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Justin Thompson, DC, Arizona Pain Relief, Anthem Physical Medicine, and Biltmore Physical Medicine Agreed to Pay $1.9 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting False Claims for Neuro-Stimulators

On August 22, 2022, Justin Thompson, DC, Physical Medicine of Scottsdale, LLC d/b/a Arizona Pain Relief, Anthem Physical Medicine, and Biltmore Physical Medicine (collectively, “Arizona Pain”), with multiple locations in Arizona, entered into a $1,905,070.74 settlement agreement with OIG. The settlement agreement resolves allegations that Arizona Pain submitted false claims to Medicare for: (1) implantable neurostimulator devices using HCPCS Code L8679 when they instead provided auricular peripheral nerve stimulation devices that are not covered by Medicare; (2) CPT Codes 95970, 64555, and 64999 that were associated with the application, monitoring, and removal of the device; and (3) CPT Codes 99211, 99212, and 99213 for evaluation and management (E&M) services billed on the same date of service as HCPCS Code L8679 that were billed for time spent providing and removing the device when no separate and identifiable E&M service was provided. Senior Counsel Katie Fink with the assistance of Program Analyst Mariel Filtz, represented OIG.

Action Details

  • Date:August 22, 2022
  • Enforcement Types:
    • CMP and Affirmative Exclusions