USA, ex rel. Solano v. Barton Associates, Inc.

CourtCourt of Appeals for the First Circuit
DecidedMay 28, 2026
Docket25-1309
StatusPublished

This text of USA, ex rel. Solano v. Barton Associates, Inc. (USA, ex rel. Solano v. Barton Associates, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
USA, ex rel. Solano v. Barton Associates, Inc., (1st Cir. 2026).

Opinion

United States Court of Appeals For the First Circuit

No. 25-1309

UNITED STATES OF AMERICA, ex rel. REYNALDO SOLANO AND NEALS MAXILIN; STATE OF CALIFORNIA, STATE OF FLORIDA, STATE OF ILLINOIS, COMMONWEALTH OF MASSACHUSETTS, STATE OF MICHIGAN, STATE OF NEW JERSEY, STATE OF NEW YORK, STATE OF TEXAS, ex rel. REYNALDO SOLANO AND NEALS MAXILIN,

Plaintiffs, Appellants,

v.

BARTON ASSOCIATES, INC.,

Defendant, Appellee,

MEDTECH WORLDWIDE, INC.; REALTIME PHYSICIANS, LLC; OCENTURE, LLC; CARELUMINA, LLC,

Defendants.

APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MASSACHUSETTS

[Hon. George A. O'Toole, Jr., U.S. District Judge]

Before

Barron, Chief Judge, Howard and Rikelman, Circuit Judges.

Christopher Furlong, with whom Frier Levitt was on brief, for appellants. Jordan Bock, with whom Kevin Martin, Miranda Hooker, and Goodwin Procter LLP were on brief, for appellee. May 28, 2026 RIKELMAN, Circuit Judge. This case is a qui tam action

under the False Claims Act (FCA). See 31 U.S.C. §§ 3729-3733. In

2022, Reynaldo Solano and Neals Maxilin sued Barton Associates,

Inc., claiming that Barton ran a fraudulent scheme to induce others

to submit false claims to Medicare and other government benefit

programs in exchange for a fee. The district court granted

Barton's motion to dismiss, concluding that Solano and Maxilin had

failed to plead fraud with the particularity required by Federal

Rule of Civil Procedure 9(b). They now appeal the dismissal, as

well as the district court's decision to deny their request for

reconsideration or, in the alternative, to amend their complaint.

Discerning no legal error or abuse of discretion in the district

court's rulings, we affirm.

I. BACKGROUND

A. Relevant Facts

Solano owns a company that specializes in repairs and

installations of mobility and accessibility devices, such as

wheelchair lifts and scooters.1 In 2019, he received an

unsolicited phone call from an account manager at Barton. Barton

operates a staffing agency that assigns medical professionals to

"locum tenens," or temporary, positions at hospitals and other

1 Because the district court dismissed the case at the pleading stage, we draw the facts from the complaint. See United States ex rel. Duxbury v. Ortho Biotech Prods., L.P., 579 F.3d 13, 20 (1st Cir. 2009).

- 3 - medical entities across the United States. Solano alleges that

the Barton employee sought to recruit him into Barton's "scheme"

to "defraud Medicare and other government funded health plans."

According to Solano, the Barton employee outlined the

scheme over "several conversations." The employee explained that

Barton recruits individuals or medical organizations ("clients")

that provide medical services or products and can access the

contact information of patients eligible for Medicare or other

government programs. Barton then "encourages" its clients to

create a call center to solicit requests for medical treatment

from those patients. If a patient seeks a medical service or

product, the client would then connect the patient with Barton,

which would assign the patient to one of its own physicians to

prescribe the service or product. Solano alleges that, on top of

what the patient pays for the physician consultation, Barton

collects an additional $40 "assessment fee" from the client for

each prescription its physicians write, and the client then submits

a claim to the government for providing the service or product to

the patient.

In one phone call, the Barton employee told Solano that,

although a Barton physician must review each patient request for

a service or product and "be allowed to reject" it, in fact, "99.9%

of the submitted requests are approved." Solano never participated

- 4 - in the scheme, but the Barton employee claimed that Barton had

several clients already engaged in this ongoing operation.

Meanwhile, Maxilin worked as a certified coding

associate for Medtech Worldwide, Inc., which operates a network of

virtual medical clinics pairing patients with providers for

consultations. His role involved coding prescriptions for cancer

tests, pain creams, and medical equipment.

According to Maxilin, Medtech was one of Barton's

recruited clients that participated in the fraudulent scheme by

channeling its patients to Barton physicians to write

"unnecessary" prescriptions. He alleges that Medtech and another

medical organization, RealTime Physicians, LLC, were obtaining

"tens of thousands" of dollars in prescriptions from Barton

physicians every month for various testing, equipment, or

medications requested by Medicare-eligible patients. The

organizations would then seek reimbursement from the federal

government for providing the prescribed service or product.2

Maxilin avers that Barton also contracted with other medical teams,

such as Ocenture, LLC and CareLumina, LLC, which "were paying

patients to take . . . cancer screening test[s] and then billing

Medicare . . . for reimbursement." Ocenture and CareLumina

2 Maxilin alleges that Medtech also falsified signatures and forms, among other misconduct. Because Barton is not implicated in these additional allegations, we do not discuss them further.

- 5 - allegedly performed between "8,000 and 10,000 cancer-screening

tests per month."3

B. Procedural History

In June 2020, Solano and Maxilin brought a sealed qui

tam action under the FCA and the analogous statutes of eight

states. In a qui tam suit, whistleblowers (called "relators")

purport to bring claims on behalf of the United States. See 31

U.S.C. § 3730(b)(1).

Here, Solano and Maxilin alleged five claims under the

FCA, including the presentation of false claims and conspiracy to

commit an FCA violation. See id. § 3729(a)(1)(A)-(G). Overall,

they alleged that Barton

knowingly provid[ed] or contract[ed] with providers to furnish medical services to patients eligible for Medicare or other government-funded health plans for unnecessary services prescribed by physicians that did not engage in treatment of the patients, had no physician-patient relationship with them, and often did not even speak with the patients for whom they prescribed the services.

Thus, they claimed that Barton engaged in fraud.

As required by the FCA, Solano and Maxilin submitted a

disclosure statement to the local United States Attorney's Office

when they filed their complaint. See id. § 3730(b)(2). Three

3 Solano and Maxilin initially sued Medtech, RealTime, Ocenture, and CareLumina, as well as Barton. Only Barton is a party to this appeal.

- 6 - years later, in May 2023, the United States declined to intervene,

and the district court ordered the complaint unsealed and served

on Barton.

A few months after the complaint was unsealed, Barton

moved to dismiss. It argued, in part, that Solano and Maxilin had

failed to plead fraud with the particularity required by Federal

Rule of Civil Procedure 9(b).

The district court granted Barton's motion to dismiss.

See United States ex rel.

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