2020 ALJ Decisions

2020.10.30 TB5254 CTP v. Lsemy LLC d/b/a Trinidad Market and Deli
2020.10.26 TB5252 CTP v. Awad and Iba, LLC d/b/a Food Spot 1
2020.10.16 TB5250 CTP v. Mount Rainier Dollar and Food Mart Inc. d/b/a Alife Dollar Food Mart
2020.10.02 TB5245 CTP v. Kwik Stop 7th. Ave Inc. d/b/a Kwik Stop Food Store
2020.09.18 TB5237 CTP v. Patrick B. Emmert d/b/a Emmert's Market
2020.09.14 TB5236 CTP v. Campustown Stores, Inc. d/b/a Campustown Supply
2020.05.11 ALJ Ruling No. 2020-10 Prodigy Dialysis, LLC v. CMS
2020.09.11 CR5707 In re LCD Complaint: Emergency and Non-Emergency Ground Ambulance Services (L37697)
2020.09.04 CR5705 Dr. Hope Bagley, PhD, LCP, LPC v. CMS
2020.09.03 CR5706 Christopher J. Magnifico, M.D. v. CMS
2020.08.28 TB5230 CTP v. Ash's Tobacconist Inc. d/b/a Ash's Wicker Park Tobacconist
2020.08.28 CR5703 Zia Rahman, MD v. CMS
2020.08.28 CR5702 Melissa Wriglesworth, PA v. CMS
2020.08.28 CR5701 Afily8 Government Solutions, LLC v. CMS
2020.08.28 CR5698 In re LCD Complaint: Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
2020.08.26 CR5699 Tualatin Internal Medicine v. CMS
2020.08.24 CR5696 Law-Den Nursing Home v. CMS
2020.08.21 CR5695 In re LCD Complaint: Glucose Monitors (L33822)
2020.08.20 CR5694 New Century Spine and Outpatient Surgical Institute, LLC v. CMS
2020.08.19 TB5225 CTP v. Sidelines of Bennett, Inc. d/b/a Sidelines Bar Bait and Resort
2020.08.19 CR5693 Louis J. Novak, M.D. v. CMS
2020.08.14 TB5219 CTP v. Ahmed Saeed Bin Saeed d/b/a Smoke Shop 'N' More
2020.08.14 CR5689 Sherif Latef, M.D. v. CMS
2020.08.14 CR5686 Tyler Morgan Scandalios v. Department of Health and Human Services
2020.08.13 CR5688 Autumn Care of Mocksville v. CMS
2020.08.13 CR5687 Rachel E. Scott v. The Inspector General
2020.08.12 CR5685 Curtis Holden, DPM v. CMS
2020.08.11 TB5218 CTP v. Nehmat, LLC d/b/a Shell
2020.08.10 CR5684 James A. Crane, Ph.D. v. CMS
2020.08.10 CR5683 Scott L. Shindler, DPM v. CMS
2020.08.07 CR5682 David Lynch, M.D. v. CMS
2020.08.07 CR5681 Nina Pierpont, MD, PhD v. CMS
2020.08.07 CR5680 Hales Corners Care Center v. CMS
2020.08.05 TB5208 CTP v. Community Mini Market 1 Inc. d/b/a Community Mini Market
2020.08.05 CR5676 Leisure Glen Post Acute Care Center v. CMS
2020.08.04 CR5675 Canton Oaks v. CMS
2020.07.31 TB5202 CTP v. We Got It LLC d/b/a We Got It
2020.07.31 TB5199 CTP v. Famous Cigar, LLC d/b/a Famous Smoke Shop
2020.07.31 CR5674 Green Village Skilled Nursing & Rehabilitation v. CMS
2020.07.30 TB5204 CTP v. Dave R. Pinakin d/b/a A-One Grocery / Corner Cupboard
2020.07.30 CR5673 Nilesh M. Patel, MD, PC v. CMS
2020.07.30 CR5672 Michael Lalezarian, M.D. v. CMS
2020.07.30 ALJ Ruling No. 2020-14 Surgical Care, PC v. CMS
2020.07.28 CR5671 Sound Advice Hearing Doctors, LLC v. CMS
2020.07.28 CR5670 Neha Thakker, PT v. CMS
2020.07.28 CR5669 Erin Engel, DPM v. CMS
2020.07.27 TB5200 CTP v. Amana Mart Inc. d/b/a Quik Mart / Citgo
2020.07.27 CR5668 Brian Harris, M.D. v. CMS
2020.07.27 CR5667 In re LCD Complaint: Noncovered Services
2020.07.27 CR5665 Hussam ElGohary, MD, APC v. CMS
2020.07.27 CR5664 Angela Biesecker v. The Inspector General
2020.07.24 CR5666 Fakhar Ijaz, M.D. v. CMS
2020.07.24 CR5660 Anthony Joseph Moschetto, D.O. v. The Inspector General
2020.07.23 CR5663 Signature Healthcare of Norfolk v. CMS
2020.07.22 CR5662 June Walatkiewicz, LMSW and June A. Walatkiewicz, LMSW, ACSW, LMFT, PLLC v. CMS
2020.07.22 CR5661 Ashlesha Pandhre, DPT v. CMS
2020.07.22 CR5659 Dr. Kenneth Crowe v. CMS
2020.07.22 CR5658 Dani Vedros, LCSW v. CMS
2020.07.21 CR5657 Victoria Falls Skilled Nursing and Rehab v. CMS
2020.07.17 CR5655 Thomas Mattheson, DC and Mattheson Chiropractic and Physical Therapy Center, PLLC v. CMS
2020.07.16 CR5656 William E. Henry v. The Inspector General
2020.07.16 CR5654 Mount Carmel Senior Living v. CMS
2020.07.10 TB5195 CTP v. Miami Sun Express, Inc. d/b/a Shell Food Mart
2020.07.10 CR5653 Daljit Singh, M.D. v. CMS
2020.07.10 CR5647 Respiratory Support Services, Inc. v. CMS
2020.07.09 CR5652 Bradley J. Blakley, M.D. v. CMS
2020.07.09 CR5650 Marlene Henze, M.D. v. CMS
2020.07.08 TB5192 CTP v. Glass N More Store Inc. d/b/a Glass N More Store
2020.07.08 CR5651 Sunnyside Family Medicine PC v. CMS
2020.07.08 CR5649 April Kientz, APRN-C v. CMS
2020.07.07 CR5648 Sullivan County Auditor v. CMS
2020.07.07 CR5646 William H. Kwan, DPM, Inc. v. CMS
2020.07.07 CR5645 Palo Pinto Nursing Center v. CMS
2020.07.06 CR5644 Javel Jackson PsyD v. CMS
2020.07.02 CR5643 Fort Atkinson Emergency Physicians, S.C. v. CMS
2020.07.01 CR5642 Burn and Reconstructive Centers of Idaho, PLLC v. CMS
2020.06.29 CR5640 Lonnie K. Sipsy, DO v. CMS
2020.06.26 CR5641 Kris R. Kile v. The Inspector General
2020.06.26 ALJ Ruling No. 2020-13 In re LCD Complaint: Tumor Treatment Field Therapy
2020.06.26 CR5639 Chaparral House v. CMS
2020.06.24 CR5638 Maria Samantha Quinain, PT, and Stay Fit Physical Therapy & Core Wellness, Inc. v. CMS
2020.06.24 CR5637 Danielle M. Faux and Formula Physical Therapy Corp. v. CMS
2020.06.17 TB5191 CTP v. Uptown Candy and Grocery Corp. d/b/a Uptown Candy Store
2020.06.17 ALJ Ruling No. 2020-12 In re LCD Complaint: Tumor Treatment Field Therapy
2020.06.16 TB5190 CTP v. Rose W. Gunckel d/b/a Gunckels Service
2020.06.16 TB4986 CTP v. Westmont Citgo, Inc. d/b/a Citgo / Ameri Store
2020.06.16 TB4972 CTP v. Zidal Food Store Inc. d/b/a Zidal Food Store
2020.06.16 CR5636 Signature Healthcare of Buckhead v. CMS
2020.06.16 CR5635 Parmod Mukhi, M.D. and Parmod K. Mukhi M.D., P.C. v. CMS
2020.06.15 CR5634 Guillermo Tirado-Menendez, M.D. v. The Inspector General
2020.06.12 CR5633 Stuart Alan Rockwell, D.D.S. v. The Inspector General
2020.06.10 TB5187 CTP v. Perry Gas and Mart, LLC d/b/a Mobil Mart
2020.06.09 CR5632 Saint Anne Nursing and Rehabilitation Center v. CMS
2020.06.08 CR5631 Blanca Lopez Galapon, M.D. v. The Inspector General
2020.06.08 CR5630 Sangjin Oh, MD, PA v. CMS
2020.06.08 CR5629 Timothy Onyiuke, MD v. CMS
2020.06.03 CR5628 C@A Hospice, Inc. v. CMS
2020.06.02 CR5627 Hilltop Park Rehabilitation and Care Center v. CMS
2020.06.01 CR5626 Nakia Palmer v. The Inspector General
2020.06.01 CR5625 Proximal Home Healthcare, Inc. v CMS
2020.06.01 CR5624 Coast to Coast Home Healthcare v. CMS
2020.05.29 CR5623 Haja Conteh v. The Inspector General
2020.05.28 CR5622 Susan K. Brown v. The Inspector General
2020.05.26 CR5621 Diane Marie Krupka a/k/a Diane Marie Salak v. The Inspector General
2020.05.26 CR5620 Robert J. Aquino, M.D. v. CMS
2020.05.22 CR5619 Foot & Ankle of West Georgia, P.C., and Foot & Ankle Surgery Center v. CMS
2020.05.22 CR5618 In re LCD Complaint: Noncovered Services (L33777)
2020.05.21 CR5617 Sandeep Gupta, M.D., et al. v. CMS
2020.05.21 CR5616 Albert Cohen, M.D. v. CMS
2020.05.20 TB5167 CTP v. Go-Mart, Inc. d/b/a Go Mart 35
2020.05.19 TB5162 CTP v. Leung's, Inc. d/b/a El Faro Supermarket
2020.05.18 CR5615 Allen Care Inc. v. CMS
2020.05.15 CR5614 Blessed Home Health Services, Inc. v. CMS
2020.05.15 CR5613 Derek Shadid, M.D. and Shadid Plastic Surgery Associates v. CMS
2020.05.15 CR5612 Lynwood Manor Healthcare Center v. CMS
2020.05.13 CR5611 Robert Fleming, Jr. PT v. CMS
2020.05.13 CR5610 Paul D. Orange, M.D. v. CMS
2020.05.13 CR5609 Mohammed Mansour, M.D. v. CMS
2020.05.12 ALJ Ruling No. 2020-11 Gregory Morey, CNP v. CMS
2020.05.11 CR5608 Maryland Masonic Homes v. CMS
2020.05.08 CR5607 Skyview Home Health Agency, Inc. v. CMS
2020.05.06 CR5606 Carol A. Timpano v. The Inspector General
2020.05.05 TB5128 CTP v. Bellman Oil Company Inc. d/b/a Bremen Bell-Mart
2020.05.05 CR5605 MDS Medical Device Specialty, Inc. v. CMS
2020.05.05 CR5604 Benbrook Nursing and Rehabilitation Care Center v. CMS
2020.05.01 CR5603 In re CMS LCD Complaint: Surgical Dressings
2020.05.01 CR5602 Robert Cassman, MD v. CMS
2020.04.30 CR5601 Inspector General v. Adel A. Kallini, MD
2020.04.30 CR5599 Christopher Chen, M.D. v. CMS
2020.04.29 TB5110 CTP v. M and A Petro, Inc. d/b/a Citgo / Quik Mart
2020.04.29 TB5103 CTP v. Casino Center 61, LLC d/b/a Casino Center II / Exxon
2020.04.28 CR5600 Carlton Medical Supply, Inc. v. CMS
2020.04.27 CR5598 In re LCD Complaint: Noncovered Services Contractor
2020.04.27 CR5597 Benjamino Louis Granato d/b/a/ Alpha Diabetic Supply v. CMS
2020.04.24 CR5596 K&G Quality Healthcare Service v. CMS
2020.04.24 CR5595 David Crawford, M.D. v. CMS
2020.04.22 TB5076 CTP v. 5414 Wyalusing Food Market 1 Inc. d/b/a 54 and Wyalusing Food Market
2020.04.22 CR5594 Someswara Navuluri, M.D. v. CMS
2020.04.22 CR5593 Top Imaging Inc. v. CMS
2020.04.21 TB5071 CTP v. Batesville Express, LLC d/b/a Citgo / Batesville Express
2020.04.17 CR5592 Marie G. Dorsaint v. The Inspector General
2020.04.17 CR5591 John Joseph Pangallo v. The Inspector General
2020.04.16 CR5590 Tina J. Gabel v. The Inspector General
2020.04.16 CR5589 Laboratorio Concordia Lugaro v. CMS
2020.04.15 CR5587 In re Local Coverage Determination Joint & Consolidated Complaint: Nerve Conduction Studies and Electromyography
2020.04.13 CR5588 Marie E. Risenmay, PT v. CMS
2020.04.13 ALJ Ruling No. 2020-9 Paige M. Aletti v. The Inspector General
2020.04.10 CR5586 Karen Craig, O.T. v. CMS
2020.04.10 CR5585 Monica Ferguson v. The Inspector General
2020.04.10 CR5584 Elk Crossing v. CMS
2020.04.09 TB5010 CTP v. Pautsch Investments, Inc. d/b/a Cenex Convenience Store
2020.04.07 CR5583 Michael Sackman, M.D. v. CMS
2020.04.06 CR5581 Lloyd Landsman, MD v. CMS
2020.04.03 CR5582 George Mars, M.D. v. CMS
2020.04.03 CR5580 James G. Hendricks, M.D. v. CMS
2020.04.03 CR5579 Frank Tarquini, DC v. CMS
2020.04.01 CR5578 Stephen M. Cohen, O.D., P.C. v. CMS
2020.04.01 CR5577 Stephen R. Toothaker, M.D., and PCRMC Medical Group, Inc. v. CMS
2020.03.30 CR5576 DuPage Care Center v. CMS
2020.03.30 CR5568 West Coast Mobile Eye Care, Inc. v. CMS
2020.03.27 CR5575 Ahmed Ali, M.D. v. CMS
2020.03.27 CR5574 Ronald Vargo, D.O., & R.G. Vargo D.O., Inc. v. CMS
2020.03.27 CR5573 Terri Flebotte, LCSW, LLC v. CMS
2020.03.27 CR5572 GC Anesthesia, PLLC, et. al. v. CMS
2020.03.27 CR5571 Glenn Alden Harrison, M.D. v. CMS
2020.03.26 CR5570 Fireside Lodge Retirement Center, Inc. v. CMS
2020.03.25 CR5569 Yoram Haviv, M.D. v. CMS
2020.03.25 CR5567 Tina Siridakis, ARNP v. CMS
2020.03.24 CR5566 David Lee Smith, M.D. v. CMS
2020.03.24 CR5557 Richard Ranicke, D.C. v. CMS
2020.03.23 CR5565 Jeremy R. Clark, DC v. CMS
2020.03.23 CR5564 Windsor Care Center of Sacramento v. CMS
2020.03.23 CR5563 Martina Sheftic, M.D. v CMS
2020.03.23 CR5562 Thomas Falls, M.D. v. CMS
2020.03.19 CR5561 Paula E. Bourelly, MD and Paula E. Bourelly, MD Associates, LLC v. CMS
2020.03.19 CR5560 Lindberg Crossing Senior Living v. CMS
2020.03.19 ALJ Ruling No. 2020-8 William Gillen, M.D. v. CMS
2020.03.19 ALJ Ruling No. 2020-7 Woodlands Place Rehabilitation Suites v. CMS
2020.03.16 CR5559 Deborah Petty v. The Inspector General
2020.03.13 CR5558 Pebla Jones Wright v. The Inspector General
2020.03.12 CR5556 Leonor Ordonez, M.D. v. CMS
2020.03.12 CR5555 Gabriel Cline, PhD and Psych Associates LLC v. CMS
2020.03.10 TB4924 CTP v. State Road Service Station Inc. d/b/a Valero
2020.03.10 CR5554 Elect Home Health Care, Inc. v. CMS
2020.03.06 CR5553 Emilio Francisco Montero, M.D.,P.A. v. CMS
2020.03.04 CR5552 Nicole Phipps, DC v. CMS
2020.03.04 CR5546 In re LCD Complaint: Tumor Treatment Field Therapy LCD ID Number: L34823 Contractor: CGS Administrators, LLC
2020.03.03 TB4918 CTP v. Farmers Cooperative Company d/b/a Farmers Cooperative
2020.03.03 CR5551 In re LCD Complaint: Continuous Glucose Monitors
2020.03.02 CR5549 Loretta Chappell, formerly known as Loretta Davidson v. The Inspector General
2020.02.28 CR5550 Tricorex, Inc. d/b/a Healthcare Equipment and Supply Co. v. CMS
2020.02.27 CR5548 St. Anthony Care Center v. CMS
2020.02.27 CR5547 Yakup Akyol, M.D. v. CMS
2020.02.26 CR5545 Vakula Atthota, M.D. v. CMS
2020.02.26 CR5544 Sanique D. Clarke v. The Inspector General
2020.02.26 CR5543 Ronald B. Tye, Psy.D. and Ronald B. Tye, Psy.D. Associates PA v. CMS
2020.02.26 CR5541 Abel E. Bello, MD and Beldor Group, LLC v. CMS
2020.02.25 CR5542 Edward H. Tiley, III, M.D., Inc. v. CMS
2020.02.25 CR5539 Dino J. Delaportas, MD v. CMS
2020.02.21 CR5540 Usani Ewah v. The Inspector General
2020.02.19 CR5538 Abdallah E. Zamaria, MD v. CMS
2020.02.19 CR5537 Abdallah E. Zamaria, MD and Barbara Henike, MD, PC v. CMS
2020.02.18 TB4879 CTP v. Adam May Inc. d/b/a Fast Break / BP
2020.02.18 CR5536 Gregg J. Williams, DPM, MBA v. CMS
2020.02.14 CR5535 San Pedro Manor v. CMS
2020.02.14 ALJ Ruling No. 2020-6 Charles S. Pewitt, D.O., d/b/a Jackson Medical Center v. CMS
2020.02.13 CR5533 Richard Blankenbaker, Jr., M.D. v. CMS
2020.02.12 CR5534 Debra S. Bailey, Ph.D. v. CMS
2020.02.11 TB4857 CTP v. Fair Brothers Inc. d/b/a Quick Mart
2020.02.11 ALJ Ruling No. 2020-5 The Rehabilitation Center of Oakland v. CMS
2020.02.07 CR5530 In re LCD Complaint: Heavy Metal Testing (L35074)
2020.02.07 CR5529 In re LCD Complaint: Non-covered Services (L33629)
2020.02.06 CR5532 Onajefe Nelson-Twakor, M.D. v. CMS
2020.02.06 CR5531 Jason Fowler, PT v. CMS
2020.02.06 CR5528 Jan Earl Warner, PhD, HSPP v. CMS
2020.02.06 CR5525 Lawrence A. Osman, M.D. v. CMS
2020.02.05 TB4851 CTP v. A M Food Market Inc. d/b/a AM Food Market
2020.02.05 CR5527 Esohe Agbonkpolor v. The Inspector General
2020.02.05 CR5526 Mariam Hakopyan v. The Inspector General
2020.02.03 CR5224 Cardiac Imaging Associates A Medical Corporation v. CMS
2020.01.30 TB4839 CTP v. Diamond Real Estate Consultants LLC d/b/a The Vape Shop
2020.01.30 CR5523 Laboratory Corporation of America Holdings, Inc. v. CMS
2020.01.30 CR5522 Laura Brock, PT v. CMS
2020.01.30 CR5521 Texacare Health Services, Inc. v. CMS
2020.01.29 TB4815 CTP v. Daniel Koshy d/b/a 7-Eleven 11321
2020.01.29 CR5520 In re LCD Complaint: Urological Supplies (L33803)
2020.01.29 CR5519 Ambulife Ambulance, Inc. v. CMS
2020.01.28 CR5518 William Richardson, MD v. The Inspector General
2020.01.27 CR5517 Thompson Eye Clinic PA v. CMS
2020.01.27 CR5516 Timur Pogodin, M.D. v. CMS
2020.01.23 CR5515 Trufide Labs (CLIA No.: 45D2108334) v. CMS
2020.01.16 CR5514 James Josiah v. The Inspector General
2020.01.15 CR5513 In re CMS LCD Complaint: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) (L33751)
2020.01.14 CR5512 Jennifer Franklin, M.D. v. The Inspector General
2020.01.14 CR5511 Amie VanCamp v. The Inspector General
2020.01.13 TB4735 CTP v. JP Investments LLC d/b/a One Shakti Food Mart
2020.01.09 TB4738 CTP v. A and K Deli Market LLC d/b/a Sunshine Kitchen and Deli
2020.01.09 CR5510 Kelly B. Kim-Campo, PT, a/k/a Kelly Campo v. CMS
2020.01.09 CR5509 Tosan Fregene, M.D. and Oncology Clinics, Inc. v. CMS
2020.01.08 CR5508 Rural Metro Corporation of Florida, Inc. v. CMS
2020.01.08 CR5507 Torsten Ehrig, MD v. CMS
2020.01.08 CR5506 In re LCD Complaint:Cardiovascular Nuclear Medicine (L35083)
2020.01.06 CR5505 Leslie D. Brown, LCSW-C v. CMS
2020.01.06 CR5504 OC Housecalls, Inc. v. CMS
2020.01.02 CR5503 Robert B. Rook v. CMS