United States of America and The State of New York ex rel. Fraud Buster, LLC v. Enzo Biochem, Inc.

CourtDistrict Court, S.D. New York
DecidedFebruary 6, 2026
Docket1:22-cv-07613
StatusUnknown

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Bluebook
United States of America and The State of New York ex rel. Fraud Buster, LLC v. Enzo Biochem, Inc., (S.D.N.Y. 2026).

Opinion

UNITED STATES DISTRICT COURT ELECTRONICALLY FILED DOC #: _________________ SOUTHERN DISTRICT OF NEW YORK DATE FILED: 2/6/2026 ----------------------------------------------------------------- X : UNITED STATES OF AMERICA and THE : STATE OF NEW YORK ex rel. FRAUD BUSTER, : LLC, : 1:22-cv-7613-GHW Plaintiffs, : -v- : MEMORANDUM OPINION & : ORDER ENZO BIOCHEM, INC., : : Defendant. : : ----------------------------------------------------------------- X GREGORY H. WOODS, United States District Judge: I. INTRODUCTION After hundreds of pages of briefing on Medicare billing rules and COVID-19 pandemic-era testing practices, this motion turns on a far more basic problem: who, exactly, Relator has sued. Relator Fraud Buster, LLC (“Relator”) filed this qui tam action on behalf of the United States and the State of New York under the federal False Claims Act, 31 U.S.C. § 3729 et seq., and the New York False Claims Act, N.Y. State Fin. Law § 187 et seq., purportedly alleging that Defendant Enzo Biochem, Inc. (“Enzo Biochem” or “Defendant”) carried out various schemes to submit false or fraudulent claims to government healthcare programs. Enzo Biochem has moved to dismiss the complaint under Federal Rule of Civil Procedure 12(b)(6). This motion turns on a threshold pleading defect. As written, the complaint does not allege anything—much less fraudulent conduct—by the named defendant. The complaint names Enzo Biochem in the caption but defines “ENZO” and “DEFENDANTS” in a way that attributes the alleged misconduct to a different entity: Enzo Clinical Labs, Inc. Because Relator failed to state a claim against the named defendant, Defendant’s motion to dismiss is GRANTED. II. BACKGROUND On September 7, 2022, Relator filed a sealed qui tam complaint on behalf of the United States, the State of New York (“New York”), and the State of Connecticut (“Connecticut”) against Enzo Biochem, as well as three individual defendants (collectively, the “Individual Defendants”), alleging violations of the federal False Claims Act (the “FCA”), 31 U.S.C. §§ 3729(a)(1)(A)–(B), (G), the New York False Claims Act (the “NYFCA”), N.Y. State Fin. Law §§ 189(1)(a)–(b), and the Connecticut False Claims Act, Conn. Gen. Stat. §§ 4-275(a)(1)–(2). Dkt. No. 7 (“Compl.”). On February 2, 2024, the United States and New York declined to intervene. Dkt. Nos. 9–10. On

August 15, 2024, Connecticut elected to intervene for purposes of a settlement that had been reached between Connecticut, Relator, Enzo Biochem, and Enzo Clinical Labs, Inc. (“Enzo Clinical Labs”). Dkt. Nos. 8, 17. Relator and Connecticut subsequently dismissed all claims this case asserted under Connecticut law. Dkt. No. 17. The complaint was unsealed on September 18, 2024. Dkt. No. 7. On April 25, 2025, Relator voluntarily dismissed all claims against the Individual Defendants, leaving Enzo Biochem as the sole remaining defendant. Dkt. Nos. 63–64. The complaint alleges three schemes that resulted in violations of the FCA and NYFCA. Compl. ¶¶ 86–109. As discussed below, the resolution of this motion turns on how the complaint defines the entities alleged to have engaged in the fraudulent conduct. At a high level, Relator alleges three schemes involving (1) the improper use of diagnosis codes for COVID-19 screening tests in order to obtain reimbursement for tests that were otherwise not reimbursable, id. ¶¶ 20–33, (2) the waiver of patient co-payments and deductibles to induce referrals, id. ¶¶ 33–63, and (3) the

billing of “expedited” COVID-19 testing without satisfying the applicable requirements, id. ¶¶ 64– 69. The complaint asserts four causes of action based on the three alleged schemes. Count One alleges presentment of false claims in violation of 31 U.S.C. § 3729(a)(1)(A). Id. ¶¶ 86–91. Count Two alleges the use of false records or statements material to false claims in violation of 31 U.S.C. § 3729(a)(1)(B). Id. ¶¶ 92–96. Count Three alleges retention of overpayments in violation of 31 U.S.C. § 3729(a)(1)(G). Id. ¶¶ 97–101. Count Four asserts parallel claims under the NYFCA. Id. ¶¶ 102–109.1 On July 7, 2025, Enzo Biochem filed a motion to dismiss the complaint pursuant to Federal Rule of Civil Procedure 12(b)(6). Dkt. No. 70; see also Dkt. No. 72 (“Mot.”). Enzo Biochem contends that the complaint fails to plausibly allege violations of the FCA or the NYFCA and does not satisfy the heightened pleading requirements applicable to fraud claims under Federal Rule of Procedure 9(b). Dkt. No. 72. On August 18, 2025, Relator filed its opposition. Dkt. No. 77

(“Opp’n”). On September 12, 2025, Enzo Biochem filed its reply. Dkt. No. 82. III. LEGAL STANDARD A complaint must contain “a short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). However, a defendant may move to dismiss a plaintiff’s claim for “failure to state a claim upon which relief can be granted.” Fed. R. Civ. P. 12(b)(6). In deciding a motion to dismiss under Rule 12(b)(6), the court accepts as true all well-pleaded factual allegations and draws all reasonable inferences in the plaintiff’s favor. See Palin v. N.Y. Times Co., 940 F.3d 804, 809 (2d Cir. 2019) (citing Elias v. Rolling Stone LLC, 872 F.3d 97, 104 (2d Cir. 2017)); Chase Grp. All. LLC v. City of N.Y. Dep’t of Fin., 620 F.3d 146, 150 (2d Cir. 2010); DiFolco v. MSNBC Cable L.L.C., 622 F.3d 104, 110–11 (2d Cir. 2010). To survive dismissal under Rule 12(b)(6), “a complaint must allege sufficient facts, taken as true, to state a plausible claim for relief.” Johnson v. Priceline.com, Inc., 711 F.3d 271, 275 (2d Cir. 2013)

(citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555–56 (2007)). “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). To satisfy even the most liberal pleading standards, a complaint must “allege the nature of each particular

1 Count Five asserts parallel claims under the Connecticut False Claims Acts, which have since been resolved and are no longer before the Court. Dkt. No. 17. defendant’s misconduct.” See Holmes v. Allstate Corp., No. 11 CIV. 1543, 2012 WL 627238, at *25 (S.D.N.Y. Jan. 27, 2012) (explaining requirements for pleading under Rule 8(a)), report and recommendation adopted, 2012 WL 626262 (S.D.N.Y. Feb. 27, 2012).

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Bluebook (online)
United States of America and The State of New York ex rel. Fraud Buster, LLC v. Enzo Biochem, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-of-america-and-the-state-of-new-york-ex-rel-fraud-buster-nysd-2026.