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January 06, 2023

NY Physician Agrees to Pay Over $2M to Resolve Medicaid Fraud Allegations

On December 22, 2022, the New York Attorney General announced that Dr. David B. DiMarco, M.D. and his companies D.B. DiMarco, M.D., P.C. and DiMarco Vein Centers LLC (collectively, DiMarco), agreed to pay over $2 Million to resolve Medicaid fraud allegations. The Office of the Attorney General “found that, between March 2015 and October 2021, Dr. DiMarco submitted claims to Medicaid for procedures without adequate documentation.” Investigators found that the records often did not show what procedure had been performed or provide any evidence that the procedure was medically necessary, and thus eligible for payment from Medicaid. This lack of adequate documentation resulted in $2,139,037 overpayment of Medicaid reimbursement. The terms of the settlement agreement stipulate that DiMarco will repay the entire $2,139,037 and will withdraw from the New York Medicaid program.

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