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Allstate Insurance Company Files $6 Million Medical Fraud Lawsuit Against No-Fault Medical Clinics, Medical Doctors and Chiropractic Providers Allstate Insurance Company seeks to recover $6 million in damages against 30 professional entities, their record owners and one chiropractor billing and practicing under her own name, in its seventh insurance fraud lawsuit of 2014. Since 2003, Allstate has filed 59 fraud lawsuits in New York State seeking more than $266 million in damages. The complaint was filed in the United States District Court for the Eastern District of New York against the following defendants: A & F Medical P.C., Advanced Chiropractic of New York P.C., Alignment Chiropractic Care P.C., Art of Healing Medicine, P.C., Atlas Orthogonal Chiropractic P.C., Avicenna Medical Arts PLLC, AVM Chiropractic P.C., Big Apple Chiropractic P.C., Bronx-Metro Chiropractic Health Services P.C., BSZ Chiropractic P.C., Dedicated Chiropractic P.C., Dumont Medical Diagnostic P.C., Dynasty Medical Care, P.C., Elmont Wellness Chiropractic P.C., Flow Chiropractic P.C., Golden Hands Chiropractic P.C., Great Health Care Chiropractic P.C., Heights Chiropractic Services P.C., M. Sadees M.D. P.C., New Beginning Chiropractic P.C., No More Pain Chiropractic P.C., Northshore Chiropractic Diagnostic P.C., Power Chiropractic P.C., Priority Medical Diagnostic P.C., RB Chiropractic Care P.C., Richmond Medical Diagnostics P.C., Supreme Health Chiropractic P.C., True-Align Chiropractic Care P.C., Way To Health Chiropractic P.C., White Plains Medical Care, P.C., Robert Albano, D.C., Adeliya Akpan, M.D., Karl Bauer, D.C., Autumn Cutler, D.C., Ahmed Elsoury, M.D., Nicholas Fennelli, M.D., Andrew Garcia, D.C., Michael Gorelik, D.C., Surender Gorukanti, M.D., Graig Granovsky, D.C., Joseph Humble, D.C., Anthony Mandracchia, D.C., Alexander Mazurovsky, D.C., Sophia Mohuchy, D.C., Russell Nersesov, D.C., Charles Nguyen, D.C., Mohamed Nour , M.D., Ramkumar Panhani , M.D., Svetlana Pinkusovich, M.D., Alexander Pinkusovich, M.D., Nicolette Merav Sadees, M.D., Paul Scarborough, D.C., Mark Soffer, D.C., Alexander Veder, M.D., Narcisse Versailles, M.D., Guy Villano, D.C., Melanie Walcott, D.C. and Yakov Zilberman, D.C. It alleges that the defendants engaged in parallel and virtually identical schemes to defraud in which they, either individually or through the defendant professional corporations which they purported to own, submitted bills to Allstate for reimbursement for Voltage-Input Sensory Nerve Conduction Threshold Testing (“VsNCT Testing”) that was not performed as billed, was fabricated or was of no diagnostic value. The Complaint further alleges that in addition to administering medically unnecessary VsNCT Testing which had no diagnostic value, defendants fraudulently billed Allstate for VsNCT Testing using a Current Procedural Terminology (“CPT”) Code (95904) which is reserved for more expensive standard sensory Nerve Conduction Velocity Testing.

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flag | Submitted December 2, 2014

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