New Mexico Physician and Practice Settle Case Involving False Claims

On April 6, 2020, Gopal Reddy, M.D. and Gopal Reddy M.D., P.C. (collectively, "Dr. Reddy"), Albuquerque, New Mexico, entered into a $199,705.36 settlement agreement with OIG. The settlement agreement resolves allegations that Dr. Reddy submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when those claims were for a procedure that was already included as a component of the duplex ultrasound procedures for which Dr. Reddy submitted claims using HCPCS codes 93970 or 93971 for the same beneficiary on the same dates of service. OIG further alleges that the claims submitted for HCPCS code 93965 were for a procedure that should not have been separately billed and was not medically necessary. Senior Counsels Geoffrey Hymans and Joan Matlack, with the assistance of Program Analyst Mariel Filtz, represented OIG

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