June 17, 2022

UGP Acupuncture, P.C. v GEICO Ins. Co. (2022 NY Slip Op 50612(U))

Headnote

The court considered an appeal from a provider seeking to recover assigned first-party no-fault benefits. The provider appealed from an order of the Civil Court that granted the defendant's motion seeking summary judgment dismissing part of the complaint related to claims for services billed using specific CPT codes. The defendant had paid the claims in accordance with the workers' compensation fee schedule for acupuncture services performed by chiropractors. The court affirmed the order, ruling in favor of the defendant. The court held that the claims were properly paid under the workers' compensation fee schedule, and therefore, the provider was not entitled to recover on those claims.

Reported in New York Official Reports at UGP Acupuncture, P.C. v GEICO Ins. Co. (2022 NY Slip Op 50612(U))

UGP Acupuncture, P.C. v GEICO Ins. Co. (2022 NY Slip Op 50612(U)) [*1]
UGP Acupuncture, P.C. v GEICO Ins. Co.
2022 NY Slip Op 50612(U) [75 Misc 3d 142(A)]
Decided on June 17, 2022
Appellate Term, Second Department
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
This opinion is uncorrected and will not be published in the printed Official Reports.

Decided on June 17, 2022

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS


PRESENT: : THOMAS P. ALIOTTA, P.J., MICHELLE WESTON, WAVNY TOUSSAINT, JJ
2021-169 K C
UGP Acupuncture, P.C., as Assignee of Lyons, Nadine, Appellant,

against

GEICO Ins. Co., Respondent.

The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for appellant. Law Office of Goldstein, Flecker & Hopkins (Lawrence J. Chanice of counsel), for respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Odessa Kennedy, J.), dated March 12, 2021. The order, insofar as appealed from and as limited by the brief, granted the branch of defendant’s motion seeking summary judgment dismissing so much of the complaint as sought to recover on plaintiff’s claims for services billed using CPT codes 97810 and 97811, and denied the branch of plaintiff’s cross motion seeking summary judgment.

ORDERED that the order, insofar as appealed from, is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals from so much of an order of the Civil Court as granted the branch of defendant’s motion seeking summary judgment dismissing so much of the complaint as sought to recover on plaintiff’s claims for services billed using CPT codes 97810 and 97811 on the ground that defendant had paid these claims in accordance with the workers’ compensation fee schedule for acupuncture services performed by chiropractors, and denied the branch of plaintiff’s cross motion seeking summary judgment.

For the reasons stated in Mind & Body Acupuncture, P.C., as Assignee of Wilson, Bernadette v State Farm Mut. Auto. Ins. Co. (— Misc 3d —, 2022 NY Slip Op — [appeal No. 2019-1418 K C], decided herewith), the order, insofar as appealed from, is affirmed.

ALIOTTA, P.J., WESTON and TOUSSAINT, JJ., concur.


ENTER:
Paul Kenny
Chief Clerk
Decision Date: June 17, 2022