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Once all appeal rights have been exhausted, the Health Insurance Act authorizes the General Manager of OHIP to publicize information about providers who have been directed by a panel of a Medical or Practitioner Review Committee to repay money received for improper claims. This Bulletin contains the release of this information.
The following information pertains to physicians who appeared before a panel of the Medical Review Committee for a review of services provided on or after May 1, 1996, and who have been directed to repay claims to OHIP as of March 31, 2002, and whose appeal rights have been exhausted.
| Specialty/ Practitioner Type : |
Region Where Services Under Review Provided : |
Region Where Provider Currently Practicing (as of 07/31/01) : |
Period of Review : mm/dd/yy |
Referred to Review Committee |
Contained in Review Committee Direction |
Recovery Amount * : |
| Family Practice and General Medicine |
Central West |
Central West |
05/01/96 to 7/31/97 |
A003, A007, J304A, K013 |
A003, A007, J304A, K013 |
$53,750.00 |
| Neurology |
Central West |
Central West |
06/01/97 to 05/31/99 |
A183, A184, A186, A188, A385 |
A183, A184, A186, A385 |
$56,627.83 |
| Family Practice and General Practice |
Central East |
Central East |
05/01/96 to 06/30/96 |
A001, A003, A007, G465, G467 |
A003, A007 |
$269.05 |
| Family Practice and General Practice |
Central East |
Central East |
05/01/96 to 07/31/97 |
A003, A004, A007, K002, K007, K013 |
A003, A004, A007, K002, K007, K013 |
$21,250.00 |
| Internal Medicine |
Central East |
Central East |
08/01/96 to 07/31/98 |
A133, A135 |
A133, A135 |
$35,000.00 |
| Anaesthesia |
Central East |
Central East |
05/01/96 to 07/31/96 |
A013, A014, A015, G123, G216, G219, G223, G227, G228, G231, G235, G238, G273, G384, G385 |
A013, A015, G123, G216, G219, G223, G227, G228, G231, G235, G238, G273, G384, G385, |
$12,714.26 |
| Anaesthesia |
Central South |
Central South |
06/01/97 to 05/31/99 |
A007, A014, A015, G123, G214, G218, G227, G228, G234, G238, G384, G385 |
A007, A014, A015, G123, G214, G218, G228, G234, G238, G384, G385 |
$53,463.28 |
| Internal Medicine |
Central East |
Central East |
07/01/97 to 06/30/99 |
A133, A134 |
A133, A134 |
$99,212.17 |
| Family Practice and General Practice |
Central South |
Central South |
05/01/96 to 01/31/00 |
A007 |
A007 |
$34,218.33 |
| Paediatrics |
Central East |
Central East |
07/01/96 to 06/30/98 |
A007, A263, A264 |
A263, A264 |
$120,747.73 |
| Family Practice and General Practice |
Central West |
Central West |
01/01/98 to 12/31/99 |
A007 |
A007 |
$55,017.26 |
| Internal Medicine |
Southwest |
Southwest |
05/01/96 to 02/28/98 |
A133, A135 |
A133 |
$82,179.43 |
| Family Practice and General Practice |
East |
East |
05/01/96 to 06/30/97 |
A003, A007, K007, K013 |
A003, A007, K007, K013 |
$40,833.33 |
| Paediatrics |
Central East |
Central East |
11/01/96 to 10/31/98 |
A263, A264, K013 |
A263, A264, K013 |
$82,179.43 |
| Paediatrics |
Central East |
Central East |
08/01/96 to 07/31/98 |
A007, A263, A264 |
A007, A263, A264 |
$40,833.33 |
| Family Practice and General Practice |
Central West |
Central West |
05/01/96 to 09/30/96 |
A003, A007, K007, K013 |
A003, A007, K007, K013 |
$16,242.69 |
| Internal Medicine |
Central West |
Central West |
5/01/96 to 09/30/97 |
A133, A135, A136, G111, G112, G315, G319 |
A133, A135, A136 |
$21,250.00 |
| Family Practice and General Practice |
Central East |
Central East |
05/01/96 to 10/31/96 |
A003, A004, A007, G310, G313, G467, G482, G489, G700, K007 |
A003, A004, A007, K007 |
$2,616.85 |
* The recovery amount includes amounts that pertain to services provided on or after May 1, 1996.
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