A Yonkers doctor claims that insurance payments for 6,000 Covid tests his medical practice performed were diverted to an Upper Manhattan firm.
Dr. Binod Shah accused Medical Solution NP Corp., of Inwood, and its president, Norman Fields, of receiving $1 million in health plan payments meant for Shah, in a complaint filed on Dec. 30 in Westchester Supreme Court.
Shah alleges that Fields and Medical Solution NP used his unique healthcare identification number to receive insurance payments, even though Shah “never worked for Medical Solution” and “had no professional affiliation with Medical Solution.”
Shah owns Spinal Pain & Rehab Medical PC, in Yonkers.
Fields had helped Shah with advertising, according to the complaint, and introduced Shah to Bays RVP Billing & Consulting, a New Jersey firm that handles billing and collections for doctors.
In 2021, Shaw authorized Bays RVP to use his unique National Provider Identifier to exchange information with health care plans.
But Bays RVP allegedly failed to submit covid test claims for Spinal Pain. Instead, “Fields directed Bays to submit the claims on behalf of Medical Solution, using Shah’s NPI number.”
Shah not only lost about $1 million in reimbursements, according to the complaint, misuse of his NPI number could jeopardize his medical license and expose him to charges under the federal False Claims Act.
Now Shah and Spinal Pain are demanding an accounting of all claims submitted on behalf of Medical Solution that used Shah’s NPI number; $1 million in monetary damages; and unspecified punitive damages.
Bays RVP is also named as a defendant. In 2024, Shah sued Bays RVP but not Medical Solution NP. This past Aug. 22, both sides agreed to discontinue the 2024 lawsuit.
Purchase attorney Bill Gianaris represented Bays RVP in the 2024 lawsuit. He declined to comment on the new case but noted that by including Medical Solution in the new lawsuit, “we feel the facts show [who] is the responsible party.”
Attempts to find contact information for Fields and Medical Solution, to ask for their side of the story, failed.
Shah and Spinal Pain are represented by Purchase attorney Steven J. Harfenist.
