Allstate Insurance Company v. Robert Matturro, D.C.

CourtNew Jersey Superior Court Appellate Division
DecidedJune 16, 2025
DocketA-0711-24
StatusUnpublished

This text of Allstate Insurance Company v. Robert Matturro, D.C. (Allstate Insurance Company v. Robert Matturro, D.C.) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allstate Insurance Company v. Robert Matturro, D.C., (N.J. Ct. App. 2025).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-0711-24

ALLSTATE INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY, ALLSTATE NEW JERSEY INSURANCE COMPANY, ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY, ALLSTATE NEW JERSEY PROPERTY AND CASUALTY INSURANCE and ALLSTATE FIRE & CASUALTY INSURANCE COMPANY,

Plaintiffs-Appellants,

v.

ROBERT MATTURRO, D.C., TRI- COUNTY CHIROPRACTIC & REHABILITATION, P.C., CHIROPRACTIC HEALTH CENTER, P.C., UNION CITY SPINE AND PAIN ASSOCIATES, LLC, MARC MATTURRO, D.C., ANTHONY NARCISO, D.C., NICHOLAS ROSANIA, D.C., MICHAEL RUSSONELLA, D.O., THE GARDEN STATE ORTHOPAEDIC & SPORTS MEDICINE INSTITUTE, LLC, VARINDER DHILLON, M.D., ADVANCED SPINE & PAIN MANAGEMENT, LLC, FRANCES RISPOLI, M.D., THE CENTER FOR ORTHOPEDIC SURGERY, LLC, ALFRED MAURO, M.D., CORE PAIN MANAGEMENT, LLC, RYTIS VALSKYS, M.D., ESSENTIAL SPINE & PAIN, LLC, MANIK SINGH, M.D., SPORTS MANAGEMENT INSTITUTE, LLC, a/k/a SPORTS MEDICINE 360, LLC, EVANGELOS MEGARIOTIS, M.D., BLOOMFIELD MEDICAL SERVICES, LLC, DOV RAND, M.D., BLOOMFIELD UAI, LLC, PETER DIPAOLO, M.D., NORTH JERSEY ORTHOPEDIC GROUP, LLC, JOHN HANDAGO, M.D., ORTHOPEDIC SPECIALIST GROUP, LLC, LOUIS CITARELLI, M.D., PRIMARY MEDICAL SERVICES, LLC, MARCO TARTAGLIA, M.D., WILLIAM ADESSO, BERGENLINE COUNSELING CENTER, SURGICORE, LLC, JOSEPH LOZITO, M.D., GEJO, LLC, PRACTICE STAFFING, LLC, P.I.P. MANAGEMENT AND CONSULTING SERVICES CORP., THE MATTURRO FAMILY LIMITED PARTNERSHIP, MATTURRO FAMILY REAL ESTATE INVESTMENT TRUST, LLC, LIBERTY FUNDING, LLC, SANDRA INFUSINO, PIP HEALTHCARE SOLUTIONS, INC., TAUPO LEASING AND SERVICES, INC., SYLVANDER CORP., a/k/a TOWN CHECK CASHING and NTA MANAGEMENT, LLC,

Defendants-Respondents. _______________________________________

NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE,

A-0711-24 2 Intervenor. _______________________________________

Submitted May 13, 2025 – Decided June 16, 2025

Before Judges Gilson and Firko.

On appeal from an interlocutory order of the Superior Court of New Jersey, Law Division, Bergen County, Docket No. L-2707-20.

Kennedy Vuernick, LLC, attorneys for appellants (Richard E. Vuernick, of counsel and on the brief).

Respondents and Intervenor have not filed briefs.

PER CURIAM

On leave granted, plaintiffs appeal from a September 5, 2024 order that

denied their motion to disqualify the law firm of Jeffrey Randolph, L LC (the

Randolph Firm) from representing approximately thirty-five1 of the forty-two

defendants in this insurance fraud action. Plaintiffs contend that there are

1 We note that plaintiffs contend the Randolph Firm represents thirty-two of the thirty-nine defendants in this matter. That appears to be incorrect. The answer to the complaint filed by the Randolph Firm lists thirty-four defendants that it represents. The Randolph Firm's settlement offer to plaintiffs lists thirty -four defendants. The record indicates the Randolph Firm also represents Nicholas Rosania. Moreover, there appears to be forty-two defendants named in plaintiffs' amended complaint. Three defendants, Dr. Frances Rispoli, Dr. Rytis Valsyks, and Surgicore, LLC, achieved a settlement with plaintiffs but are mentioned in plaintiffs' merits brief. For purposes of our opinion, we state the Randolph Firm represents approximately thirty-five of the forty-two defendants. The exact number is not germane to our decision. A-0711-24 3 existing conflicts of interest among defendants, as well as significant risks of

conflicts developing among them.

For the reasons explained in this opinion, we hold that there are significant

risks that conflicts will arise under RPC 1.7(a)(2) among the approximately

thirty-five defendants represented by the Randolph Firm. The Randolph Firm

did not submit any signed, written waiver consent forms, signed retainer

agreements, or indemnification agreements from all thirty-five of its clients for

an in-camera review by the trial court. Thus, we vacate the September 5, 2024

order that denied the motion to disqualify the Randolph Firm and remand for

further proceedings consistent with this opinion. We also vacate our May 22,

2025 order staying and adjourning the June 30, 2025 trial date.

I.

The facts concerning the disqualification motion in this matter are similar

to the facts set forth in this court's unpublished opinion entered on January 9,

2025, in which we addressed plaintiffs' motion for leave to appeal the orders

denying its motion to disqualify the Randolph Firm and Mandelbaum Barrett,

PC in another matter. See Allstate N.J. Ins. Co. v. Carteret Comprehensive Med.

A-0711-24 4 Care, P.C., No. A-1575-23 (App. Div. Jan. 9, 2025). 2 We incorporate, by

reference, the facts stated in our prior opinion to the extent they are consistent

with the matter under review.

Plaintiffs are six related insurance companies: Allstate Insurance

Company; Allstate Indemnity Company; Allstate New Jersey Insurance

Company; Allstate Property and Casualty Insurance Company; Allstate New

Jersey Property and Casualty Insurance Company; and Allstate Fire and

Casualty Insurance Company (plaintiffs or Allstate). Allstate provides no-fault

automobile insurance policies in New Jersey, under which insureds can recover

personal injury protection (PIP) benefits if they are injured in an automobi le

accident. When insureds receive medical treatment, they may, and typically do,

assign their PIP benefits to their medical providers. The medical providers can

then seek payment from insurers, like Allstate. See N.J.S.A. 39:6A-4 (allowing

PIP benefits to be assigned "to a provider of service benefits").

In September 2022, plaintiffs filed a thirty-three-count amended

complaint—the operative pleading here—against forty-two defendants,

including several medical practices, the owners of those practices, current and

2 We also separately issued a published opinion reversing the orders compelling arbitration and dismissing Allstate's complaint. See Allstate N.J. Ins. Co. v. Carteret Comprehensive Med. Care, P.C., 480 N.J. Super. 566 (App. Div. 2025) A-0711-24 5 former administrators working at or with those medical practices, various

corporate entities, and their owners. Plaintiffs' amended complaint asserts

defendants' actions violated the Insurance Fraud Prevention Act (the Fraud Act),

N.J.S.A. 17:33A-1 to -30, the New Jersey Anti-Racketeering Act (RICO),

N.J.S.A. 2C:41-1 to -6.2, the Anti Self-Referral Law, N.J.S.A. 45:9-22.4 to

-22.9, the Automobile Insurance Cost Reduction Act, N.J.S.A. 39:6A-1.1 to -35,

the Patients Records Rule, N.J.A.C. 13:35-6.5(b), and N.J.A.C. 13:35-7.6.

Plaintiffs also assert various common law breach of contract claims and unjust

enrichment.

Plaintiffs allege that defendants engaged in an insurance fraud scheme, in

which they created unlawfully structured medical practices, engaged in unlawful

self-referrals, received kickbacks, and conspired to "maximize profit" without

regard to patient care, the PIP statute, or state regulations governing delivery of

health care. According to plaintiffs, defendants allegedly rendered medically

unnecessary treatments and electrodiagnostic tests and sought payment from

plaintiffs for those services and tests.

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