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GEICO sues Brooklyn clinics over alleged $2M no-fault billing fraud
The insurer’s federal lawsuit says claims were tied to medically unnecessary services and code inflation under New York’s no-fault system, which covers up to $50,000 per person for necessary post-crash care.
GEICO has filed a federal lawsuit in Brooklyn accusing two medical practices in New York of billing the auto insurer more than $2 million for treatments it says were medically unnecessary and, in many cases, never provided. The complaint was filed July 24, 2026, and names Kings County Physicians Group and Kings Highway Physicians Group, along with a physician the filing says owned and controlled both practices.
The suit centers on New York’s no-fault system, which requires auto insurers to cover up to $50,000 per person for necessary health care goods and services after a crash. GEICO alleges the practices treated drivers who said they were hurt, then submitted hundreds of claims for care the complaint describes as medically unnecessary, excessive, illusory, and otherwise non-reimbursable.
According to the complaint, patients were processed through what GEICO characterizes as pre-determined fraudulent protocols regardless of their actual injuries, including exams and follow-ups, outcome-assessment tests, nerve studies, platelet-rich plasma injections, and shockwave therapy. GEICO also alleges that billing codes were inflated, including exam codes that it says imply longer face-to-face time than what the complaint says actually occurred.
The filing also alleges the alleged control of the practices involved unlicensed “laypersons” identified as John Doe defendants. GEICO says New York rules bar a medical practice from collecting no-fault money if it is owned or run by people without a medical license, and the complaint argues the scheme steered patients, dictated treatment plans, and shared in profits.