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WEST MIDTOWN v. STATE OF NY

No. 81.

31 N.Y.3d 533 (2018)

2018 NY Slip Op 04666

WEST MIDTOWN MANAGEMENT GROUP, INC., Doing Business as WEST MIDTOWN MEDICAL GROUP, Respondent, v. STATE OF NEW YORK, DEPARTMENT OF HEALTH, OFFICE OF THE MEDICAID INSPECTOR GENERAL, Appellant.

Court of Appeals of New York.

Decided June 26, 2018.

Attorney(s) appearing for the Case

Barbara D. Underwood , Attorney General, New York City ( Caroline A. Olsen , Eric Del Pozo and Andrew W. Amend of counsel), for appellant.

Goidel & Siegel, LLP, New York City ( Jonathan M. Goidel of counsel), for respondent.

OPINION OF THE COURT

The Office of the Medicaid Inspector General (OMIG) notified petitioner, the operator of a methadone clinic and provider of Medicaid-covered services, that it had been overpaid an estimated $1,857,401 in claims from 2003 through 2007. This number was extrapolated after auditing a random sample of claims...

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