2021 ALJ Decisions


2021.12.28 CR6010 Glenview Terrace Nursing Center v. CMS
2021.12.28 CR6009 Oakwood Manor Nursing Home v. CMS
2021.12.23 CR6008 Christopher Lynn Kyzar v. The Inspector General
2021.12.21 CR6007 Andrea Moniquea Jackson Henry, DDS v. The Inspector General
2021.12.21 CR6006 Heidi Woody, NP, formally known as Heidi Richards, NP v. CMS
2021.12.21 CR6005 Yolanda Hamilton, M.D. v. The Inspector General
2021.12.17 CR6004 Daisy Holdings, LLC d/b/a Pine Creek Care Center v. CMS
2021.12.17 CR5999 411 Urgent Care Center, LLC v. CMS
2021.12.16 CR6003 Michelle Kapon, MD and Michelle Kapon, MD, LLC v. CMS
2021.12.23 CR6002 Redbanks Colonial Terrace v. CMS
2021.12.16 CR6001 In re LCD Complaint: Hyaluronan Acid Therapies for Osteoarthritis of the Knee (L35427)
2021.12.15 CR6000 Cucumber Holdings, LLC dba Stoney Point Healthcare Center v. CMS
2021.12.10 ALJ Ruling No. 2022-1 New Castle Health and Rehabilitation Center v. CMS
2021.12.10 CR5998 Astoria Pharmacy Inc. v. CMS
2021.12.09 CR5997 In re LCD Complaint: MolDX: Genetic Testing for Hypercoagulability / Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) (L36159)
2021.12.08 CR5996 Sonjay Fonn, D.O. and Midwest Neurosurgeons, LLC v. CMS
2021.12.07 CR5995 In re LCD Complaint: Urological Supplies (L33803)
2021.12.03 CR5994 John O. Dimowo, MD v. CMS
2021.12.03 CR5993 In re LCD Complaint: Implantable Continuous Glucose Monitors (I-CGM) (L38743)
2021.12.02 CR5992 Musu Kandeh v. The Inspector General
2021.12.02 CR5991 Ennis Care Center v. CMS
2021.12.01 CR5990 Fawad Hameedi v. CMS
2021.11.30 CR5989 Generations at Rock Island v. CMS
2021.11.30 CR5988 Bedford Care Center of Newton v. CMS
2021.11.30 CR5987 Alan DeSilva, MD v. CMS
2021.11.24 CR5986 Ifeanyi Udezulu, M.D. and Lily Internal Medicine & Associates, LLC v. CMS
2021.11.24 CR5984 Epic Nursing & Rehabilitation v. CMS
2021.11.24 CR5983 Shelia Ann Reed v. The Inspector General
2021.11.23 CR5985 Bernadette Iguh, M.D. v. The Inspector General
2021.11.19 CR5982 Denver David Tackett, DMD v. The Inspector General
2021.11.18 CR5981 Devine Solutions Group LLC d/b/a Quick Response EMS v. CMS
2021.11.18 CR5980 Louise Knudson, CRNA v. CMS
2021.11.17 CR5979 Griffith Park Healthcare Center v. CMS
2021.11.12 CR5978 Farah Divanbeigi, D.D.S. v. The Inspector General
2021.11.12 CR5977 Country Lawn Center for Rehabilitation and Nursing Care, Inc. v. CMS
2021.11.09 CR5976 Laboratorio Concordia Lugaro v. CMS
2021.11.09 CR5975 Life Care Center of Kirkland v. CMS
2021.11.04 CR5974 Navasota Nursing and Rehabilitation LP v. CMS
2021.11.01 CR5973 Skyview Care and Rehab at Bridgeport v. CMS
2021.10.27 CR5972 College Park Rehabilitation and Care Center v. CMS
2021.10.26 CR5971 Deriviere Medical Corporation v. CMS
2021.10.25 CR5970 Fame Health Care Services, Inc. v. CMS
2021.10.22 CR5969 Timothy Ekhlassi, M.D., M.P.H. v. CMS
2021.10.22 CR5968 DiNapoli and DiNapoli, Inc. v. CMS
2021.10.22 CR5967 Frank B. Lee, M.D. v. CMS
2021.10.21 CR5966 Lee Snyder, MD v. CMS
2021.10.21 CR5965 In re LCA Complaint: Home PT/INR Monitoring for Anticoagulation Management (LCA A55754)
2021.10.20 CR5964 Darlene Chavez, CSW v. CMS
2021.10.20 CR5963 Donald Willems v. The Inspector General
2021.10.19 CR5962 Pine Brook Care Center v. CMS
2021.10.19 CR5961 Longview Hill Nursing and Rehabilitation Center v. CMS
2021.10.18 CR5960 Samuel Bride, M.D. v. CMS
2021.10.15 CR5959 Bucksport Regional Health Center v. CMS
2021.10.12 CR5958 Parth S. Bharill, M.D. v. CMS
2021.10.12 CR5957 John Nwora, MD v. CMS
2021.10.08 CR5956 Dr. Ajibola Ayeni v. The Inspector General
2021.09.30 CR5955 Kern River Transitional Care v. CMS
2021.09.30 CR5954 Kakra S. Gyambibi, MD v. CMS
2021.09.30 CR5952 Arcadia Medical Center, LLC v. CMS
2021.09.29 CR5953 Michael Edward Barri v. The Inspector General
2021.09.29 CR5951 Countryside Health Center Operations, LLC v. CMS
2021.09.29 CR5950 Elkader Care Center v. CMS
2021.09.29 CR5949 Sarasota Memorial Nursing and Rehabilitation Center v. CMS
2021.09.24 CR5948 Geer Nursing and Rehabilitation v. CMS
2021.09.23 CR5947 Gardens of McGregor and Amasa Stone v. CMS
2021.09.22 CR5946 Paulette Jackson v. The Inspector General
2021.09.20 CR5945 Mark Pluym, M.D. v. CMS
2021.09.20 CR5944 Aiken Neurosciences and Pain Management, LLC v. CMS
2021.09.20 CR5942 Morris View Healthcare Center v. CMS
2021.09.17 CR5943 Life Care Center of Copper Basin v. CMS
2021.09.15 CR5941 Regency Park Nursing Center v. CMS
2021.09.15 CR5937 Jaga Nath S. Glassman, M.D. v. CMS
2021.09.14 CR5939 Union City Care Center v. CMS
2021.09.13 CR5940 Shiloh Nursing and Rehab, LLC v. CMS
2021.09.13 CR5938 Trishwant Garcha, MD v. CMS
2021.09.07 CR5936 Lilia Gorovits, M.D. v. CMS
2021.09.02 CR5935 Wells LTC Partners, Inc. v. CMS
2021.09.01 CR5934 Kasra Morshedizadeh, MD v. CMS
2021.08.30 CR5833 Tammy Mae Bortz v. The Inspector General
2021.08.23 CR5932 Ronald Gaster, MD v. CMS
2021.08.23 CR5931 Village Apothecary, Inc. v. CMS
2021.08.19 CR5930 Lindberg Crossing Senior Living v. CMS
2021.08.18 CR5929 Thomas Heggen, M.D. v. CMS
2021.08.18 CR5928 Shaun Thaxter v. The Inspector General
2021.08.18 CR5927 Symphony at 87th Street v. CMS
2021.08.17 CR5926 Sunsites Pearce Fire District v. CMS
2021.08.17 CR5925 Broadway By The Sea v. CMS
2021.08.17 CR5924 Alexandria Care Center v. CMS
2021.08.16 CR5923 Vision Services, P.C. v. CMS
2021.08.13 CR5921 Riverside Nursing and Rehabilitation Center v. CMS
2021.08.12 ALJ Ruling No. 2021-7 Chesapeake Bay Holdings, LLC d/b/a Clearwater Healthcare Center v. CMS
2021.08.12 CR5922 Lutheran Home v. CMS
2021.08.12 CR5920 Megan Schweizer, FNP v. CMS
2021.08.11 CR5919 In re LCD Complaint: Ambulance Services (Ground Ambulance)
2021.08.10 CR5918 Anthony Agadzi, M.D. v. CMS
2021.08.10 CR5917 Champion Chiropractic Life Center, Inc. v. CMS
2021.08.09 CR5916 Dennis D. Tedford, M.D. v. The Inspector General
2021.08.03 CR5915 In re LCD Complaint: Tumor Treatment Field Therapy
2021.08.03 CR5914 Pulmonary and Critical Care Specialists of Northern Virginia v. CMS
2021.08.03 CR5913 Sundance Inn Health Center v. CMS
2021.08.02 CR5906 Sunrise Lee v. The Inspector General
2021.07.29 CR5912 Melissa Sulima v. Social Security Administration
2021.07.27 CR5911 Pacific Health Education Cognitive Center v. CMS
2021.07.26 CR5910 In re LCD Complaint: Wheelchair Options/Accessories
2021.07.21 CR5909 Robin Snead, M.D. v. CMS
2021.07.21 CR5908 In re LCD Complaint: Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea (L33718)
2021.07.21 CR5907 Mercy Home Care, Sioux City v. CMS
2021.07.14 CR5905 Sweet Brook of Williamstown Rehabilitation & Nursing Center v. CMS
2021.07.14 CR5903 The Cleveland Clinic Foundation v. CMS
2021.07.13 CR5904 Providence Mount St. Vincent v. CMS
2021.07.12 CR5900 Samuel Behrman v. CMS
2021.07.09 ALJ Ruling No. 2021-6 The Heights of Tomball v. CMS
2021.07.09 CR5902 In re LCD Complaint: Tumor Treatment Field Therapy
2021.07.08 CR5901 TMK Enterprises v. CMS
2021.07.07 CR5899 Marilou Maya Zananski v. The Inspector General
2021.07.07 CR5898 Richard Melville, PT, DPT, ATC v. CMS
2021.07.07 CR5897 Briarcrest Nursing Center v. CMS
2021.07.07 CR5896 In re LCD Complaint: Hemoglobin A1C Level
2021.07.02 CR5895 Jeffrey Nelson, M.D. v. CMS
2021.07.01 CR5894 Mahendra Shah, MD v. CMS
2021.06.29 CR5893 Edward S. Ragsdale, Ph.D. v. CMS
2021.06.29 CR5892 Neil Niren, MD v. CMS
2021.06.28 CR5891 Carolann M. Oliphant v. The Inspector General
2021.06.23 CR5890 Signature HealthCARE at Jackson Manor Rehab and Wellness Center v. CMS
2021.06.21 CR5889 Alden Terrace Convalescent Hospital v. CMS
2021.06.17 CR5888 Windows for Hope, Inc. v. CMS
2021.06.14 CR5887 Justin LaMonda, MD and Justin G. LaMonda, MD LLC v. CMS
2021.06.14 CR5886 Ann Marie Nelson v. The Inspector General
2021.06.11 CR5885 Spectrum Health Rehab and Nursing Center - Fuller Ave v. CMS
2021.06.11 CR5879 Dimitrios N. Minadakis, PA-C, et. al. v. CMS
2021.06.10 ALJ Ruling No. 2021-5 Shaun Thaxter v. The Inspector General
2021.06.10 CR5884 Montgomery County Nursing Home v. CMS
2021.06.09 CR5883 Ifeanyi Irubor v. The Inspector General
2021.06.08 CR5882 Wilfredo Nieves v. The Department of Health and Human Services
2021.06.07 CR5881 Stanford Care and Rehabilitation v. CMS
2021.06.07 CR5880 Huntington Healthcare Center v. CMS
2021.06.03 CR5878 St. Petersburg Nursing and Rehabilitation v. CMS
2021.06.02 CR5877 Anthony Bruce Camillo v. The Inspector General
2021.06.02 CR5876 In re LCD Complaint: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy (Noridian Healthcare Solutions - L34993)
2021.05.28 CR5875 Paul Iweriebor, CRNP v. CMS
2021.05.26 CR5874 Wilton C. Calderon Jr. v. The Inspector General
2021.05.24 CR5870 Rishi Ramdial v. The Inspector General
2021.05.24 CR5869 Ana Guitty v. The Inspector General
2021.05.21 CR5873 Legend Healthcare and Rehabilitation - Paris v. CMS
2021.05.20 CR5872 Scotty Rose v. CMS
2021.05.19 ALJ Ruling No. 2021-4 Stockdale Residence and Rehabilitation Center v. CMS
2021.05.18 CR5871 Nikki N. Kim, MD v. CMS
2021.05.17 CR5867 Advanced Rehabilitation and Healthcare of Live Oak v. CMS
2021.05.14 CR5868 Dr. Eric Thomas v. CMS
2021.05.13 ALJ Ruling No. 2021-3 AristaCare at Whiting v. CMS
2021.05.13 CR5866 Brown Chiropractic LLC v. CMS
2021.05.13 CR5865 Rego Park Health Care v. CMS
2021.05.11 CR5864 James M. Hawk v. CMS
2021.05.04 CR5863 Kennybrook Village v. CMS
2021.05.04 TB5285 CTP v. Tasbeeh Petroleum Inc. d/b/a Mobil Mart
2021.05.03 CR5862 Sports Medicine Rehabilitation Associates, By Casiano Flaviano, MD v. CMS
2021.04.29 CR5861 Justin Camillo and ACN Medical Labs v. CMS
2021.04.28 CR5860 Eddie Rosa, M.D. v. CMS
2021.04.28 CR5859 The Rosewood Health Center v. CMS
2021.04.27 ALJ Ruling No. 2021-2 The Medical Resort at Willowbrook v. CMS
2021.04.26 CR5858 Luis F. Ycaza, D.O. v. CMS
2021.04.20 CR5857 Abdul-Hady Kheder, MD, Americare Medical Associates, LLC, and Hamilton Hospitalists, LLC v. CMS
2021.04.16 CR5856 Peter Nwoke, MD v. CMS
2021.04.16 CR5855 Wade D. Abbey, O.D. v. CMS
2021.04.14 CR5854 Pennsylvania Nursing and Rehabilitation Center v. CMS
2021.04.14 CR5853 The Voorhees Care and Rehabilitation Center v. CMS
2021.04.13 CR5852 Uma Chintapalli, MD v. CMS
2021.04.12 CR5851 Villa Marin v. CMS
2021.04.09 CR5850 Tomas Jelinek, PT and Hawk Associates, Inc. v. CMS
2021.04.08 CR5849 Presbyterian Village v. CMS
2021.04.08 CR5848 Cristina Tobon-Chung, FNP v. CMS
2021.04.08 CR5847 Jaqueline Howard, MD v. CMS
2021.04.07 CR5844 Presbyterian Village v. CMS
2021.04.06 CR5846 Salman Ali, DPT v. The Inspector General
2021.04.06 CR5845 Roohi Ali, DPT v. The Inspector General
2021.04.06 CR5842 Holiday Care Center v. CMS
2021.04.05 CR5843 Cheryl Ackerman, MD v. CMS
2021.03.31 CR5841 Shirley Ann Douglas v. The Inspector General
2021.03.26 CR5840 David Lee Smith, M.D. v. CMS
2021.03.24 CR5839 Victoria Care Center v. CMS
2021.03.24 CR5838 In re LCD Complaint: Glucose Monitors (LCD No. L33822)
2021.03.24 CR5837 Grays Harbor Health & Rehabilitation Center v. CMS
2021.03.24 CR5834 In re LCD Complaint: Vitamin D Assay Testing (L34051)
2021.03.23 CR5836 Shore Meadows Rehab & Nursing Center v. CMS
2021.03.23 CR5835 Palm Gardens Center for Nursing and Rehabilitation v. CMS
2021.03.23 TB5284 CTP v. KDC, Inc. d/b/a Zip's Party Store / Marathon
2021.03.23 TB5283 CTP v. Cape Tobacco Inc. d/b/a Santa Tobacco
2021.03.18 TB5282 CTP v. A and Imran Corporation d/b/a Discount Mart 24/7
2021.03.17 CR5833 Yazan B. Al-Madani, DDS v. The Inspector General
2021.03.11 CR5832 Generations at Lincoln v. CMS
2021.03.11 TB5281 CTP v. Randleman Trading, Inc. d/b/a Carolina Super Mart
2021.03.10 CR5831 Jodi Lynn Levins v. The Inspector General
2021.03.04 CR5830 Aleksey Illyuk v. CMS
2021.03.03 CR5829 Kathryn Ann Olson v. The Inspector General
2021.03.03 CR5828 York Healthcare and Wellness Centre v. CMS
2021.03.01 CR5827 Steven Noskow, MD v. CMS
2021.02.26 CR5826 Arnold Jerome Hudson v. The Inspector General
2021.02.25 CR5825 Briana L. Boyd, M.D. v. CMS
2021.02.25 CR5824 Debra L. Anderson, PhD v. CMS
2021.02.23 CR5823 Elizabeth Smelik v. CMS
2021.02.23 CR5822 Wax David Flowers, Ph.D. v. The Inspector General
2021.02.22 CR5821 Shashibala Soni, M.D. v. CMS
2021.02.22 TB5280 CTP v. Sublime Plus Inc. d/b/a City Mini Mart
2021.02.19 CR5820 Martin Maag, M.D. v. CMS
2021.02.19 CR5819 Generations at Peoria v. CMS
2021.02.19 CR5818 Christopher Bowers, DC and Bowers Chiropractic PLLC v. CMS
2021.02.18 CR5817 Elite Care Ambulance, Inc. d/b/a Care Plus Medical Services v. CMS
2021.02.18 CR5816 Sun Health La Loma Care Center v. CMS
2021.02.18 CR5814 Ramona Alea, CRNA and Alea Anesthesia, P.A. d/b/a Alea Enterprises, LLC v. CMS
2021.02.17 CR5815 Thomas Sahs v. The Inspector General
2021.02.16 CR5813 Adobe ENT & Allergy, LLC v. CMS
2021.02.16 CR5812 Potomac Falls Health & Rehab Center v. CMS
2021.02.11 CR5811 Golden Living Center - Morgantown v. CMS
2021.02.11 CR5810 Chaudary Kahan v. The Inspector General
2021.02.10 CR5809 Stephen D. White, M.D. v. CMS
2021.02.10 CR5808 Medical Social Services of South East Texas, Inc. v. CMS
2021.02.10 CR5807 Mohsen T. Moghaddam, MD v. CMS
2021.02.05 CR5806 Michael Elliott, DC v. CMS
2021.02.05 CR5801 Padmaja Chalasani and Chalasani, M.D., Inc. v. CMS
2021.02.04 CR5805 Redwood Healthcare Center, LLC v. CMS
2021.02.03 CR5804 Lamont J. Cardon, M.D. and Lamont J. Cardon MD A Professional Corporation v. CMS
2021.02.03 CR5803 Michael Flood, D.P.M. v. The Inspector General
2021.02.02 CR5802 Dr. Howard Van Nostrand, DC v. CMS
2021.01.29 CR5800 Ronald Grusd, M.D. v. CMS
2021.01.29 CR5798 Lawrence Street Health Care Center v. CMS
2021.01.27 CR5799 Paul Brody, DPM v. CMS
2021.01.26 CR5797 Karim Maghareh, Ph.D. and BestCare Laboratory Services, LLC v. CMS
2021.01.26 CR5796 Sterling Place, LLC v. CMS
2021.01.25 TB5276 CTP v Karter One LLC d/b/a Kartar Food Mart/Phillips 66
2021.01.22 CR5795 Jeffrey K. McIlroy, MD, Inc. v. CMS
2021.01.22 CR5794 Alan Marcus, M.D. and South Orange County Endocrinology v. CMS
2021.01.15. TB5275 CTP v M.M. Fowler, Inc. d/b/a Family Fare/BP
2021.01.12 CR5792 Medford Multicare Center for Living v. CMS
2021.01.08 TB5274 CTP v Richard Lorenz d/b/a Rick's Gas Station
2021.01.07 CR5793 Franciscan Health Michigan City v. CMS

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