GEICO alleges fraudulent billing scheme by New York medical practice


Margo Brodie, Chief Judge with the U.S. District Court for the Eastern District of New York | Administrative Office of the United States Courts | Wikipedia Commons

Government Employees Insurance Company (GEICO) has filed a lawsuit against Glenmore Medical, P.C., a New York-based medical practice, and several associated healthcare professionals, accusing them of defrauding the insurer out of more than $1.3 million through fraudulent no-fault insurance claims. 

The lawsuit, filed on January 2, 2025, in the United States District Court for the Eastern District of New York, claims the defendants submitted false charges for unnecessary or never-performed medical services.

The lawsuit alleges that the defendants submitted thousands of fraudulent claims for examinations and surgeries purportedly provided to automobile accident victims covered under GEICO's policies. 

The complaint accuses the defendants of misrepresenting both the necessity and extent of medical services provided, as well as paying unlawful compensation for patient referrals.

GEICO’s allegations also detail how Glenmore Medical operated across multiple locations in New York City, without maintaining regular office hours or advertising its services to the public. 

The practice allegedly relied on referrals from other healthcare providers who received kickbacks disguised as rent payments. These arrangements allowed Glenmore Medical to submit inflated insurance claims based on exaggerated diagnoses and unnecessary procedures.

The plaintiffs seek restitution of over $1.3 million and a court declaration stating they are not liable for any outstanding bills related to these fraudulent activities. They claim the defendants violated New York’s no-fault insurance regulations and federal RICO statutes.

Attorneys Barry I. Levy, Max Gershenoff, Caitlin Cash, and Peter Henninger of Rivkin Radler LLP represent GEICO in the case, which is identified as 1:25-cv-00026.

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