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2016 ALJ Decisions








  
  
    

  
      





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2016.12.30 CR4766 Mark Tuan Le v. The Inspector General2016.12.29 CR4765 CTP v. East End Kitchen and Market, LLC2016.12.22 TB648 CTP v. Fred Ford and Betty Ford d/b/a F. and B. Gro2016.12.22 ALJ Ruling No. 2017-6 Karen Ingrid Hunt, M.D. v. CMS2016.12.20 ALJ Ruling No. 2017-5 Shadow Creek Medical Clinic and Fairway Medical Clinic v. CMS2016.12.20 ALJ Ruling No. 2017-4 Dr. Sheri-Blum, MS, CCC-SLP v. HHS2016.12.19 TB625 CTP v. Mi Tiendita, LLC d/b/a Mi Tiendita Mini Mart2016.12.16 TB603 CTP v. 3 Amigos L.L.C. d/b/a Cowboy Country Store 42016.12.08 TB586 CTP v. Azaan Petro Inc. d/b/a Crown2016.11.22 TB509 CTP v. Kat Party Store, Inc. d/b/a Mr. Grocer Liquor Store2016.12.21 CR4764 Texas Medical Care, LLC. v. CMS2016.12.16 CR4763 East Tennessee Pulmonary Associates, PC v. CMS2016.12.15 CR4762 Twinbrook Nursing Home v. CMS2016.12.15 CR4761 Mel E. Lucas, D.O., v. The Inspector General2016.12.13 CR4760 Dallas Home Health Care, Inc. v. CMS2016.12.13 CR4759 Decatur Health Imaging, LLC v. CMS2016.12.09 CR4758 Perry Coalman, M.D. v. CMS2016.12.08 CR4757 Pharmacy Toi v. CMS2016.12.08 CR4756 Dora O. Uwudia v. The Inspector General2016.12.08 CR4755 Lydia A. Aguilar v. The Inspector General2016.12.08 CR4754 Dallas County Hospital District d/b/a East Dallas Health Center v. CMS2016.12.08 CR4753 Elizabeth A. Conroy, CRNA v. CMS2016.12.07 CR4752 Brian P. Rajca, M.D. v. CMS2016.12.07 CR4751 Goldenwood Services, LLC v. CMS2016.12.05 CR4750 Integrative Rehabilitation Associates, LLC v. CMS2016.12.01 CR4749 Leroy Manner v. CMS2016.11.30 CR4748 Diabetes & Endocrine Associates, P.C. v. CMS2016.11.30 CR4747 Rufus Edgar Sadler v. The Inspector General2016.11.29 CR4746 Huron Valley Physicians, PLLC, v. CMS2016.11.29 CR4745 Canal Street Pharmacy, Inc. v. CMS2016.11.28 CR4744 Anchor Home Healthcare Services, Inc. v. CMS2016.11.28 CR4743 Peter A. Lodewick, M.D. v. The Inspector General2016.11.23 CR4742 Brett Taylor, D.C. v. CMS2016.11.22 CR4741 Harry K. Wong, M.D.D v. CMS2016.11.30 CR4740 Mr. Neb, LLC. v. CMS2016.11.18 CR4739 AAA Health Services Inc. v. CMS2016.11.17 CR4738 Arlene Bailey v. The Inspector General2016.11.21 CR4737 CTP v. Phero and Anna, Inc. d/b/a Lone Star Market 22016.11.15 CR4736 Hussein Awada, M.D. v. The Inspector General2016.11.10 CR4735 Envoy of Stratford Hills v. CMS2016.11.10 CR4734 Erin Wells, IBCLC v. CMS2016.11.10 CR4733 Harris Histology Services v. CMS2016.11.10 CR4732 Saeed Bajwa, M.D. v. CMS2016.11.09 CR4731 Kimberly Shipper, P.A., v. CMS2016.11.08 CR4730 Total Kidney Care, LLC, v. CMS2016.11.08 CR4729 Melanie K. Walker v. The Inspector General2016.11.07 CR4728 Sandwich Rehabilitation & Health Care Center v. CMS2016.11.08 CR4727 CTP v. Mei Juan You d/b/a Hunan Garden2016.11.02 ALJ Ruling No. 2017-3 Gopal Popli, M.D. v. CMS2016.10.27 CR4726 John Spencer Chikeziem Archinihu, M.D. v. The Inspector General2016.10.27 ALJ Ruling No. 2017-2 Samuel Gerson, M.D. v. The Inspector General2016.10.27 ALJ Ruling No. 2017-1 Brighton Convalescent Center v. CMS2016.10.24 CR4725 AL Peoria LLC dba AlingnLife of Peoria v. CMS2016.10.24 CR4724 Ponon D. Kumar, M.D. v. CMS2016.10.21 CR4723 Lindsay Zamis, M.D. @ Lindsay Zamis, M.D., a Professional Corporation v. CMS2016.10.19 TB393 CTP v. J.A.C. Fine Wine and Spirits, Inc d/b/a Friendly Liquors2016.10.18 CR4722 Santa Rosa Orthopaedic Medical Group Inc. v. CMS2016.10.14 CR4721 Health First Medical Suppliers, LLC v. CMS2016.10.13 CR4720 James Shepard, M.D. v. CMS2016.10.07 CR4719 Mountain Vista Health Center v. CMS2016.10.04 CR4718 Sue Ann Spece v. The Inspector General2016.09.30 CR4717 Sharon Brown v. The Inspector General2016.09.30 CR4716 Melissa Michelle Phalora v. The Inspector General2016.09.28 CR4715 Fireside Lodge Retirement Center, Inc., v. CMS2016.09.28 CR4714 Francis T. Kangethe, M.D. v. CMS2016.09.28 CR4713 CTP v. Friends and Brothers, Inc. d/b/a Amy's Liquor2016.09.21 TB235 CTP v. Lincoln Land Auto Parts LLC d/b/a Patriot Station Service Center
	2016.09.27 CR4726 John Spencer Chikeziem Archinihu, M.D. v. The Inspector General2016.09.27 CR4712 Lindsay Marie (Wall) Wolfe v. The Inspector General2016.09.27 CR4711 Farrokh Alemzadeh, M.D. v. CMS2016.09.22 CR4710 Ahab Elmadhoun v. The Inspector General2016.09.21 CR4709 Grady R. Fort, M.D. v. CMS2016.09.20 CR4707 James T. Murphy, M.D. v. CMS2016.09.20 ALJ Ruling No. 2016-20 Karim Maghareh, Ph.D. and BestCare Laboratory Services, LLC v. The Inspector General2016.09.16 CR4706 Covington Manor Nursing Home v. CMS2016.09.15 CR4705 CTP v. Daniel D. Moore d/b/a A B C2016.09.15 CR4704 Heartland Health Care Center – Kendall v. CMS2016.09.13 CR4703 Frederick Brodeur, M.D. v. CMS2016.09.13 CR4702 Leila Reed, PA-C v. CMS2016.09.09 ALJ Ruling No. 2016-19 West Side House LTC Facility v. CMS2016.09.08 CR4701 Bayou Shores, SNF, LLC, d/b/a Rehabilitation Center of St. Petersburg v. CMS2016.09.08 CR4700 Robert Kolbusz, M.D. v. The Inspector General2016.09.07 CR4699 Rebecca Koontz v. The Inspector General2016.09.06 CR4698 CTP v. Joy and Evergreen Petro, Inc. d/b/a Sunoco2016.09.02 CR4697 Miracle Deeds Medical Supplies, LLC v. CMS2016.08.30 CR4696 Ezmina Lalani, D.O. v. CMS2016.08.30 CR4695 Hartford HealthCare at Home, Inc. v. CMS2016.08.30 CR4694 Fullerton-Kimball Medical & Surgical Center – Laboratory v. CMS2016.08.30 ALJ Ruling No. 2016-18 Brookdale Mountain View v. CMS2016.08.29 CR4693 Andrew S. Martin, M.D. v. CMS2016.08.29 CR4692 Inspector General, U.S. Department of Health & Human Services v. Mohammad Siddique, M.D. and Shoals Medical Group, LLC2016.08.26 CR4691 Superior Oxygen & Medical Equipment, Inc. v CMS2016.08.29 CR4690 St. Anthony’s Nursing and Rehabilitation Center v CMS2016.08.19 CR4689 Tara Lyn Justin v. The Inspector General2016.08.22 CR4688 CTP v. Shreeyamuna, LLC d/b/a Woodside Mini Mart2016.08.18 CR4687 Edna Tunis v. The Inspector General2016.08.18 CR4686 Evelyn A. Kadia v. The Inspector General2016.08.17 CR4685 Rochelle Gardens Care Center, v. CMS2016.08.16 CR4684 Joseph Peet, v. The Inspector General2016.08.16 CR4683 Carolyn R. Parker, v. The Inspector General2016.08.16 CR4682 Optimus Homecare LLC, v. CMS2016.08.16 CR4681 Gregory Allen Louck, v. The Inspector General2016.08.16 CR4680 Paul L. Guarino, v. The Inspector General2016.08.12 CR4679 Tina G. Caron a/k/a Tina G. Ehlenbach a/k/a Tina G. Henthorne, v. The Inspector General2016.08.12 CR4678 Heartflow, Inc., v. CMS2016.08.10 CR4677 Vamet Consulting & Medical Services v. CMS2016.08.10 CR4676 Diane Hendricks, v. CMS2016.08.08 CR4675 Shona Alexander, NP, v. CMS2016.08.05 CR4674 Robert Miles, Jr., D.P,M. v. CMS2016.08.05 CR4673 Nathaniel Witherell, v. CMS2016.08.04 CR4672 Doron Feldman, M.D., v. The Inspector General2016.08.04 CR4671 Tamara Rene Taylor v. The Inspector General2016.08.02 CR4670 Avon Nursing Home, v. CMS2016.08.01 CR4669 Angel Kidney Care of Inglewood, Inc. v. CMS2016.08.01 ALJ Ruling No. 2016-16 Rockmart Health & Rehab, LLC, v. CMS2016.08.01 ALJ Ruling No. 2016-15 Jeffersonville Health & Rehab, LLC, v. CMS2016.07.29 CR4668 Heather A. Panek, v. The Inspector General2016.07.29 CR4667 MedAlert Medical Equipment and Supplies, Inc. v. CMS2016.07.28 CR4666 Esmeralda Ybarra a/k/a Esmeralda Vargas, v. CMS2016.07.28 CR4665 Medical and Foot Care Group, S.C., v. CMS2016.07.26 CR4664 Nicola I. Riley, M.D., v. CMS2016.07.25 ALJ Ruling No. 2016-14 Great Lakes Healthcare, LLC, v. CMS2016.07.25 CR4663 David B. Gomez, O.D., v. CMS2016.07.21 CR4662 Colorado State Veterans Home at Fitzsimons v. CMS2016.07.20 CR4661 Pueblo Family Physicians v. CMS2016.07.14 CR4660 Mumtaz Tabbaa, M.D., v. CMS2016.07.12 CR4659 Kindred Transitional Care and Rehab-Greenfield, v. CMS2016.07.12 CR4658 Pamela J. Cortez a/k/a Pamela J. Cruz v. The Inspector General2016.07.11 CR4657 Angelo D. Calabrese, M.D. v. The Inspector General2016.07.11 CR4656 In re CMS LCD Complaint: Immunosuppressive Drugs2016.07.05 CR4655 CTP v. Vishwa Dev Rattan d/b/a Low Bob's2016.07.01 ALJ Ruling 2016-13 Joel G. Bailey, OD, v. CMS2016.06.30 CR4653 Clemenceau Theophilus Acquaye v. The Inspector General2016.06.29 CR4652 Srinivas Suram Reddy v. The Inspector General2016.06.28 CR4651 Jersey City Medical Supplies, Inc. v. CMS2016.06.28 CR4650 Gracia L. Maynard, M.D. v. The Inspector General2016.06.28 CR4649 Anna Zaichik v. The Inspector General2016.06.27 CR4648 Joseph M. Asprec, M.D. v. CMS2016.06.27 CR4647 Joanne Parkhurst v. The Inspector General2016.06.28 CR4646 CTP MFN Services Corp. d/b/a 7-Eleven 326202016.06.24 CR4645 Heather Anne Howells v. The Inspector General2016.06.24 CR4644 Barbara Vizy, M.D. v. CMS2016.06.24 CR4643 Richard Weinberger, M.D. v. CMS2016.06.23 CR4642 Cecilia Valdes v. The Inspector General2016.06.23 CR4641 CTP v. Family Diskount Food Stores Inc.,2016.06.22 CR4640 Reginald Eugene Smith v. The Inspector General2016.06.21 CR4639 Eduardo Miranda, M.D. v. The Inspector General2016.06.21 CR4638 Christy Nichols Frugia v. The Inspector General2016.06.21 CR4637 Mohamed Basel Aswad, M.D. v. The Inspector General2016.06.16 CR4636 Basil Mangra, M.D. v. CMS2016.06.17 CR4635 Regency Rehabilitation Center v. CMS2016.06.17 CR4634 LeKeytra Washington, NP v. CMS2016.06.16 CR4633 The Inspector General of the Social Security Administration v. Donald Grady, Jr.2016.06.15 ALJ Ruling No. 2016-12 St. Dominic-Jackson Memorial Hospital v. CMS2016.06.10 ALJ Ruling No. 2016-11 Michele Peetz, FNP-C v. CMS2016.05.31 CR4632 SSA v. JACC2016.05.31 CR4631 George E. Anderson, M.D.2016.05.31 CR4630 Southern Rhode Island Pulmonary and Critical Care LLC2016.05.31 CR4628 Robert C. Hartnett2016.05.31 CR4627 Jean-Claude Henry, M.D.2016.05.31 CR4626 Potters House Family Clinic, LLC2016.06.06 CR4625 CTP v. Hartmann's Moonshine Shoppe, LLC d/b/a The Moonshine Shoppe2016.05.31 CR4624 Michael Dale Garritson2016.05.31 CR4623 Hrak Derderian, M.D.2016.05.31 CR4621 Advanced Clinical Solutions, Inc.2016.05.31 CR4620 Dorsey Matthew2016.05.26 CR4619 Willie Goffney, Jr., M.D.2016.05.26 CR4618 CTP v. Summerton Drugs Compounding and Dispensary LLC d/b/a Summerton Drugs2016.05.25 CR4617 Paramjit Fagoora, M.D.2016.05.23 CR4616 Dana Marks, M.D.2016.05.20 CR4615 Med-Care Diabetic and Medical Supplies, Inc.2016.05.24 CR4614 CTP v. J. Peaceful, L.C. d/b/a Town Market2016.05.20 CR4612 Grace Udoka Edoho-Ukwa2016.05.19 CR4611 Perry Tan Nguyen2016.05.17 CR4610 Diplomat Pharmacy, Inc.2016.05.16 CR4609 Dawn Patricia Tamagni2016.05.13 CR4608 Sammy W. Kidd v. The Inspector General2016.05.12 CR4607 Natalie Vallot, CRNA v. CMS2016.05.11 CR4606 Robert Treuherz, M.D. v. The Inspector General2016.05.09 CR4605 Nightingale Home Healthcare, Inc. v. CMS2016.05.06 CR4604 True Medical and Foot Group, LLC v. CMS2016.05.06 CR4603 Talmadge Park, Inc. v. CMS2016.05.06 CR4602 Charles Brian Griffin v. The Inspector General2016.05.04 CR4601 Avalon Place Trinity v. CMS2016.05.03 ALJ Ruling No. 2016-10 San Francisco Health Care v. CMS2016.05.03 CR4600 Joel Adrian Milliner, M.D. v. The Inspector General2016.05.03 CR4599 Burlington House Nursing Home v. CMS2016.05.02 CR4598 Littlefield Hospitality v. CMS2016.05.02 CR4597 Layne R. Christensen, OD v. CMS2016.04.29 CR4596 In re: Local Coverage Determination Complaint: Glucose Monitors (L11530/L33822 and Local Coverage Articles A33614/A52464)2016.04.27 CR4595 Yahya Hedvat, M.D. v. The Inspector General2016.04.28 CR4594 William Britt Morris, D.M.D. v. The Inspector General2016.04.26 CR4593 CTP v. Vasudevay LLC d/b/a Town News and Tobacco2016.04.25 ALJ Ruling No. 2016-9 Michele Peetz, FNP-C v. CMS2016.04.25 CR4592 Harton Clinic Company, LLC v. CMS2016.04.25 CR4591 Russell McDow, M.D. v. CMS2016.04.19 CR4590 CTP v. Albert S. Fox d/b/a Bottle Shop2016.04.19 CR4589 Forroux Orthotics & Prosthetics, Inc. v. CMS2016.04.15 CR4588 Farzana Begum, M.D. v. The Inspector General2016.04.15 CR4587 Barry Kaplowitz, M.D. v. The Inspector General2016.04.14 CR4586 Catherine Lynne Cameron, R.N. v. The Inspector General2016.04.14 CR4584 In Re CMS LCD COMPLAINT: Judith A. Roussel, Continuous Positive Airway Pressure (CPAP)2016.04.13 CR4582 CTP v. In Chul Lee and Hye Jung Lee d/b/a/ Parks Place/Shell2016.04.12 CR4583 Briana L. Boyd, M.D. v. The Inspector General2016.04.12 CR4581 Legend Oaks Healthcare and Rehabilitation-North v. CMS2016.04.08 CR4580 Wendell Foo, M.D. v. CMS2016.04.08 CR4579 CTP v. 132 Third, LLC d/b/a Third Avenue Store2016.04.07 CR4578 Shameika Washington v. The Inspector General2016.04.08 CR4577 Kamran Hamidi, M.D. and Sina Infectious Diseases Medical Associates, Inc. v. CMS2016.04.07 CR4576 Alicia Chilito, M.D. v. CMS2016.04.08 CR4575 Diantha Miller v. The Inspector General2016.04.07 CR4573 Jodie Knott, Ph.D v. CMS2016.04.07 CR4572 CTP v. Fort Ave Investments, LLC d/b/a Garden Restaurant and Lounge2016.04.06 CR4571 Sharon Guei a/k/a Sharon Wells v. The Inspector General2016.04.05 CR4570 Gerald W. Jones v. The Inspector General2016.04.04 CR4569 Oceanview Healthcare & Rehabilitation Center v. CMS2016.04.04 CR4568 John DeCerce, M.D. v. CMS2016.04.01 CR4567 Central Kansas Cancer Institute, P.A. v. CMS2016.04.01 CR4566 Russell L. Reitz, M.D. v. CMS2016.03.31 CR4565 Suzette Guzman-Moore v. The Inspector General2016.03.30 CR4564 Bledsoe Family Medicine v. CMS2016.03.30 CR4563 Horace Bledsoe, M.D. v. CMS2016.03.30 CR4562 Avita Health and Rehab and Reeds Cove v. CMS2016.03.30 CR4561 William Wyttenbach, M.D. v. The Inspector General2016.03.29 CR4560 Trinity Bestcare Home Health Agency, LLC v. CMS2016.03.28 CR4559 AMT Ambulance, Inc. v. CMS2016.03.24 CR4558 Pierre-Richard Edouard, M.D. v. CMS2016.03.24 CR4557 Alan D. Mendelsohn, M.D. v. CMS2016.03.23 CR4556 Lisa Neumiller, NP v. CMS2016.03.23 CR4555 Deborah A. Mertz, NP v. CMS2016.03.23 CR4554 Eugene Domenico, Ph.D. v. The Inspector General2016.03.22 CR4553 Kermit E. White, M.D. & Kermit E. White, M.D., P.C. v. CMS2016.03.23 CR4552 ProMedical Equipment Supplies, LLC v. CMS2016.03.22 CR4551 Kevin T. McGinnis, M.D. v. The Inspector General2016.03.21 CR4550 Kelvin D. Gipson, DPM v. CMS2016.03.18 CR4549 Ron Loflin, O.D. v. The Inspector General2016.03.17 CR4548 Rafael Convalescent Hospital v. CMS2016.03.15 CR4547 Countryside Rehabilitation and Healthcare Center v. CMS2016.03.15 CR4546 Lee County Care and Rehabilitation Center v. CMS2016.03.10 CR4545 The Retreat at Brightwater v. CMS2016.03.10 CR4544 St. Andrews Place v. CMS2016.03.09 CR4543 Bridgie Anna Gibson-Miller a.k.a. Bridgett A. Finley, Bridgie A. Miller2016.03.04 CR4542 The Inspector General of the Social Security Administration v. Aretha Harris2016.03.04 CR4541 Lawrence Carpenter, M.D. v. The Inspector General2016.03.03 CR4540 Zongli Chang, M.D./Metro Home Visiting Physicians PLLC v. CMS2016.03.01 CR4539 George M. Young, M.D. v. CMS2016.03.08 CR4538 Linda Eileen Rosenberg, M.D. v. The Inspector General2016.02.29 CR4537 Alamo Mobility v. CMS2016.02.25 CR4536 Randall Wayne Toothaker, D.D.S. v. The Inspector General2016.02.25 CR4535 Tonya Rushing v. The Inspector General2016.02.22 CR4534 CTP v. Zenex International Group, LLC d/b/a Zenex Gas N Go / Sunoco Food Mart2016.02.18 CR4533 Hearthside Rehabilitation & Nursing Center v. CMS2016.02.18 CR4532 Wills Eye Hospital v. CMS2016.02.17 CR4531 Professional Management Services, LLC v. CMS2016.02.10 CR4530 Freedom Pain Hospital v. CMS2016.02.09 CR4529 Foot Specialists of Northridge v. CMS2016.02.09 CR4528 Amber Mullins, NP v. CMS2016.02.08 CR4527 Jason Lee Frazier v. The Inspector General2016.02.09 CR4526 Josh Hill, P.A. v. CMS2016.02.08 CR4525 Spyros N. Panos, M.D. v. The Inspector General2016.02.08 CR4524 Norman Johnson, M.D. v. CMS2016.02.05 CR4523 Robert E. Deck III, O.D. v. The Inspector General2016.02.05 CR4522 Subramanya K. Prasad, M.D. v. CMS2016.02.04 CR4521 Francisco Cintron Acevedo v. The Inspector General2016.02.04 CR4519 CTP v. C C Patel LLC d/b/a Carousel Deli and Pizzeria2016.02.02 CR4518 Nova Home Care Agency, Inc. v. CMS2016.02.01 ALJ Ruling No. 2016-8 Bruceville Terrace v. CMS2016.02.01 CR4517 Derilyn Serrano-Bernacet v. The Inspector General2016.01.29 CR4516 Laura Leyva v. The Inspector General2016.01.29 CR4515 CTP v. Del Prado Gas and Food Mart LLC2016.01.28 CR4514 Golden Living Center - Superior v. CM2016.01.28 CR 4513 CTP v CK Smoke Shop, LLC2016.01.21 CR4512 Roger Lea Scherer v. The Inspector General2016.01.21 CR4510 Lake Shore Healthcare & Rehabilitation Center v. CMS2016.01.20 CR4511 Robert James Fink, M.D. v. CMS2016.01.20 CR4509 CTP v. M A Z Management LLC d/b/a Tyrone Shell2016.01.15 CR4508 CTP v. Joe Eideh d/b/a 7-Eleven 344282016.01.15 CR4507 CTP v. Floridan Foods, LLC d/b/a The Green Store Food Mart 1072016.01.14 CR4506 J. Jerry Rodos, D.O v. CMS2016.01.13 CR4505 Director of the Office for Civil Rights v. Lincare, Inc., d/b/a United Medical2016.01.12 CR4504 Deshonna Coleman-Peterson v. The Inspector General2016.01.12 CR4503 Westchester Surgical Associates, PLLC v. CMS2016.01.12 CR4502 CTP v. Massood Ali d/b/a 7-Eleven Store 10371A2016.01.08 ALJ Ruling No. 2016-7 Accuread Quality Mobile X-Rays, LLC v. CMS2016.01.08 CR4501 Doris U. Tan, M.D., P.C. v. CMS2016.01.07 CR4500 Parkview Adventist Medical Center v. CMS2016.01.06 CR4499 CTP v. Vegas, Inc. d/b/a Vegas Liquor and Wine Shoppe

                    
  


Content created by Departmental Appeals Board (DAB) Content last reviewed September 27, 2018 Back to top
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