2016 ALJ Decisions

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2016.12.30 CR4766 Mark Tuan Le v. The Inspector General
2016.12.29 CR4765 CTP v. East End Kitchen and Market, LLC
2016.12.22 TB648 CTP v. Fred Ford and Betty Ford d/b/a F. and B. Gro
2016.12.22 ALJ Ruling No. 2017-6 Karen Ingrid Hunt, M.D. v. CMS
2016.12.20 ALJ Ruling No. 2017-5 Shadow Creek Medical Clinic and Fairway Medical Clinic v. CMS
2016.12.20 ALJ Ruling No. 2017-4 Dr. Sheri-Blum, MS, CCC-SLP v. HHS
2016.12.19 TB625 CTP v. Mi Tiendita, LLC d/b/a Mi Tiendita Mini Mart
2016.12.16 TB603 CTP v. 3 Amigos L.L.C. d/b/a Cowboy Country Store 4
2016.12.08 TB586 CTP v. Azaan Petro Inc. d/b/a Crown
2016.11.22 TB509 CTP v. Kat Party Store, Inc. d/b/a Mr. Grocer Liquor Store
2016.12.21 CR4764 Texas Medical Care, LLC. v. CMS
2016.12.16 CR4763 East Tennessee Pulmonary Associates, PC v. CMS
2016.12.15 CR4762 Twinbrook Nursing Home v. CMS
2016.12.15 CR4761 Mel E. Lucas, D.O., v. The Inspector General
2016.12.13 CR4760 Dallas Home Health Care, Inc. v. CMS
2016.12.13 CR4759 Decatur Health Imaging, LLC v. CMS
2016.12.09 CR4758 Perry Coalman, M.D. v. CMS
2016.12.08 CR4757 Pharmacy Toi v. CMS
2016.12.08 CR4756 Dora O. Uwudia v. The Inspector General
2016.12.08 CR4755 Lydia A. Aguilar v. The Inspector General
2016.12.08 CR4754 Dallas County Hospital District d/b/a East Dallas Health Center v. CMS
2016.12.08 CR4753 Elizabeth A. Conroy, CRNA v. CMS
2016.12.07 CR4752 Brian P. Rajca, M.D. v. CMS
2016.12.07 CR4751 Goldenwood Services, LLC v. CMS
2016.12.05 CR4750 Integrative Rehabilitation Associates, LLC v. CMS
2016.12.01 CR4749 Leroy Manner v. CMS
2016.11.30 CR4748 Diabetes & Endocrine Associates, P.C. v. CMS
2016.11.30 CR4747 Rufus Edgar Sadler v. The Inspector General
2016.11.29 CR4746 Huron Valley Physicians, PLLC, v. CMS
2016.11.29 CR4745 Canal Street Pharmacy, Inc. v. CMS
2016.11.28 CR4744 Anchor Home Healthcare Services, Inc. v. CMS
2016.11.28 CR4743 Peter A. Lodewick, M.D. v. The Inspector General
2016.11.23 CR4742 Brett Taylor, D.C. v. CMS
2016.11.22 CR4741 Harry K. Wong, M.D.D v. CMS
2016.11.30 CR4740 Mr. Neb, LLC. v. CMS
2016.11.18 CR4739 AAA Health Services Inc. v. CMS
2016.11.17 CR4738 Arlene Bailey v. The Inspector General
2016.11.21 CR4737 CTP v. Phero and Anna, Inc. d/b/a Lone Star Market 2
2016.11.15 CR4736 Hussein Awada, M.D. v. The Inspector General
2016.11.10 CR4735 Envoy of Stratford Hills v. CMS
2016.11.10 CR4734 Erin Wells, IBCLC v. CMS
2016.11.10 CR4733 Harris Histology Services v. CMS
2016.11.10 CR4732 Saeed Bajwa, M.D. v. CMS
2016.11.09 CR4731 Kimberly Shipper, P.A., v. CMS
2016.11.08 CR4730 Total Kidney Care, LLC, v. CMS
2016.11.08 CR4729 Melanie K. Walker v. The Inspector General
2016.11.07 CR4728 Sandwich Rehabilitation & Health Care Center v. CMS
2016.11.08 CR4727 CTP v. Mei Juan You d/b/a Hunan Garden
2016.11.02 ALJ Ruling No. 2017-3 Gopal Popli, M.D. v. CMS
2016.10.27 CR4726 John Spencer Chikeziem Archinihu, M.D. v. The Inspector General
2016.10.27 ALJ Ruling No. 2017-2 Samuel Gerson, M.D. v. The Inspector General
2016.10.27 ALJ Ruling No. 2017-1 Brighton Convalescent Center v. CMS
2016.10.24 CR4725 AL Peoria LLC dba AlingnLife of Peoria v. CMS
2016.10.24 CR4724 Ponon D. Kumar, M.D. v. CMS
2016.10.21 CR4723 Lindsay Zamis, M.D. @ Lindsay Zamis, M.D., a Professional Corporation v. CMS
2016.10.19 TB393 CTP v. J.A.C. Fine Wine and Spirits, Inc d/b/a Friendly Liquors
2016.10.18 CR4722 Santa Rosa Orthopaedic Medical Group Inc. v. CMS
2016.10.14 CR4721 Health First Medical Suppliers, LLC v. CMS
2016.10.13 CR4720 James Shepard, M.D. v. CMS
2016.10.07 CR4719 Mountain Vista Health Center v. CMS
2016.10.04 CR4718 Sue Ann Spece v. The Inspector General
2016.09.30 CR4717 Sharon Brown v. The Inspector General
2016.09.30 CR4716 Melissa Michelle Phalora v. The Inspector General
2016.09.28 CR4715 Fireside Lodge Retirement Center, Inc., v. CMS
2016.09.28 CR4714 Francis T. Kangethe, M.D. v. CMS
2016.09.28 CR4713 CTP v. Friends and Brothers, Inc. d/b/a Amy's Liquor
2016.09.21 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 General
2016.09.27 CR4712 Lindsay Marie (Wall) Wolfe v. The Inspector General
2016.09.27 CR4711 Farrokh Alemzadeh, M.D. v. CMS
2016.09.22 CR4710 Ahab Elmadhoun v. The Inspector General
2016.09.21 CR4709 Grady R. Fort, M.D. v. CMS
2016.09.20 CR4707 James T. Murphy, M.D. v. CMS
2016.09.20 ALJ Ruling No. 2016-20 Karim Maghareh, Ph.D. and BestCare Laboratory Services, LLC v. The Inspector General
2016.09.16 CR4706 Covington Manor Nursing Home v. CMS
2016.09.15 CR4705 CTP v. Daniel D. Moore d/b/a A B C
2016.09.15 CR4704 Heartland Health Care Center – Kendall v. CMS
2016.09.13 CR4703 Frederick Brodeur, M.D. v. CMS
2016.09.13 CR4702 Leila Reed, PA-C v. CMS
2016.09.09 ALJ Ruling No. 2016-19 West Side House LTC Facility v. CMS
2016.09.08 CR4701 Bayou Shores, SNF, LLC, d/b/a Rehabilitation Center of St. Petersburg v. CMS
2016.09.08 CR4700 Robert Kolbusz, M.D. v. The Inspector General
2016.09.07 CR4699 Rebecca Koontz v. The Inspector General
2016.09.06 CR4698 CTP v. Joy and Evergreen Petro, Inc. d/b/a Sunoco
2016.09.02 CR4697 Miracle Deeds Medical Supplies, LLC v. CMS
2016.08.30 CR4696 Ezmina Lalani, D.O. v. CMS
2016.08.30 CR4695 Hartford HealthCare at Home, Inc. v. CMS
2016.08.30 CR4694 Fullerton-Kimball Medical & Surgical Center – Laboratory v. CMS
2016.08.30 ALJ Ruling No. 2016-18 Brookdale Mountain View v. CMS
2016.08.29 CR4693 Andrew S. Martin, M.D. v. CMS
2016.08.29 CR4692 Inspector General, U.S. Department of Health & Human Services v. Mohammad Siddique, M.D. and Shoals Medical Group, LLC
2016.08.26 CR4691 Superior Oxygen & Medical Equipment, Inc. v CMS
2016.08.29 CR4690 St. Anthony’s Nursing and Rehabilitation Center v CMS
2016.08.19 CR4689 Tara Lyn Justin v. The Inspector General
2016.08.22 CR4688 CTP v. Shreeyamuna, LLC d/b/a Woodside Mini Mart
2016.08.18 CR4687 Edna Tunis v. The Inspector General
2016.08.18 CR4686 Evelyn A. Kadia v. The Inspector General
2016.08.17 CR4685 Rochelle Gardens Care Center, v. CMS
2016.08.16 CR4684 Joseph Peet, v. The Inspector General
2016.08.16 CR4683 Carolyn R. Parker, v. The Inspector General
2016.08.16 CR4682 Optimus Homecare LLC, v. CMS
2016.08.16 CR4681 Gregory Allen Louck, v. The Inspector General
2016.08.16 CR4680 Paul L. Guarino, v. The Inspector General
2016.08.12 CR4679 Tina G. Caron a/k/a Tina G. Ehlenbach a/k/a Tina G. Henthorne, v. The Inspector General
2016.08.12 CR4678 Heartflow, Inc., v. CMS
2016.08.10 CR4677 Vamet Consulting & Medical Services v. CMS
2016.08.10 CR4676 Diane Hendricks, v. CMS
2016.08.08 CR4675 Shona Alexander, NP, v. CMS
2016.08.05 CR4674 Robert Miles, Jr., D.P,M. v. CMS
2016.08.05 CR4673 Nathaniel Witherell, v. CMS
2016.08.04 CR4672 Doron Feldman, M.D., v. The Inspector General
2016.08.04 CR4671 Tamara Rene Taylor v. The Inspector General
2016.08.02 CR4670 Avon Nursing Home, v. CMS
2016.08.01 CR4669 Angel Kidney Care of Inglewood, Inc. v. CMS
2016.08.01 ALJ Ruling No. 2016-16 Rockmart Health & Rehab, LLC, v. CMS
2016.08.01 ALJ Ruling No. 2016-15 Jeffersonville Health & Rehab, LLC, v. CMS
2016.07.29 CR4668 Heather A. Panek, v. The Inspector General
2016.07.29 CR4667 MedAlert Medical Equipment and Supplies, Inc. v. CMS
2016.07.28 CR4666 Esmeralda Ybarra a/k/a Esmeralda Vargas, v. CMS
2016.07.28 CR4665 Medical and Foot Care Group, S.C., v. CMS
2016.07.26 CR4664 Nicola I. Riley, M.D., v. CMS
2016.07.25 ALJ Ruling No. 2016-14 Great Lakes Healthcare, LLC, v. CMS
2016.07.25 CR4663 David B. Gomez, O.D., v. CMS
2016.07.21 CR4662 Colorado State Veterans Home at Fitzsimons v. CMS
2016.07.20 CR4661 Pueblo Family Physicians v. CMS
2016.07.14 CR4660 Mumtaz Tabbaa, M.D., v. CMS
2016.07.12 CR4659 Kindred Transitional Care and Rehab-Greenfield, v. CMS
2016.07.12 CR4658 Pamela J. Cortez a/k/a Pamela J. Cruz v. The Inspector General
2016.07.11 CR4657 Angelo D. Calabrese, M.D. v. The Inspector General
2016.07.11 CR4656 In re CMS LCD Complaint: Immunosuppressive Drugs
2016.07.05 CR4655 CTP v. Vishwa Dev Rattan d/b/a Low Bob's
2016.07.01 ALJ Ruling 2016-13 Joel G. Bailey, OD, v. CMS
2016.06.30 CR4653 Clemenceau Theophilus Acquaye v. The Inspector General
2016.06.29 CR4652 Srinivas Suram Reddy v. The Inspector General
2016.06.28 CR4651 Jersey City Medical Supplies, Inc. v. CMS
2016.06.28 CR4650 Gracia L. Maynard, M.D. v. The Inspector General
2016.06.28 CR4649 Anna Zaichik v. The Inspector General
2016.06.27 CR4648 Joseph M. Asprec, M.D. v. CMS
2016.06.27 CR4647 Joanne Parkhurst v. The Inspector General
2016.06.28 CR4646 CTP MFN Services Corp. d/b/a 7-Eleven 32620
2016.06.24 CR4645 Heather Anne Howells v. The Inspector General
2016.06.24 CR4644 Barbara Vizy, M.D. v. CMS
2016.06.24 CR4643 Richard Weinberger, M.D. v. CMS
2016.06.23 CR4642 Cecilia Valdes v. The Inspector General
2016.06.23 CR4641 CTP v. Family Diskount Food Stores Inc.,
2016.06.22 CR4640 Reginald Eugene Smith v. The Inspector General
2016.06.21 CR4639 Eduardo Miranda, M.D. v. The Inspector General
2016.06.21 CR4638 Christy Nichols Frugia v. The Inspector General
2016.06.21 CR4637 Mohamed Basel Aswad, M.D. v. The Inspector General
2016.06.16 CR4636 Basil Mangra, M.D. v. CMS
2016.06.17 CR4635 Regency Rehabilitation Center v. CMS
2016.06.17 CR4634 LeKeytra Washington, NP v. CMS
2016.06.16 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. CMS
2016.06.10 ALJ Ruling No. 2016-11 Michele Peetz, FNP-C v. CMS
2016.05.31 CR4632 SSA v. JACC
2016.05.31 CR4631 George E. Anderson, M.D.
2016.05.31 CR4630 Southern Rhode Island Pulmonary and Critical Care LLC
2016.05.31 CR4628 Robert C. Hartnett
2016.05.31 CR4627 Jean-Claude Henry, M.D.
2016.05.31 CR4626 Potters House Family Clinic, LLC
2016.06.06 CR4625 CTP v. Hartmann's Moonshine Shoppe, LLC d/b/a The Moonshine Shoppe
2016.05.31 CR4624 Michael Dale Garritson
2016.05.31 CR4623 Hrak Derderian, M.D.
2016.05.31 CR4621 Advanced Clinical Solutions, Inc.
2016.05.31 CR4620 Dorsey Matthew
2016.05.26 CR4619 Willie Goffney, Jr., M.D.
2016.05.26 CR4618 CTP v. Summerton Drugs Compounding and Dispensary LLC d/b/a Summerton Drugs
2016.05.25 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 Market
2016.05.20 CR4612 Grace Udoka Edoho-Ukwa
2016.05.19 CR4611 Perry Tan Nguyen
2016.05.17 CR4610 Diplomat Pharmacy, Inc.
2016.05.16 CR4609 Dawn Patricia Tamagni
2016.05.13 CR4608 Sammy W. Kidd v. The Inspector General
2016.05.12 CR4607 Natalie Vallot, CRNA v. CMS
2016.05.11 CR4606 Robert Treuherz, M.D. v. The Inspector General
2016.05.09 CR4605 Nightingale Home Healthcare, Inc. v. CMS
2016.05.06 CR4604 True Medical and Foot Group, LLC v. CMS
2016.05.06 CR4603 Talmadge Park, Inc. v. CMS
2016.05.06 CR4602 Charles Brian Griffin v. The Inspector General
2016.05.04 CR4601 Avalon Place Trinity v. CMS
2016.05.03 ALJ Ruling No. 2016-10 San Francisco Health Care v. CMS
2016.05.03 CR4600 Joel Adrian Milliner, M.D. v. The Inspector General
2016.05.03 CR4599 Burlington House Nursing Home v. CMS
2016.05.02 CR4598 Littlefield Hospitality v. CMS
2016.05.02 CR4597 Layne R. Christensen, OD v. CMS
2016.04.29 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 General
2016.04.28 CR4594 William Britt Morris, D.M.D. v. The Inspector General
2016.04.26 CR4593 CTP v. Vasudevay LLC d/b/a Town News and Tobacco
2016.04.25 ALJ Ruling No. 2016-9 Michele Peetz, FNP-C v. CMS
2016.04.25 CR4592 Harton Clinic Company, LLC v. CMS
2016.04.25 CR4591 Russell McDow, M.D. v. CMS
2016.04.19 CR4590 CTP v. Albert S. Fox d/b/a Bottle Shop
2016.04.19 CR4589 Forroux Orthotics & Prosthetics, Inc. v. CMS
2016.04.15 CR4588 Farzana Begum, M.D. v. The Inspector General
2016.04.15 CR4587 Barry Kaplowitz, M.D. v. The Inspector General
2016.04.14 CR4586 Catherine Lynne Cameron, R.N. v. The Inspector General
2016.04.14 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/Shell
2016.04.12 CR4583 Briana L. Boyd, M.D. v. The Inspector General
2016.04.12 CR4581 Legend Oaks Healthcare and Rehabilitation-North v. CMS
2016.04.08 CR4580 Wendell Foo, M.D. v. CMS
2016.04.08 CR4579 CTP v. 132 Third, LLC d/b/a Third Avenue Store
2016.04.07 CR4578 Shameika Washington v. The Inspector General
2016.04.08 CR4577 Kamran Hamidi, M.D. and Sina Infectious Diseases Medical Associates, Inc. v. CMS
2016.04.07 CR4576 Alicia Chilito, M.D. v. CMS
2016.04.08 CR4575 Diantha Miller v. The Inspector General
2016.04.07 CR4573 Jodie Knott, Ph.D v. CMS
2016.04.07 CR4572 CTP v. Fort Ave Investments, LLC d/b/a Garden Restaurant and Lounge
2016.04.06 CR4571 Sharon Guei a/k/a Sharon Wells v. The Inspector General
2016.04.05 CR4570 Gerald W. Jones v. The Inspector General
2016.04.04 CR4569 Oceanview Healthcare & Rehabilitation Center v. CMS
2016.04.04 CR4568 John DeCerce, M.D. v. CMS
2016.04.01 CR4567 Central Kansas Cancer Institute, P.A. v. CMS
2016.04.01 CR4566 Russell L. Reitz, M.D. v. CMS
2016.03.31 CR4565 Suzette Guzman-Moore v. The Inspector General
2016.03.30 CR4564 Bledsoe Family Medicine v. CMS
2016.03.30 CR4563 Horace Bledsoe, M.D. v. CMS
2016.03.30 CR4562 Avita Health and Rehab and Reeds Cove v. CMS
2016.03.30 CR4561 William Wyttenbach, M.D. v. The Inspector General
2016.03.29 CR4560 Trinity Bestcare Home Health Agency, LLC v. CMS
2016.03.28 CR4559 AMT Ambulance, Inc. v. CMS
2016.03.24 CR4558 Pierre-Richard Edouard, M.D. v. CMS
2016.03.24 CR4557 Alan D. Mendelsohn, M.D. v. CMS
2016.03.23 CR4556 Lisa Neumiller, NP v. CMS
2016.03.23 CR4555 Deborah A. Mertz, NP v. CMS
2016.03.23 CR4554 Eugene Domenico, Ph.D. v. The Inspector General
2016.03.22 CR4553 Kermit E. White, M.D. & Kermit E. White, M.D., P.C. v. CMS
2016.03.23 CR4552 ProMedical Equipment Supplies, LLC v. CMS
2016.03.22 CR4551 Kevin T. McGinnis, M.D. v. The Inspector General
2016.03.21 CR4550 Kelvin D. Gipson, DPM v. CMS
2016.03.18 CR4549 Ron Loflin, O.D. v. The Inspector General
2016.03.17 CR4548 Rafael Convalescent Hospital v. CMS
2016.03.15 CR4547 Countryside Rehabilitation and Healthcare Center v. CMS
2016.03.15 CR4546 Lee County Care and Rehabilitation Center v. CMS
2016.03.10 CR4545 The Retreat at Brightwater v. CMS
2016.03.10 CR4544 St. Andrews Place v. CMS
2016.03.09 CR4543 Bridgie Anna Gibson-Miller a.k.a. Bridgett A. Finley, Bridgie A. Miller
2016.03.04 CR4542 The Inspector General of the Social Security Administration v. Aretha Harris
2016.03.04 CR4541 Lawrence Carpenter, M.D. v. The Inspector General
2016.03.03 CR4540 Zongli Chang, M.D./Metro Home Visiting Physicians PLLC v. CMS
2016.03.01 CR4539 George M. Young, M.D. v. CMS
2016.03.08 CR4538 Linda Eileen Rosenberg, M.D. v. The Inspector General
2016.02.29 CR4537 Alamo Mobility v. CMS
2016.02.25 CR4536 Randall Wayne Toothaker, D.D.S. v. The Inspector General
2016.02.25 CR4535 Tonya Rushing v. The Inspector General
2016.02.22 CR4534 CTP v. Zenex International Group, LLC d/b/a Zenex Gas N Go / Sunoco Food Mart
2016.02.18 CR4533 Hearthside Rehabilitation & Nursing Center v. CMS
2016.02.18 CR4532 Wills Eye Hospital v. CMS
2016.02.17 CR4531 Professional Management Services, LLC v. CMS
2016.02.10 CR4530 Freedom Pain Hospital v. CMS
2016.02.09 CR4529 Foot Specialists of Northridge v. CMS
2016.02.09 CR4528 Amber Mullins, NP v. CMS
2016.02.08 CR4527 Jason Lee Frazier v. The Inspector General
2016.02.09 CR4526 Josh Hill, P.A. v. CMS
2016.02.08 CR4525 Spyros N. Panos, M.D. v. The Inspector General
2016.02.08 CR4524 Norman Johnson, M.D. v. CMS
2016.02.05 CR4523 Robert E. Deck III, O.D. v. The Inspector General
2016.02.05 CR4522 Subramanya K. Prasad, M.D. v. CMS
2016.02.04 CR4521 Francisco Cintron Acevedo v. The Inspector General
2016.02.04 CR4519 CTP v. C C Patel LLC d/b/a Carousel Deli and Pizzeria
2016.02.02 CR4518 Nova Home Care Agency, Inc. v. CMS
2016.02.01 ALJ Ruling No. 2016-8 Bruceville Terrace v. CMS
2016.02.01 CR4517 Derilyn Serrano-Bernacet v. The Inspector General
2016.01.29 CR4516 Laura Leyva v. The Inspector General
2016.01.29 CR4515 CTP v. Del Prado Gas and Food Mart LLC
2016.01.28 CR4514 Golden Living Center - Superior v. CM
2016.01.28 CR 4513 CTP v CK Smoke Shop, LLC
2016.01.21 CR4512 Roger Lea Scherer v. The Inspector General
2016.01.21 CR4510 Lake Shore Healthcare & Rehabilitation Center v. CMS
2016.01.20 CR4511 Robert James Fink, M.D. v. CMS
2016.01.20 CR4509 CTP v. M A Z Management LLC d/b/a Tyrone Shell
2016.01.15 CR4508 CTP v. Joe Eideh d/b/a 7-Eleven 34428
2016.01.15 CR4507 CTP v. Floridan Foods, LLC d/b/a The Green Store Food Mart 107
2016.01.14 CR4506 J. Jerry Rodos, D.O v. CMS
2016.01.13 CR4505 Director of the Office for Civil Rights v. Lincare, Inc., d/b/a United Medical
2016.01.12 CR4504 Deshonna Coleman-Peterson v. The Inspector General
2016.01.12 CR4503 Westchester Surgical Associates, PLLC v. CMS
2016.01.12 CR4502 CTP v. Massood Ali d/b/a 7-Eleven Store 10371A
2016.01.08 ALJ Ruling No. 2016-7 Accuread Quality Mobile X-Rays, LLC v. CMS
2016.01.08 CR4501 Doris U. Tan, M.D., P.C. v. CMS
2016.01.07 CR4500 Parkview Adventist Medical Center v. CMS
2016.01.06 CR4499 CTP v. Vegas, Inc. d/b/a Vegas Liquor and Wine Shoppe