MALLELA

ANDREW CAROTHERS, M.D., P.C., v. PROGRESSIVE INSURANCE COMPANY, 2017 WL 1240262 Carothers, a radiologist, formed Andrew Carothers, M .D., P.C., to perform MRI scans at three existing MRI facilities in Brooklyn, Queens, and the Bronx.  In sum, the carrier alleged “doc in the box”.  Th

EXPERT WITNESS TESTIMONY

Metropolitan Diagnostic Medical Care, P.C. v. Erie Insurance Company of New York, 2016 NY Slip Op 51815(U) At a nonjury trial, the sole issue was the medical necessity of the MRIs of plaintiff’s assignor’s cervical and thoracic spines. The only witness was defendant’s doctor, a b

CHIROPRACTORS PERFORMING MUA

New Horizon Surgical Center, L.L.C., v. Allstate Insurance Company, Slip Copy, 2016 WL 4021130 (Table), 2016 N.Y. Slip Op. 51124(U) New Jersey facility sued to recover a facility fee for MUA.  The procedure performed at plaintiff’s facility.  Denial was timely and based on lack of medical nec

MALLELA AND LICENSED PROVIDERS

Liberty Mutual Insurance Company v. Raia Medical Health, P.C., et al., 2016 N.Y. Slip. Op. 04916 Here is a case that is perplexing to say the least.  Joseph Raia is purportedly a licensed Physiatrist and the owner of Raia Medical Health, P.C., a licensed MRI facility.  Liberty Mutual filed a DJ a