/5/04

RHCF rate components – management fees

Port Chester Nursing Home – 11/9/93

RHCF rate components – mortgage interest

Chapin Home for the Aged – 10/5/04

RHCF rate components – movable equipment leases

Hamlin Terrace Health Care Center – 2/28/92

RHCF rate components – movable equipment v. fixed equipment and leasehold improvements

Franklin Nursing Home – 5/3/00

RHCF rate components – nurse aide trainees

Elderwood Health Care Center – 4/21/06

RHCF rate components – operating escrow account

Carmel Richmond Nursing Home – 2/27/95

RHCF rate components – owner or operator´s compensation, compensation of relative of owner or operator

Meadow Park Nursing Home – 10/18/91
Pinnacle Skilled Nursing Facility – 12/30/87
Williamsville Suburban Nursing Home – 6/30/92

RHCF rate components – owner´s expenses

Salamanca Nursing Home, Inc. – 5/24/89

RHCF rate components – oxygen

St. Camillus Residential Health Care Facility – 3/15/96

RHCF rate components – patient days

Adirondack Tri–County Health Care Center, Inc. – 4/15/04
Westmount Health Facility – 12/27/91

RHCF rate components – pension contributions

Meadow Park Nursing Home – 10/18/91
Montgomery County Infirmary – 9/30/87

RHCF rate components – pharmacy expenses

Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97

RHCF rate components – planning costs

Margaret Tietz Center for Nursing Care – 5/17/99

RHCF rate components – psychologist fees

Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97

RHCF rate components – real property

Fiddlers Green Manor Nursing Home – 6/19/90
Sullivan Park Health Care Center, Inc. – 5/31/94

RHCF rate components – real estate taxes

Concourse Nursing Home – 6/17/03

RHCF rate components – reserve bed days

Franklin Nursing Home – 5/3/00
Ramapo Manor Nursing Home – 12/31/96

RHCF rate components – restricted bond proceeds and interest income

Teresian House Nursing Home Co., Inc. – 7/14/08

RHCF rate components – restricted rooms

East Rockaway Nursing Home – 5/22/86

RHCF rate components – roof repairs

Hornell Gardens – 8/19/03

RHCF rate components – sales tax

Port Chester Nursing Home – 11/9/93

RHCF rate components – sick leave

Beechwood Sanitarium – 10/31/88
Sheridan Manor Nursing Home, Inc. – 4/26/96

RHCF rate components – telephone expenses

Adirondack Tri–County Health Care Center, Inc. – 4/15/04
Castle Rest Nursing Home – 3/30/89
Crouse Community Center – 4/15/03
Heritage House Nursing Center – 4/9/04
Park Shore Health Care Center, Inc. – 4/21/03
Teresian House Nursing Home Co., Inc. – 7/14/08
Van Duyn Home & Hospital – 8/7/01

RHCF rate components – unemployment insurance expenses

Westmount Health Facility – 12/27/91

RHCF rate components – vacation expenses

Sheridan Manor Nursing Home, Inc. – 4/26/96

RHCF rate components – workers´ compensation expenses

Orleans County Nursing Home – 6/16/94
Westmount Health Facility – 12/27/91

RHCF rate components – working capital

Arbor Hill Living Center – 5/17/01
Fenton Park Nursing Home – 5/29/91

RHCF rate computation – accrual basis accounting v. cash basis accounting

Albany County Nursing Home – 1/29/88

RHCF rate computation – added staff appeals

New Glen Oaks Nursing Home – 4/11/89

RHCF rate computation – aggragation of items costing less than $500

Kingsbridge Heights Rehabilitation and Care Center – 9/25/07

RHCF rate computation – cost allocation among multiple facilities

Castle Rest Nursing Home – 3/30/89
Kingsbridge Heights Rehabilitation and Care Center – 9/25/07
Monroe Community Hospital – 6/18/90

RHCF rate computation – determining cost year to which expense applies

Chapin Home for the Aged – 10/5/04
College Nursing Home – 4/13/93
Fort Tryon Nursing Home – 11/13/92
Franklin Nursing Home – 5/3/00
Kingsbridge Heights Rehabilitation and Care Center – 9/25/07
Port Chester Nursing Home – 11/9/93
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97

RHCF rate computation – disallowance of costs unrelated to patient care and unnecessary costs

Birchwood Nursing Home – 9/27/90
Chapin Home for the Aged – 10/5/04
Franklin Nursing Home – 5/3/00
Port Chester Nursing Home – 11/9/93
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Salamanca Nursing Home, Inc. – 5/24/89

RHCF rate computation – historical real property cost adjustment for reporting mistake by prior owner

Sullivan Park Health Care Center, Inc. – 5/31/94

RHCF rate computation – Input Price Adjustment Factor (IPAF)

Elderwood Health Care Center – 4/21/06
Fairport Baptist Home – 1/17/07
Niagara Geriatric Center, Inc. – 2/24/09

RHCF rate computation – interest expense disallowance because of excessive withdrawal of capital

Franklin Nursing Home – 5/3/00
Pinnacle Skilled Nursing Facility – 12/30/87

RHCF rate computation – nonrecurring expenses, atypical expenses, terminated services, or services provided in cost year, but not in rate year

Broadacres Skilled Nursing Facility – 6/29/92
Hebrew Hospital for Chronic Sick, Inc. – 12/21/90
Masonic Home and Health Facility – 11/4/94
Northern Metropolitan Residential Health Care Facility – 2/28/03
St. Camillus Residential Health Care Facility – 3/15/96
St. Luke´s Presbyterian Nursing Center, St. Andrew´s Presbyterian Manor – 8/17/89
Sheridan Manor Nursing Home, Inc. – 4/26/96
Sullivan Park Health Care Center, Inc. – 5/31/94
Wells Nursing Home Co., Inc. – 5/9/06

RHCF rate computation – refund, cancellation or forgiveness of an expense

Arbor Hill Living Center – 5/17/01
Franklin Nursing Home – 5/3/00
Westmount Health Facility – 12/27/91

RHCF rate computation – return on equity for real property investment

Fenton Park Nursing Home – 5/29/91

RHCF rate computation – transactions between related parties

Hamlin Terrace Health Care Center – 2/28/92
Holliswood Care Center – 10/13/94
Montclair Nursing Home, Belair Nursing Home and Forest Manor Health Related Facility – 3/27/91
Nassau Extended Care Facility – 12/8/08
Oak Hill Manor Nursing Home – 7/23/90
Port Chester Nursing Home – 11/9/93
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Westmount Health Facility – 12/27/91

RHCF rate computation – transition relief factor adjustments

Moses–Ludington Nursing Home Co., Inc. – 12/30/88

RHCF rate setting methodology and decisions – no jurisdiction to review

Adirondack Tri–County Health Care Center, Inc. – 4/15/04
Albany County Nursing Home and Ann Lee Home – 8/21/90
Amsterdam House – 2/28/91
Aurora Park Health Care Center, Inc. – 9/25/91
Aurora Park Health Care Center, Inc. – 2/22/96
Beechwood Sanitarium – 10/31/88
Beechwood Sanitarium – 4/21/93
Betsy Ross Health Related Facility – 6/22/90
Castle Rest Nursing Home – 3/30/89
Cedar Lodge Nursing Home – 8/31/88
Concourse Nursing Home – 6/17/03
Crouse Community Center – 4/15/03
Daughters of Sarah Nursing Center – 4/1/08
Fenton Park Nursing Home – 5/29/91
Fenton Park Nursing Home – 12/24/93
Genesee County Nursing Home – 4/22/96
Guilderland Center Nursing Home, Inc. – 10/30/87
Hamlin Terrace Health Care Center – 2/28/92
Hebrew Hospital for Chronic Sick, Inc. – 12/21/90
Heritage House Nursing Center – 4/9/04
Livingston County Health Related Facility – 9/30/91
Manor Oak Skilled Nursing Facilities, Inc. – 6/7/94
Manor Oak Skilled Nursing Facility, Inc. – 4/10/90
Moses–Ludington Nursing Home Co., Inc. – 12/30/88
Mount Loretto Convalescent and Rest Home – 4/26/89
Park Shore Health Care Center, Inc. – 4/21/03
St. Camillus Residential Health Care Facility – 3/15/96
Salamanca Nursing Home, Inc. – 5/24/89
Stonehedge–Rome and Stonehedge–Chittenango Nursing Homes – 2/29/88
Stonehedge Rome Nursing Home, Stonehedge Chittenango Nursing Home – 6/30/93
Teresian House Nursing Home Co., Inc. – 7/14/08
Van Allen Nursing Home – 12/20/88
Van Duyn Home & Hospital – 8/7/01
Wells Nursing Home Co., Inc. – 5/9/06

Respiratory care providers

Alcare Respiratory Services, Inc. – 2/4/97

Response to draft audit report – SEE Hearing procedures – response to draft audit report – effect of failure to submit

Retroactive application of statutes and regulations – SEE Statutes and regulations – retroactive application

Ritalin – standard for prescribing

Ansar Ahmed, M.D. – 3/31/87

Sanctions for unacceptable practices – authority to impose sanction more severe than sanction in notice of agency action

Douglas A. Fulton, D.D.S. – 11/8/78

Sanctions for unacceptable practices – effective date

Michael Kaplan – 10/13/83

Sanctions for unacceptable practices – Federal law requirements

Virgiliu Necula, M.D. – 12/6/94
Scott Newman, M.D. – 9/25/92

Sanctions for unacceptable practices – imposition prior to hearing

Almarc Drugs, Inc., Alan Klein, Marc Klein, and "John Doe" being any person or persons involved in the operation of Almarc Drugs, Inc. – 9/3/85
John Leon Feldman, RPH – 9/30/85
Michael H. Greenbaum, D.O. – 2/27/85
Salvatore Mauro, M.D. – 7/27/87
Harshadray Patel – 4/11/85
Saverio Senape, M.D. – 6/21/01
Aftab Siddiqui, M.D. – 8/15/89
Shahid Siddiqui, M.D. – 10/3/89

Sanctions for unacceptable practices – imposition prior to receipt of notice

Antelis Pharmacy, Inc. – 10/27/81
Charles Chemists, Inc. – 10/23/81

Sanctions for unacceptable practices – imposition without prior warning concerning provider´s inadequacies

Samuel Galeota, M.D. – 6/8/89

Sanctions for unacceptable practices – mitigating factors

Affiliated Home Care Homemaking Services, Ltd. and Richard Bernard – 2/11/83
Ageless Pharmacy Consultants, Inc. and Leslie Rosen – 3/22/84
Harold Agress – 3/17/82
Neera Ahuja, M.D. – 3/31/99
Mahmood Alam d/b/a Hina Drug Corp. and Alam Drug Corp. – 10/17/91
Almarc Drugs, Inc., Alan Klein, Marc Klein, and "John Doe" being any person or persons involved in the operation of Almarc Drugs, Inc. – 9/3/85
Dr. Nicholas Aloi – 7/19/79
Thessaloniki Angelakos, M.D. – 11/4/83
Thessaloniki Angelakos, M.D. – 1/16/84
Antelis Pharmacy, Inc. – 2/2/82
William Arca – 5/16/83
Lev Z. Bentsianov, M. D. – 7/17/91
Israel Bogdonow and 459 DeKalb Pharmacy, Inc. – 2/29/84
Boston Drugs, Inc. and Muhammed Asghar – 10/31/94
Bousel Pharmacy, Inc., Reuben Colon and Louis Rebhun – 7/27/84
Buena Vista Pharmacy – 9/27/89
David Carver and Davenbill, Inc. – 2/29/84
Chartin Pharmacy, Inc., d/b/a Meyer´s Pharmacy, Martin Solomon and Frank Danise – 5/31/85
Charles Chemists, Inc. – 10/21/82
Kum Ja Cho – 2/4/82
William Insuck Cho, M.D. – 12/19/91
William S. Cooley, M.D. – 6/27/86
Flore Delacadena – 2/9/84
James Detura – 3/16/82
Louis Freifeld – 6/6/83
Nathan Goldberg – 1/7/82
Jacob Harris, M.D. – 1/11/80
Young S. Hong – 8/25/82
Gilmore Hyman, D.O. – 6/7/83
Herbert Jernow, M.D. – 9/16/80
Carole Jones, M.D. – 7/7/82
Farooq Khawaja – 1/24/85
Roopa Khurana, M.D. – 7/7/94
Lema Drug Corp., Inc. and Neil A. Gordon – 6/29/84
MacLeod´s Prescription Pharmacy, Inc., Robert Kendzia and Matthew Peunic, Jr. – 8/19/85
Chandrashekarasetty Makam, M.D. – 1/20/95
Mikhail Makhlin, M.D. – 9/15/05.doc
Liaquat Malik, M.D. – 3/23/94
Arumugam Manoharan – 8/25/82
McKeever Drug Corporation and Norman Schulman – 7/23/82
McKibben at Graham Pharmacy, Inc. – 11/28/88
The Medicine Shoppe and Anthony Grejda – 6/7/02
Soel Melero – 8/24/82
Raul Morales, M.D. – 12/28/79
The New Pharmacy, Inc., and Shailesh R. Patel, R.Ph. – 4/6/09
Harshadray Patel – 4/11/85
Popatlal A. Patel – 5/25/83
Machado Polanco, M.D. – 6/30/93
Vincent Postiglione and Jomel Pharmacy, Inc. – 8/12/82
Dolores Protagoras – 2/28/84
Elias Rand, M.D. – 10/6/83
Dr. Charles F. Ross – 1/7/80
Vijay Sakhuja, M.D. – 6/28/85
Joseph Slovak, M.D. – 6/10/87
Stephen Solomon – 12/12/79
TDI Pharmacy, Inc, Lisa St. Peter, Richard Oestrich – 4/6/05
Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998 Frank Wacker, D.C. – 5/3/79
Charles E. Yasmer – 2/6/80

Sanctions for unacceptable practices – monetary penalties

Aruna Rao Ramanadham, M.D. – 8/2/99

Sanctions for unacceptable practices – persons who can be sanctioned

Charles Abraham D/B/A Fine Fit Hearing Aid Services, Elizabeth Abraham – 5/15/84
Harold Agress – 3/17/82
Mahmood Alam d/b/a Hina Drug Corp. and Alam Drug Corp. – 10/17/91
Almarc Drugs, Inc., Alan Klein, Marc Klein, and "John Doe" being any person or persons involved in the operation of Almarc Drugs, Inc. – 9/3/85
Benjamin Bernstein and B & B Pharmacy, Inc. – 5/12/83
Arthur Blaire – 6/6/83
David Carver and Davenbill, Inc. – 2/29/84
Peter Cutler, D.P.M. – 9/23/80
Dr. Michael Dattero – 8/17/79
Amiya Dhar, Ph.D. – 6/10/98
Dr. Bruce Dribbon – 12/14/79.pdf
Murray Edelstein – 10/18/79.pdf
Dr. Stephen Foreman – 12/12/79
Dr. Bruce Frankel – 2/25/80
Michael Kaplan – 10/13/83
Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C – 4/29/93
Arnold Kolodny & Friendly Medical Transportation – 5/6/94
Anthony Lavista & Medi–Zine Ambulette Service, Inc. – 9/29/94
Serge Louis, M.D. – 3/13/92
Charles McGuire, M.D. – 12/20/94
Raymond Nadell, M.D. – 1/11/94
Penmar Services, Inc., Louis Goss, President and Supervising Pharmacist – 12/21/94
Nestor Rios, M.D. – 12/21/92
Bernardo Tobon, M.D. – 7/17/91
Lyudmila Zhulyov – 6/3/99
Martin Ziporkin and Leemar Drugs, Inc. – 3/12/92

Sanctions for unacceptable practices – types and severity

Samson Adegbite, M.D. – 8/5/93
Jean Adrien, M.D. – 10/10/91
Harold Agress – 3/17/82
Mohammed Akhtar, M.D. – 5/14/98
A. Hamid Alizadeh – 11/10/81
Thessaloniki Angelakos, M.D. – 11/4/83
Antelis Pharmacy, Inc. – 10/27/81
Frank Applegate, M.D. – 8/6/92
William Arca – 5/16/83
Stephan C. Auster, O.D. – 10/28/88
Naim Bakash, M.D. – 3/25/85
Michael Bartalos, M.D. – 2/25/94
Lev Z. Bentsianov, M.D. – 7/17/91
Victor S. Bichera, M.D. – 10/23/78
Arthur Blaire – 6/6/83
Israel Bogdonow and 459 DeKalb Pharmacy, Inc. – 2/29/84
Boston Drugs, Inc. and Muhammed Asghar – 10/31/94
Bousel Pharmacy, Inc., Reuben Colon and Louis Rebhun – 7/27/84
Robert Brown, M.D. – 7/22/85
BSK Pharmacy, Inc. and Mr. Robert Blaire, RPH and Mr. Robert S. Simon, SP, and Mrs. Sharyn Blaire, and Anita Klein, and Seymour Klein, RPH – 6/29/94
Buena Vista Pharmacy – 9/27/89
Dr. Mark Buthorn – 5/4/78
Eduardo Cacas, M.D. – 12/7/92
David Carver and Davenbill, Inc. – 2/29/84
Abraham Chaplan, M.D. – 1/8/79
Charles Chemists, Inc. – 10/23/81
Chartin Pharmacy, Inc., d/b/a Meyer´s Pharmacy, Martin Solomon and Frank Danise – 5/31/85
M. Rafiq Chaudhry, M.D. – 11/26/96
Betty Chissin, Arie Chissin, Automatic Professional Hearing Aids – 3/6/80
Clin–Path/Tox Laboratory – 3/9/93
Lester Cohen, D.D.S. – 9/2/83
Cumberland Pharmacy, Inc. – 6/15/78
Mercea Damsker, M.D. – 12/26/86
James Detura – 10/27/81
James Detura – 3/16/82
Keith Diamond and K. Diamond Pharmacy, Inc. – 5/11/98 Dr. Bruce Dribbon – 12/14/79.pdf
Anthony J. Enrico, D.P.M. – 4/29/93
Gencer Feliz, M.D. – 12/31/96
Dr. Edward Fischman – 2/11/80.pdf
Dr. Bruce Frankel – 2/25/80
Samuel Galeota, M.D. – 6/8/89
Joseph Garfinkel – 11/16/81
Dana Rene Gignac, R.Ph., Saratoga Pharmacy – 12/19/08
Theodore Morton Ginsberg, M.D. – 1/26/78
Robert Glatt, DPM – 10/15/92
Stanley Goldstein, Howard Wild, George Liebmann and Value Mart, Inc. – 7/24/84
Gerson Gomes, M.D. – 10/17/96
Michael H. Greenbaum, D.O – 2/27/85
Greenfeld Shoes – 1/19/88
Arthur Gudeon, D.P.M. – 1/7/80.pdf
Mirahmad Hashemifard, M.D. – 3/12/93
Teruo Hirose, M.D. – 2/14/85
Homemakers of Western New York, Inc. (Upjohn Health Care Services, Inc.) – 12/31/84
Homemakers of Western New York, Inc. (Upjohn Health Care Services, Inc.) – 12/31/85
Glenn Hutnick and GFH Orthotics & Prosthetics Laboratories, Inc. – 5/9/97
Samuel A. Ignazio and Green Cab and Brokerage Co., Inc. – 9/7/84
Angela Insolera, M.D. – 12/1/97
Jax Drugs, Inc. – 4/12/78
Michael Kaplan – 10/13/83
Jan Keppler, M.D. – 11/4/93
Kissena Pharmacy – 8/31/84
Myoung Ho Kong and C & K Drugs, Inc. – 6/26/85
George Kreytak – 6/29/84
Lekhu K. Lala, M.D. – 10/5/93
Hamid Lalani, M.D. – 11/13/91
Albert Levy, M.D. – 12/21/92
Harry Gem Hoy Lew and Harry Lew Pharmacy, Inc., d/b/a Chinese Community Pharmacy – 12/21/81
Abraham Lock, M.D. – 4/21/93
Luis Locuratolo, M.D. – 7/22/98
Charles Clement Lucas, Jr., M.D. – 4/30/86
Mikhail Makhlin, M.D. – 9/15/05.doc
Jose Matos, M.D. – 12/15/92
Melrose Pharmacy, Inc. – 11/4/81
Pasquale Montesano, M.D. – 11/12/81
John Muzii, Muzii Drug Co., Inc. – 10/23/84
Mariano Nevarez–Tapia, M.D. – 10/5/06
Steven G. Nussbaum – 5/17/79
Chang Bai Park, M.D. – 6/4/97
Popatlal A. Patel – 5/25/83
Philstan Pharmacy, Philip Elmowitz and Stanley Elmowitz – 2/27/84
Pyramid Physicians, P.C. – 1/11/99
Queens Medical Laboratory – 7/6/90
Jennette Reid, Rita Bruney, Sandra Walker, and Pamela Reid–Harris – 2/28/97
Juan Reyes, M.D. – 2/16/94
Frank Riforgiato, M.D. – 10/20/83
Rockland Medilabs, Inc. – 3/9/90
Gordon Ruff, D.D.S. – 4/25/85
Rzan Medical Transportation, Inc. – 8/7/08
Sidney Sanders – 7/29/85
Joseph Sarfo, M.D. – 9/8/94
Maurice Sasson, M.D. – 6/30/86
Herbert Schwarz, M.D. – 12/20/84
Sea Crest Transportation, Inc., Joackim Charles – 12/12/95
Stephen Shapiro, M.D. – 7/7/85
Arun Sirohi, M.D. – 2/25/92
Michael A. Solomon, M.D. – 1/27/99
Rhona Gissen Stanley, D.D.S. – 6/17/98
Richard Strauss, George Georghalli, J & N Pharmacy, Inc. – 3/27/85
Wayne Tabachnick, O.D. – 2/2/94
Yan Shin Tan, M.D. – 1/20/99
Dr. Ira Tartack – 2/19/80
TRC Drugs, Inc. D/B/A Red Crescent Pharmacy – 3/30/84
Ming Ching Tung – 11/2/84
Universal Diagnostic Laboratories, Inc., Marvin Numeroff and Arnold L. Statsinger – c. 1998 Upjohn Health Care Services – 11/28/82
John Valente, D.P.M. – 2/20/80
Josefina Velasquez, M.D. – 7/7/94
Justin Wernick, D.P.M. – 2/29/80
Jeffrey Wiersum, M.D. – 4/22/80
Carl E. Williams, D.D.S. – 4/19/79
Peter Williams, D.P.M. – 6/2/93
Silas Zuttah, M.D. – 3/14/95

Schedule II controlled substances – SEE Prescriptions – Schedule II controlled substances – requirements

Seldane

Salwa Khouri, M.D. – 2/20/97
Frantz St. Julien, M.D. – 11/8/94
Matthew Tolbin, M.D. – 11/26/97

Selective enforcement, biased application of Medicaid requirements, and audits and investigations conducted in bad faith

Altima Transportation, LLC, d/b/a Instant Ambulette – 10/1/08
Bedford Stuyvesant Community Mental Health Center – 12/31/03
Department of Medicine Medical Services Group – 12/19/05
Homemakers of Western New York, Inc. (Upjohn Health Care Services, Inc.) – 12/31/84
Jewish Home and Hospital for the Aged – 3/6/95
Hoi Yat Kam, M.D. – 11/10/06
Chandrashekarasetty Makam, M.D. – 1/20/95
MM Management Services, Inc. – 8/5/98
Modern Medical Laboratory, Inc. – 2/28/94
Chang Bai Park, M.D. – 6/4/97
Anatoly Pekarsky, M.D. – 5/6/97
701 Pharmacy Drugs, Inc. and Leonard Epstein, R.Ph. and Stanley Spielvogel, R.Ph. – 5/3/93
Louis Roland Timothee, M.D. – 5/16/94
John Valente, D.P.M. – 2/20/80
Otis Williams, M.D. – 3/30/98

Self incrimination – SEE Hearing procedures – self incrimination issues

Serostim

Mikhail Makhlin, M.D. – 9/15/05.doc

Service of papers – SEE Notice requirements – method of service, proof of service

Settled, abandoned and defaulted cases

Sami Abdul–Malek, M.D. – 6/13/95
Adeliya Akpan, M.D. – 3/5/99
Amar Pharmacy, Inc. – 7/28/87
Camille Armand, M.D. – 5/29/92
Arthur Autz, D.P.M. – 1/13/94
Awan Drugs, Inc. – 6/15/92
Michael Baer, Ph.D. – 7/18/79
Farhang Bakhtiar, M.D. – 6/16/94
Ross Barone and Heath Drug Company, Inc. – 11/10/81
Anna Berenstein, M.D. – 11/3/97
Salvador Beris, M.D. – 9/23/82
Henry S. Berkan, M.D. – 3/23/78
Beth Abraham Health Services – 11/24/98
Beth Abraham Hospital – 3/6/81
Biofit Orthotics, Mordechay Rosenblum – 4/11/97
David Boschowitz – 5/15/78
Brandywine Nursing Home, Inc. – 7/23/04
Bridge View Nursing Home – 6/22/92
Robert S. Bronstein, DPM – 9/18/92
Harold Brooks, D.O., Tupper Opticians – 7/12/78
Stanley Brown, D.M.D. – 8/4/95
B.S. Mini–Med, Inc., Perry Saber, President – 11/4/93
Buena Vista Pharmacy, Inc. – 7/28/87
C and D Hearing Laboratories and Bernard Harmon – 3/22/78
Manuel Camejo, M.D. – 2/17/93
Erol Caypinar, M.D. – 3/9/78
Chase Ambulette, Inc., Havier Torres – 10/4/95
Carl Cheifetz, M.D. – 3/27/78
Sanjiv Chopra, M.D. – 3/12/01
Madan Chugh, M.D. – 11/15/82
Commercial Transportation Corp. – 8/15/78
Community General Hospital of Sullivan County – 5/5/80
Concord Nursing Home – 11/24/98
Concord Nursing Home – 7/23/04
Martin Cooperman, D.C. – 7/12/78
Sablon Dartique, M.D. – 1/28/92
Raymond N. DaVerso, Alfred John DaVerso (deceased) and Jeanette M. DaVerso d/b/a Camillus–Geddes Taxi Service – 12/2/86
Deputy Mothers Agency – 3/9/78
Victor Diaz, M.D. – 5/29/92
Christine Donnelly, M.D. and Frederick Bierman, M.D. – 11/17/00
Bhupendrakumar V. Doshi, D.D.S. – 2/17/95
East Neck Nursing Home – 7/20/98
Eastwick Medical Laboratories – 11/4/91
Teddy Efkarpides, M.D. – 8/20/96
Joseph Eisenstein, MD – 3/22/78
Sandra Elvir, 26 Sandy Pharmacy, Inc. – 7/12/99
James Esser, M.D. – 8/17/94
Edward Flaschner, M.D. – 5/15/92
Flatbush Manor Care Center – 6/15/95
Formico Psychiatric Clinic Corp. d/b/a Hempstead Psychiatric Therapy Services – 3/22/78
Fort Tryon Nursing Home – 11/3/97
Fort Tryon Nursing Home – 11/24/98
Frame–Up Prescription Opticians, Inc., and Bruce Raines – 11/22/78
Dr. Seymour Frank – 2/19/80
Michael Freed and 1733 Prescriptions Ltd. – 4/18/95
Friendly Medical Transportation Ltd., Leonid Kapelushnik and Arnold Kolodny – 8/20/93
Gladstone Gadsby, M.D. – 4/12/79
Jack Martin Gelb, D.D.S., Jack M. Gelb, P.C., Dynamic Dental Services, P.C. – 10/31/84
Vincent Gerardi – 5/26/78
German Masonic Home d/b/a Dumont Masonic Home – 8/11/00
G.J.L. Medical Laboratories, Inc. – 3/23/78
Barry Goldberg, M.D. – 10/13/93
Richard Goldberg, M.D. – 11/4/93
David Gordon, M.D. – 3/31/94
Michael Greenbaum, D.O. – 5/21/03
Jason C. Guice, and Putnam Laboratories Incorporated A/K/A Putnam Diagnostic Laboratories – 5/18/78
John J. Hannibal III, D.D.S. – 6/15/79
Haym Salomon Home for the Aged – 11/24/98
Suresh Hemrajani, M.D. – 12/10/98
Laura S. Hobgood, M.D. – 1/14/04
Joseph Ingber, D.C. – 6/26/78
Interboro Labs and Fred Kelly – 3/22/78
Philip Irie, M.D. – 4/13/94
Island Employment Service – 3/27/78
Jamaica Transportation, Inc., Ilya Goldenshtein, Bela Zhernov and Vladimir Shtrakhmau – 8/20/93
Peter Kang, M.D. – 6/1/99
Jean Kaplan, D.D.S. and Francesco Sciotto, D.D.S. – 3/23/78
Luba Katz – 3/23/95
Parviz Khodadadian, M.D. – 2/2/94
Iosef Kleynerman, M.D. – 11/7/01
David Landa, Windsor Park Nursing Home, Inc. – 2/1/99
June Woo Lee, M.D. – 1/5/79
Alan Leshnower, DPM – 12/13/99
Nathan Levin, M.D. – 3/19/97
The Lewis Corporation – 4/2/82
Kevin Maloney, M.D. – 6/30/92
Dominick Marvelli, D.D.S. – 4/5/94
Michael Maskaron, M.D. – 3/19/96
John A. Massaro, D.D.S. – 8/18/81
Denise H. McNair, M.D. – 11/5/93
Menorah Home and Hospital for the Aged and Infirm – 10/16/03
Midway Nursing Home – 6/22/92
Galina Milner, DDS – 11/24/98
Anil Mistry, M.D. – 4/14/93
MJG Nursing Home – 11/24/98
Charles Momah, M.D. – 11/2/99
Francis Narcisse, R.P.A. – 4/23/92
Francis Narcisse, R.P.A. – 2/15/94
Niagara Clinical Laboratory and Joseph A. Stumpo – 9/6/78
96 Cents Goods & Drugs, Inc. – 9/15/93
Orchard Manor, Inc. – 1/29/02
Warren Palmer, M.D. – 5/9/95
Avtandil Papiasvili, M.D. – 8/12/96
J. J. Patel, M.D. – 12/18/78
Murray Polsky, M.D. – 4/2/79
Professional Pharmacy, Inc., Mohammed Aslam, Mohammed Ashraf, and Ahmed Aftab – 10/5/90
Francis J. Pschierer, M.D. – 7/24/80
Mohammed Qureshi, M.D. – 11/24/98
Mohammad Rashid, M.D. – 9/30/03
Ridgewood Pharmacy, Inc. – 5/19/95
Pearl Rohde – 1/29/79
Audrey C. Sadaphal, M.D. – 5/17/93
Jane San Jose, M.D. – 12/6/99
Adolph K. Schmidt, DDS – 3/23/78
Earl Anthony Scott, M.D. – 5/13/94
Sheridan Manor Nursing Home, Inc. – 11/22/06
Silver Lake Nursing Home – 2/2/94
Mark Silver, D.P.M. – 1/14/94
Vijayalakshmi Sivaprakasapillai, M.D. – 5/7/92
Ralph G. Sorley, M.D. – 7/21/78
Samuel Splitter, MD – 3/22/78
Muhammad Tariq and Mussarat Pharmacy, Inc. – 9/18/92
Treatment Center of Westchester, Roger B. Williams and Les Amy – 11/13/00
Treatment Center of Westchester, Roger B. Williams and Les Amy – 6/15/04
Mark Tsinker, M.D. – 12/10/98
Tu Farmacia, Inc. – 7/28/87
Herman Urbano, M.D. – 11/5/93
University Nursing Home – 12/29/03
Bokkahalli Veerabhadrappa, M.D. – 6/24/91
Thelma Villanueva, M.D. – 12/12/95
Thornton Walker, M.D. – 7/8/93
Walnut Mountain Care Center – 8/28/90
George Weinstein, O.D. – 4/14/93
Stanley Wolfson, M.D. – 12/10/98
Chaim Wolner d/b/a Fashion Comfort Shoes – 3/29/94

Settlement offer as means to coerce appellant to relinquish right to hearing

Bedford Stuyvesant Community Mental Health Center – 12/31/03

Shoes – SEE Orthopedic shoes

Sinequan

Joseph Michaels, M.D. – 10/24/85

Social health maintenance organizations – SEE Eldercare providers

Sonography – billing by nonspecialist

Pragna Shah, M.D. – 3/31/98

Sonography – billing codes and requirements

Gurbhusan Singh Basra, M.D. and Surinder Pal Singh Gill, M.D. – 2/15/94
Constantine Constant, M.D. – 12/30/92
Alice Francisco, M.D. – 5/16/94
Frank Garofalo, M.D. – 5/21/93
Mirahmad Hashemifard, M.D. – 3/12/93
Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C. – 4/29/93
Boris Machovsky, M.D. – 6/20/97
Liaquat Malik, M.D. – 3/23/94
Joseph Mecca, M.D. – 11/23/92
Andresito Pacis, M.D. – 9/16/94
Edgar A. Parmer, M.D. – 11/4/92
Myron R. Schoenfeld, M.D. – 3/21/89
Yefim Vaynselbaum, M.D. – 4/25/94

Sonography – billing for sonograms not ordered by physician

Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C. – 4/29/93
Boris Machovsky, M.D. – 6/20/97
Liaquat Malik, M.D. – 3/23/94
Joseph Mecca, M.D. – 11/23/92
Andresito Pacis, M.D. – 9/16/94
Angeles S. Tiangco, M.D. – 1/11/99
Yefim Vaynshelbaum, M.D. – 4/25/94

Sonography – intraoperative and postoperative (abortion)

Robert Cestari, M.D. – 8/21/98
Pyramid Physicians, P.C. – 1/11/99

Sonography – whether sonographer has duty to be present when technician conducts sonograms

Joseph Mecca, M.D. – 11/23/92

Sonography – whether sonographer has duty or discretion to determine whether ordered tests are medically necessary or whether additional tests should be performed

Frank Garofalo, M.D. – 5/21/93
Michael Martin Katz, M.D. and MM Diagnostic Radiology, P.C. – 4/29/93
Liaquat Malik, M.D. – 3/23/94
Andresito Pacis, M.D. – 9/16/94

Spirometry – SEE Pulmonary function tests

Statistics – sampling and estimation

A & I Health Aids, Dr. Nathaniel Aronoff – 11/13/96
Jean Adrien, M.D. – 10/10/91
Jonathan Allen, M.D. – 10/30/84
Jonathan Allen, M.D. – 6/30/87
American Diagnostic Laboratories, Inc. – 12/10/86
Frank Applegate, M.D. – 8/6/92
Gurbhusan Singh Basra, M.D. and Surinder Pal Singh Gill, M.D. – 2/15/94
Bedford Stuyvesant Community Mental Health Center – 12/31/03
Lev Z. Bentsianov. M.D. – 7/17/91
B.J.K. Pharmacy, Inc., d/b/a/ Long Beach Chemists – 9/28/83
Eduardo Cacas, M.D. – 12/7/92
Kuen Hai Chen, M.D. – 6/1/83
William Insuck Cho, M.D. – 12/19/91
Clin Path, Inc. – 4/27/92
Ivan Colef, M.D. – 4/5/99
Community Action Organization of Erie County, Inc. – 6/15/82
Constantine Constant, M.D. – 12/30/92
Continental Laboratory, Inc. – 8/20/90
CVS/Caremark Pharmacy Corporation – Dunkirk Store #309 – 7/20/09
Mercea Damsker, M.D. – 12/26/86
Augustin Enaw, M.D. – 9/23/93
Anthony J. Enrico, D.P.M. – 4/29/93
Jacob Feynman, M.D. – 9/30/88
First to Care Home Care, Inc. – 11/5/04
Alice Francisco, M.D. – 5/16/94
Kali Ghosal, M.D. – 11/19/92
Prasanta K. Ghosh, M.D. – 12/27/91
Stanley Goldstein, D.P.M. – 4/29/88
Dr. Pierino Graziosi, M.D. – 2/13/89
Greenfeld Shoes – 1/19/88
Hamilton Radio Cab, Inc. – 9/29/80
Joy G. Harrison, M.D. – 8/5/94
Tariq Javaid, M.D. – 3/11/92
John F. Keating – 10/16/79
Stephen Kimani, M.D. – 9/11/85
Stephen Kimani, M.D. – 12/31/85
Stephen H. Klein, M.D. – 4/1/98
Hamid Lalani, M.D. – 11/13/91
Albert Levy, M.D. – 12/21/92
Jack Lippes, M.D., and Harold Castilone, M.D. – 7/31/81
Arnold Lipton, M.D. – 3/9/82
Abraham Lock, M.D. – 4/21/93
Serge Louis, M.D. – 3/13/92
Maine Medical Group – 3/20/81
Jose Matos, M.D. – 12/15/92
Mercy Hospital of Watertown – 4/17/89
Metzies Shoe Brooklyn New York Corp. – 11/6/86
MM Management Services, Inc. – 8/5/98
Modern Medical Laboratory, Inc. – 2/28/94
Moses–Ludington Hospital – 4/13/81
Mariano Nevarez–Tapia, M.D. – 10/5/06
Niagara Falls Memorial Medical Center – 8/16/81
Adeniyi Ogunkoya, M.D. – 6/10/92
Andresito Pacis, M.D. – 9/16/94
Alice Piasecki, M.D. – 2/28/94
Machado Polanco, M.D. – 6/30/93
Cary Pollack, M.D. – 4/20/94
Pyramid Physicians, P.C. – 1/11/99
Quantum Laboratory of Brooklyn, Inc. – 5/1/90
Ishwar A. Rang, M.D. – 4/3/92
Jean–Robert Richard, M.D. – 9/25/92
Rite Aid of New York, Inc., formerly d/b/a Eckerd Corporation Store 10839 – 7/7/10
Dennis Roggemann, M.D. – 6/18/92
Frantz St. Julien, M.D. – 11/8/94
St. Mary´s Hospital – 12/31/82
Joseph Sarfo, M.D. – 9/8/94
Henry Schechter, M.D. – 8/14/79
Aftab Siddiqui, M.D. – 8/15/89
Richard Silverman, M.D. – 1/30/79
Sunrise Psychiatric Center, Inc. – 11/28/01
Superior Care, Inc. – 11/28/86
Kong Seng The, M.D. – 12/26/86.pdf
Hilario Toledo, M.D. – 8/3/98
Transitional Services for New York Inc. – 4/29/05
Tasos Triant, M.D. – 3/19/84
Josefina Velasquez, M.D. – 7/7/94
Ralph Walton, M.D. – 3/29/83
Carl E. Williams, D.D.S. – 4/19/79
Guito Wingfield, M.D. – 9/4/92
Yorktown Medical Laboratory, Inc. – 10/17/90
Myung Ku Yuh, M.D. – 5/17/83

Statutes and regulations – retroactive application

Kuen Hai Chen, M.D. – 6/1/93

Statutes and regulations – rules of interpretation

Stephan C. Auster, O.D. – 10/28/88
Sunrise Psychiatric Center, Inc. – 11/28/01

Strep throat

Jay Stanley Saunders, M.D. – 4/12/99

Substance abuse outpatient services providers – SEE Chemical dependence outpatient services providers

Supervising pharmacist – responsibility for acts of others

William Arca – 5/16/83 Arthur Blaire – 6/6/83
Thomas P. Browne and Roann Drug Distributing Corp. – 6/19/84
Community Drug Mart, Inc. and Larry Youngerman – 3/30/84
Joseph Eisenberg and Rafael Yerushalmi – 2/1/83
Herbert Gordon – 6/29/84
Chester Jacobs, C and H Drug Co., Inc. – 5/3/84
The New Pharmacy, Inc., and Shailesh R. Patel, R.Ph. – 4/6/09
Seagirt Pharmacy, Inc., Harold Herman and Louis J. Feinberg – 5/25/83

Syphilis testing

Frantz St. Julien, M.D. – 11/8/94

Tagamet

Hee K. Choi, M.D. – 8/7/86
Josefina Velasquez, M.D. – 7/7/94

Temporary suspensions

Church Chemists, Inc. – 10/27/81
Delores Protagoras, M.D. – 11/14/83
Frances Radocsay, M.D. – 5/9/84
Gordon J. Ruff, D.D.S. – 4/20/84
Town Taxi of Rochester, Inc. – 11/15/84
Kunchel Yoon, M.D. – 11/7/83

Termination of RHCF ancillary service – duty to report to Department of Health

Wells Nursing Home Co., Inc. – 5/9/06

Testosterone

Donald H. Applebaum, D.O. – 3/31/87

Tetracycline

Benjamin Yentel, M.D. – 2/13/97

Third party payor optimization – Medicaid as payor of last resort

American Diagnostic Laboratories, Inc. – 12/10/86
Cliffside Nursing Home – 4/27/99
Yonkers Residential Center, Inc. – 3/14/08

Throat cultures

Jay Stanley Saunders, M.D. – 4/12/99
Kong Seng The, M.D. – 12/26/86.pdf
Silas Zuttah, M.D. – 3/14/95

Thyroid conditions, tests and treatment

Mohammed Akhtar, M.D. – 5/14/98
Hee K. Choi, M.D. – 8/7/86
Joy G. Harrison, M.D. – 8/5/94
Deborah Keno, M.D. – 11/2/98
Kevin Maloney, M.D. – 5/19/95
Dennis Roggemann, M.D. – 6/18/92
Hilario Toledo, M.D. – 8/3/98
Cheng Kai YU, M.D. – 12/7/98

Time limit for commencing, holding or completing hearing, excessive delay in hearing process

Erol Caypinar, M.D. – 3/9/78
Kevin Maloney, M.D. – 5/19/95
Richard Strauss, George Georghalli, J & N Pharmacy, Inc. – 3/27/85

Time limit for commencing, performing or completing audit

Amsterdam House – 2/28/91
Patricia Buckridge, RN – 1/26/04
Castle Rest Nursing Home – 3/30/89
Child´s Nursing Home – 1/22/88
Crouse Community Center – 4/15/03
Raymond Cintron, M.D. – 5/30/96
Lester Cohen, D.D.S. – 9/2/83
Deveaux Manor Nursing Home – 5/21/84
Fenton Park Nursing Home – 12/24/93
Joel Goldstein, D.P.M. – 1/25/88
Holliswood Care Center – 10/13/94
King Street Home, Inc. – 1/28/85
Monroe Community Hospital – 8/31/88
Monroe Community Hospital – 6/18/90
Montefiore Medical Center – 3/5/04
Northern Metropolitan Residential Health Care Facility – 2/28/03
Park Shore Health Care Center, Inc. – 9/23/99
Pine Haven Home – 3/25/88
William Pollen, M.D. – 7/24/86
Port Jefferson Nursing Home and Port Jefferson Health Related Facility – 6/12/97
Wells Nursing Home Co., Inc. – 5/9/06
Winsome Stewart, R.N. – 7/26/04

Time limit for filing Annual Disclosure Statement

Tompkins Transportation Company, Inc. – 5/28/87

Time limit for providing documents to auditors

Joy G. Harrison, M.D. – 8/5/94
Holliswood Care Center – 10/13/94
Stephen Kimani, M.D. – 12/31/85
The Medicine Shoppe and Anthony Grejda – 6/7/02
Montclair Nursing Home, Belair Nursing Home and Forest Manor Health Related Facility – 3/27/91
Montgomery County Infirmary – 9/30/87
Northern Metropolitan Residential Health Care Facility – 2/28/03
Pyramid Physicians, P.C. – 1/11/99
Mark Rauchwerger, Forest Rego Pharmacy, Inc. – 2/26/97
Juan Reyes, M.D. – 2/16/94
Joseph Sarfo, M.D. – 9/8/94
Jay Stanley Saunders, M.D. – 4/12/99
Sheridan Manor Nursing Home, Inc. – 11/22/06
Aftab Siddiqui, M.D. – 8/15/89
Sunrise Psychiatric Center, Inc. – 11/28/01 Bernardo Tobon, M.D. – 7/17/91
Hugo Viloria, M.D. – 12/30/88
Ivan Young, M.D. – 6/12/95
Cheng Kai Yu, M.D. – 12/7/98

Time limit for requesting hearing

Alcare Respiratory Services, Inc. – 2/4/97
Auburn Memorial Hospital – 6/4/93
Castle Rest Nursing Home – 3/30/89
Benjamin Chadi, M.D. – 1/24/94
Woon Y. Cho, M.D. – 12/2/96
820 River Street, Inc. – 3/18/03
Vittorio Harris, R.P.A. – 8/5/93
Mumanga Mumbi, R.P.A. – 8/8/94
St. Luke´s–Roosevelt Hospital Center – 4/15/83
Edward Sperling, D.P.M. – 2/26/93
Marcia Wesley, M.D. – 2/12/93

Time limit for response to draft audit report

Luba Katz – 7/18/97
Lemberg Home & Geriatric Institute – 1/19/10
Sheridan Manor Nursing Home, Inc. – 11/22/06

Time limit for submission of claims for payment

Community Related Services, Inc. – 8/31/09

Tonography

Leonard F. Vitale, M.D. – 1/24/89

Transportation providers

All County Transportation Service, Donna Kapetanakis and Louis Balzano – 4/20/94
Altima Transportation, LLC, d/b/a Instant Ambulette – 10/1/08
Chase Ambulette, Inc., Havier Torres – 10/4/95
Commercial Transportation Corp. – 8/15/78
Raymond N. DaVerso, Alfred John DaVerso (deceased) and Jeanette M. DaVerso d/b/a Camillus–Geddes Taxi Service – 12/2/86
Peter DiMatteo and Ace Ambulette – 6/5/95
Friendly Medical Transportation Ltd., Leonid Kapelushnik and Arnold Kolodny – 8/20/93
Golden Age Chairmobile, Inc. and Donald Mattice – 5/2/79
Green Cab Company, Samuel Ignizio, President – 8/24/82
Hamilton Radio Cab, Inc. – 9/29/80
Samuel A. Ignizio and Green Cab and Brokerage Co., Inc. – 9/7/84
Jamaica Transportation, Inc., Ilya Goldenshtein, Bela Zhernov and Vladimir Shtrakhmau – 8/20/93
Jasper Dispatching Services – 12/18/97
Arnold Kolodny & Friendly Medical Transportation – 5/6/94
Anthony Lavista & Medi–Zine Ambulette Service, Inc. – 9/29/94
David Losier and John Stevens, Jr. d/b/a Silver Star Taxi – 5/11/89
People Ambulette Service, Inc. – 10/13/93
Rzan Medical Transportation, Inc. – 8/7/08
Sea Crest Transportation, Inc., Joackim Charles – 12/12/95
Steven´s Ambulette Service, Inc. (A/K/A Steven´s Ambulette Co., Inc.) – 5/9/90
Sunset Taxi Company, Inc. – 3/9/78
Frank Taddeo, Individually and as President of Able Medical Transportation, Inc. – 6/8/89
Tompkins Transportation Company, Inc. – 5/28/87
Town Taxi of Rochester, Inc. – 11/15/84
Troyka Assistance, Inc. and Luiza Dubrovsky – 7/30/93
John Weir and Ambu–Trans, Inc. – 12/18/97
Lyudmila Zhulyov – 6/3/99

Transportation providers – documentation of service requirements

Green Cab Company, Samuel Ignizio, President – 8/24/82
Hamilton Radio Cab, Inc. – 9/29/80
Anthony Lavista & Medi–Zine Ambulette Service, Inc. – 9/29/94
Rzan Medical Transportation, Inc. – 8/7/08
John Weir and Ambu–Trans, Inc. – 12/18/97

Transportation providers – licensing requirements

People Ambulette Service, Inc. – 10/13/93
Steven´s Ambulette Service, Inc. (A/K/A Steven´s Ambulette Co., Inc.) – 5/9/90

Transportation providers – personal assistance for ambulette patients

Troyka Assistance, Inc. and Luiza Dubrovsky – 7/30/93

Transportation providers – reimbursement rules and limitations

David Losier and John Stevens, Jr. d/b/a Silver Star Taxi – 5/11/89
Frank Taddeo, Individually and as President of Able Medical Transportation, Inc. – 6/8/89

Transsexual hormone therapy

Hugo Viloria, M.D. – 12/30/88

Trizivir

Mikhail Makhlin, M.D. – 9/15/05.doc

Tuberculosis

Jamil M. Abraham, M.D. – 4/19/83
Ansar Ahmed, M.D. – 3/31/87
Kuen Hai Chen, M.D. – 12/31/82
Joseph Michaels, M.D. – 10/24/85
Jordan Mitroff, M.D. – 3/2/99

Unacceptable practices –whether definition includes acts other than medical treatment and billing for treatment

Murray Edelstein – 10/18/79.pdf
Theodore Eden, D.P.M. – 1/21/80
Dr. Edward Fischman – 2/11/80.pdf
Dr. Charles Glazer – 12/14/79
Michael Kaplan – 10/13/83
Richard LoTempio, D.P.M. – 2/11/80
Dr. Andrew Portoghese – 7/12/78
Sidney Sanders – 7/29/85
Stephen Solomon – 12/12/79
John Valente, D.P.M. – 2/20/80
Justin Wernick, D.P.M. – 2/29/80
Charles E. Yasmer – 2/6/80

Unacceptable practices – whether definition includes treatment of non–Medicaid patients

Dr. Alfred Calfon – 1/25/79
Community Drug Mart, Inc. and Larry Youngerman – 3/30/84
Dr. Alvin Daniels – 9/15/78
Benjamin I. Dyett, M.D. – 1/31/84
John Feldman, RPH – 9/30/85
Mortimer Greenberg, M.D. – 6/28/84
Elie A. Horn, M.D. – 9/23/86
Raul Morales, M.D. – 12/28/79
Mostafa Osman, M.D. – 5/16/79
Gabriel Rubin, M.D. – 4/19/82
Maurice Sasson, M.D. – 6/30/86

Undercover investigations

Din Pharmacy Corp. – 7/15/87
Gershon A. Goldman, DPM – 9/14/92
Hoi Yat Kam, M.D. – 11/10/06
Ray Pharmacy, Inc. – 6/17/87
Yan Shin Tan, M.D. – 1/20/99
Matthew Tolbin, M.D. – 11/26/97
Randulf M. Yanney, M.D. – 5/8/90

Unlicensed practitioners

Dr. Moshe Mirilashvili – 11/8/93

Unjust enrichment – recovery of Medicaid reimbursement for services rendered to Medicaid recipients or persons who appeared to be Medicaid patients

Rita Dieck, R.N. – 5/21/02
Finlay Medical Laboratory, Inc. – 4/19/91
Sharon Honegger, R.N. – 11/14/02
Medicon Diagnostic Laboratory, Inc. – 6/6/90
Pharmhealth Infusion, Inc. – 5/28/09
Jennette Reid, Rita Bruney, Sandra Walker, and Pamela Reid–Harris – 2/28/97

Upper respiratory infections

Jordan Mitroff, M.D. – 3/2/99

Urinalysis – billing codes

Pyramid Physicians, P.C. – 1/11/99

Valium

Donald H. Applebaum, D.O. – 3/31/87
Claude Leonard, M.D. – 1/29/88
Salvatore Mauro, M.D. – 7/27/87
Joseph Michaels, M.D. – 10/24/85
Aftab Siddiqui, M.D. – 8/15/89
Arun Sirohi, M.D. – 2/25/92
Teresita Tan, M.D. – 9/11/91
Hilario Toledo, M.D. – 8/3/98

Venipuncture – definition

Silas Zuttah, M.D. – 3/14/95

Vistaril

Guito Wingfield, M.D. – 9/4/92

Vital capacity screening test – SEE Pulmonary function tests

Western blot HIV antibody test

Mikhail Makhlin, M.D. – 9/15/05.doc

Withholding Medicaid reimbursement pending audit or hearing decision – no jurisdiction for administrative law judge to review

Cypress Pharmacy, Inc. – 8/7/87
Steven Schlamowitz, M.D. – 11/1/00

X–rays – documentation and billing requirements – SEE Radiology – X–rays – documentation and billing requirements

X–rays – misinterpretation – SEE Radiology – misinterpretation of X–rays