Aрpeal from a judgment of the Supreme Court (Lamont, J.), rendered April 12, 1996 in Albany County, convicting defendant following a nonjury trial of the crimes of grand larceny in the third degree and offering a false instrument for filing in the first degree (10 counts).
Defendant, a licensed podiatrist and participating provider in the State Medical Assistance Program (hereinafter Medicaid), was charged with, inter alia, grand larceny stemming from allegations that he knowingly submitted false Medicaid claims from January 1985 through December 1986, receiving more than $40,000 in payment thereof. The claims at issue relate to the furnishing of orthotics, devices worn inside a patient’s shoes to change the weight-bearing pattern of the foot. The People dеmonstrated at trial that on many occasions during the relevant time period defendant submitted claims for paymеnt using Medicaid billing code 90473, which indicates that a custom orthotic has been prepared from a three-dimensional cast of the patient’s feet, when in fact he had created no such cast but had used a different (and aрparently less expensive and/or time-consuming) process called a “pedograph” to obtain the nеcessary foot measurements.
Defendant did not deny having used the latter procedure in most of the 880 instances in which he had submitted claims using code 90473. Rather, he argued that criminal liability should not attach because he had been operating under a good-faith belief—premised upon an earlier court decision assert
There is no reason to disturb the grand larceny conviction. As the Court of Appeals recently observed, the Medicaid code description at issue “is not ambiguоus” and its use of the word “casting”, a term having “a universally recognized meaning within the podiatric profession”, “sufficiently сonvey[s] to podiatrists the requirement to use a casting technique that will create a three-dimensional mold of the foot” (People v McDonald,
Nor can Supreme Court be faulted for rejecting, as implausible, defendant’s contention that he acted in goоd faith on the basis of his perception of the holding in People v Rubin (
Defendant’s other convictions must, however, be reversed, in the interest of justice, for the People did not carry their burden of demonstrating that thе specific claims recited in counts 2 through 11 actually contained false statements. Notably, defendant’s testimony that he prepared three-dimensional casts for some of his Medicaid patients was uncontroverted аnd, absent definitive proof that such casts were not made for the 10 patients identified in the indictment, the convictions stemming therefrom cannot be said to have been proven beyond a reasonable doubt.
Defendant’s remаining contentions, including his challenge to the propriety of the sentence imposed on the larceny cоnviction, are unconvincing (see, e.g., People v Torres,
Crew III, J. P., White, Spain and Carpinello, JJ., concur. Ordered that the judgment is modified, as a matter of discretion in the interest of justice, by reversing so much thereof as found defendant guilty of the crime of offering a false instrument for filing (counts 2 through 11); said counts are dismissed and matter remitted to the Supreme Court for further proceedings pursuant to CPL 460.50 (5); and, as so modified, affirmed.
