People v. Alizadeh

87 A.D.2d 418, 452 N.Y.S.2d 425, 1982 N.Y. App. Div. LEXIS 16568
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJune 29, 1982
StatusPublished
Cited by2 cases

This text of 87 A.D.2d 418 (People v. Alizadeh) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
People v. Alizadeh, 87 A.D.2d 418, 452 N.Y.S.2d 425, 1982 N.Y. App. Div. LEXIS 16568 (N.Y. Ct. App. 1982).

Opinion

opinion of the court

Sandler, J.

The defendant was convicted after a jury trial of one count of grand larceny in the second degree, one count of grand larceny in the third degree, and 163 counts of offering a false instrument for filing in the first degree, and sentenced to concurrent terms of six months’ imprisonment.

[419]*419The defendant is a doctor, specializing in obstetrics. Of foreign ancestry, the defendant interned and took his residency at American hospitals, primarily in the New York area. He became licensed to practice medicine in New York in 1965. In 1968 he established a medical office in the Williamsburg section of Brooklyn where his practice was drawn from a predominantly low income group, and became associated with the St. John’s Episcopal Hospital.

In the same year the defendant was registered as a Medicaid provider. In 1975 he established the Williams-burg Medical Clinic which was licensed during that year to perform abortions, and commenced doing so in January, 1976.

Of the 165 counts of which the defendant stands convicted, all but two involve a repetitive billing practice that the defendant concededly followed during the several years embraced by the indictment, 1975 through 1979, and which the defendant testified that he adopted and pursued consistently from the time he first began to bill the Department of Social Services (Department) for medical services. In connection with the delivery of babies it was the defendant’s practice to bill the Department under two code numbers: (1) Code No. 4825 providing reimbursement of up to $200 for total obstetrical care, and (2) Code No. 9035 providing reimbursement during the years covered by the indictment of up to $15 for total new born care in a hospital provided by a physician other than a pediatrician.

The remaining two counts concern the operations of the Williamsburg Medical Clinic. Count 117, one of the many false filing counts, in substance charged the defendant with billing the Department for an abortion that was not in fact performed. The second count, charging the defendant with grand larceny in the third degree, in substance alleged that the defendant caused to be included in the October and November monthly invoices of the clinic the representation that abortions had been performed during those months for women who in fact had been the subject of abortions in January of 1976 and for which previous claims for reimbursement had been disapproved because they had occurred prior to the effective date of the clinic reimbursement rate.

[420]*420After a careful study of the trial records and the exhibits, we have concluded that the defendant’s conviction on Count 117 for billing the Department for an abortion that he knew had not been performed was against the weight of the evidence, indeed very clearly so. In addition, the evidence was legally insufficient to support the defendant’s conviction for grand larceny in the third degree (Count 2), charging him with fraud in billing for abortions previously performed when the clinic was ineligible for reimbursement, although licensed to perform abortions.

As to the remaining counts, all involving the billing practice previously described, the evidence, although presenting troublesome questions, was legally sufficient and provided an adequate basis for the jury’s verdicts. However, these counts should be reversed and remanded for a new trial because of trial errors. One error, specifically relating to these counts, was a ruling that excluded from the jury’s consideration evidence clearly relevant to a determination of defendant’s intent.

The most substantial of the trial errors, however, occurred during the course of the defendant’s cross-examination. Over repeated objections, the prosecutor was permitted to put before the jury in detail by way of questions, some accompanied by inappropriate rhetorical excesses, findings by the Department of Health with regard to the operation of the Williamsburg Medical Clinic that were wholly irrelevant to the issues before the jury, had no appropriate bearing on credibility, and which were severely prejudicial to the defendant.

Turning first to Count 117, charging the filing of a false instrument seeking payment for an abortion that was not performed, a young woman, Luz Martinez, testified that in December, 1976 (apparently December 4) she went to the Williamsburg Medical Clinic to ascertain whether she was pregnant, that blood and urine samples were taken by a nurse, that she was then told that she was not pregnant, that a doctor gave her an injection “to make my period come down” and that no abortion was performed. The clinic folder included a paper confirming that the pregnancy test had proved negative. Taken by itself this evidence is both credible and persuasive that Ms. Martinez was not the [421]*421subject of an abortion and that the defendant could not properly have billed the Department for having performed an abortion.

The problem arises when the evidence is considered in light of the entire contents of the clinic folder relating to the supposed abortion as well as the totality of the circumstances disclosed. In addition to the pregnancy test and the notes of the defendant, the clinic folder, introduced by the People, contains a number of records with entries in several handwritings, disclosing in detail every step of the processing of Ms. Martinez for the abortion and extending to after-operation care. The testimony identifies explicitly the handwriting on various papers in the folder of three persons other than the defendant.

Most important of these are the handwritten notes of Dr. Sanchez, a witness at the trial. Dr. Sanchez, an anesthesiologist, testified that he frequently attended the Williams-burg Medical Clinic in his professional capacity on Saturdays, the day when abortions were performed at the clinic. He identified as having been written by himself notes in the clinic folder describing the administration of an anesthetic to Ms. Martinez. By any standard Dr. Sanchez is a physician of distinction. He is board certified, a Fellow of the American College of Anesthesiologists, a member of the New York State Board of Medicine, which has responsibility for dealing with charges of professional misconduct, and at the time of his testimony had been for many years Director of Anesthesiology at St. John’s Episcopal Hospital. Dr. Sanchez had no ownership in the operation of the clinic. Nothing in his testimony suggests the slightest basis for doubting his integrity and truthfulness.

In addition, Aioraida Ramirez, a veteran, self-employed registered nurse, testified that she was one of several registered nurses who worked on Saturdays at the Williamsburg Medical Clinic in connection with the performance of abortions, and identified entries in the Martinez folder, clearly confirming the fact of the abortion, as having been written by another registered nurse.

The defendant himself identified other notes in the folder describing a physical examination of Ms. Martinez as [422]*422having been written by one of several internists who worked at the clinic on Saturdays. !

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Cite This Page — Counsel Stack

Bluebook (online)
87 A.D.2d 418, 452 N.Y.S.2d 425, 1982 N.Y. App. Div. LEXIS 16568, Counsel Stack Legal Research, https://law.counselstack.com/opinion/people-v-alizadeh-nyappdiv-1982.