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Government's Memorandum of Law in Support of Motion for Stay of Proceedings — United States v. Ameet K. Goyal

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The Government's Memorandum of Law in Support of Its Motion for a Stay of Proceedings, Document 7, filed 02/03/20, Case 7:19-cv-10832-KMK, United States of America v. Ameet K. Goyal, M.D. and Ameet Goyal, M.D, P.C. d/b/a The Eye Associates Group, Southern District of New York. The United States asks the Court to stay the civil action, including discovery, until the completion of the parallel criminal case, 19 Cr. 844 (CS), noting that all defendants consent. It states that the indictment unsealed on or about November 22, 2019, charges a health care fraud scheme and that the civil complaint was filed the same day. The memorandum weighs the overlap of issues, the indictment, prejudice to the parties, the public interest and the interests of the Court. Dated February 3, 2020.

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“Government's Memorandum of Law in Support of Motion for Stay of Proceedings — United States v. Ameet K. Goyal.” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/court-filing-no-7-19-cv-10832-dkt-7-s-d-n-y-ffd2cef602/, SHA-256 f8bffe6c4733fb89263ef4f60f3b42ce88bb293c9e1367825c31a5da8c0c07b7.

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         Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 1 of 10




UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF NEW YORK
 -------------------------------------         x
 UNITED STATES OF AMERICA,                     :
                                               :
                              Plaintiff,       :
                                               :
                -against-                      :      No. 19 Civ. 10832 (KMK)
                                               :
AMEET K. GOYAL, M.D. and AMEET                 :
GOYAL, M.D, P.C. d/b/a THE EYE                 :
ASSOCIATES GROUP,                              :
                                               :
                                               :
Defendants.                                    x
-------------------------------------

       THE GOVERNMENT’S MEMORANDUM OF LAW IN SUPPORT OF ITS
                 MOTION FOR A STAY OF PROCEEDINGS


                                           GEOFFREY S. BERMAN
                                           United States Attorney for the
                                           Southern District of New York
                                           Attorney for the United States
                                                  of America


VLADISLAV VAINBERG
DAVID R. FELTON
MARGERY FEINZIG
Assistant United States Attorneys
       - Of Counsel -
            Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 2 of 10




                                  PRELIMINARY STATEMENT

          The United States of America, by and through the United States Attorney for the

Southern District of New York (“the Government”), respectfully submits this memorandum in

support of its motion to stay civil proceedings in the above-captioned case, United States v.

Ameet K. Goyal, M.D.. et al., 19 Civ. 10832 (KMK) (the “Civil Action”), including Rule

26(a)(1) and other discovery, until the completion of the trial or other disposition in the parallel

criminal case, United States v. Ameet Goyal, 19 Cr. 844 (CS) (the “Criminal Case”).

          The Criminal Case arises from the same set of facts and circumstances that underlies the

Civil Action.     Courts in this district frequently stay civil proceedings when there is a parallel

criminal prosecution.

          All parties to the Civil Case consent to the Government’s motion for a stay of the Civil

Action.     In particular, Ameet K. Goyal M.D. and Ameet Goyal, M.D., P.C. d/b/a The Eye

Associates Group (“Eye Associates”) – all of the defendants in this action – consent to the

Government’s motion for a stay of the Civil Action.

                                           BACKGROUND

          On or about November 22, 2019, an indictment, 19 Cr. 844 (CS) (the “Indictment”) was

unsealed charging Ameet K. Goyal with a health care fraud scheme centered at The Eye

Associates Group, also known as Rye Eye Associates, an ophthalmology practice located in Rye,

New York and other locations. (A copy of the Indictment is attached hereto as Exhibit A.)

That same day, a civil complaint was filed in this action (the “Complaint”).

          As alleged in the Indictment and the Complaint, from at least in or about 2010 up to and

including in or about February 2017, Ameet K. Goyal orchestrated a scheme to defraud

Medicaid, Medicare, and managed care companies (the “Government Payors”) out of millions of
             Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 3 of 10




dollars. 1

         The scheme alleged in the Indictment and the Complaint involved, among other things,

the submission of false claims to the Government Payors for tests and procedures that were not

performed and/or medically unnecessary. The defendants also consistently upcoded surgical

procedures, claiming to perform a far more costly procedure than what was actually done, to

maximize the reimbursement they would receive from the Government Payors. In order to

justify this billing, the defendants falsified patient diagnoses and prepared operative reports that

falsely described the procedures performed on patients.

                                            ARGUMENT

         This Court should grant this unopposed application for a stay of the Civil Action for

several reasons. First, permitting discovery in the Civil Action could circumvent the constraints

imposed on discovery in criminal cases. Second, there is no prejudice to the parties to the Civil

Action that would arise from staying the action; in fact, all of the defendants consent to the stay.

Third, staying the Civil Action pending the conclusion of the Criminal Case would likely be

more efficient and preserves the Court’s resources because many of the issues presented by the

Civil Action will likely be resolved in the Criminal Case.

     I. A Stay of the Civil Action is Warranted

         This Court has the inherent power to stay a civil proceeding in the interests of justice

pending the completion of the parallel criminal trial. Kashi v. Gratsos, 790 F.2d 1050, 1057 (2d

Cir. 1986) (“[A] court may decide in its discretion to stay civil proceedings . . . when the

interests of justice seem . . . to require such action.”) (internal citations and quotations omitted).



1
    The Indictment alleges that this scheme defrauded private insurers and patients as well.

                                                   2
          Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 4 of 10




When considering whether to grant a stay, courts balance the following factors:

        (1) the extent to which the issues in the criminal case overlap with those presented
        in the civil case; (2) the status of the case, including whether the defendants have
        been indicted; (3) the private interests of the plaintiffs in proceeding expeditiously
        weighed against the prejudice to plaintiffs caused by the delay; (4) the private
        interests of and burden on the defendants; (5) the interest of the court; and (6) the
        public interest.

SEC v. Treadway, No. 04 Civ. 3464(VM)(JCF), 2005 WL 713826, at *2-*3 (S.D.N.Y. March

30, 2005) (quoting In re Worldcom, Inc. Secur. Litig., Nos. 02 Civ. 3288, 02 Civ. 4816, 2002

WL 31729501, at *4 (S.D.N.Y. Dec. 5, 2002))); see also Volmar Distrib., Inc. v. New York Post

Co., Inc., 152 F.R.D. 36, 39 (S.D.N.Y. 1993) (listing similar factors). “Balancing these factors is

a case-by-case determination.” Id. An analysis of these factors in this case weighs in favor of

granting the stay sought by the Government.

        A.    The Extent of Overlap

        The identity of issues underlying the cases weighs heavily in favor of a stay. “The most

important factor at the threshold is the degree to which the civil issues overlap with the criminal

issues.” Volmar Distrib., 152 F.R.D. at 39 (citing Judge Milton Pollack, Parallel Civil and

Criminal Proceedings, 129 F.R.D. 201, 203 (S.D.N.Y. 1989)); see also Parker v. Dawson, No.

06 Civ. 6191 (JFB), 2007 WL 2462677 (Aug. 27, 2007 E.D.N.Y.) at *4 (same); United States v.

One 1964 Cadillac Coupe DeVille, 41 F.R.D. 352, 353 (S.D.N.Y. 1966) (“Where both civil and

criminal proceedings arise out of the same or related transactions the government is ordinarily

entitled to a stay of all discovery in the civil case until disposition of the criminal matter.”).

        Here, this Civil Action concerns, in large part, the same healthcare fraud scheme alleged

in the Indictment, including billing and upcoding for orbitotomies, conjuctivoplasties, and eyelid

reconstruction procedures that were not performed; falsifying the results of patients’ medical


                                                   3
         Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 5 of 10




files in order to justify and bill the Government Payors for such procedures, and pressuring other

employees of Eye Associates to participate in the scheme.        In short, the cases involve much the

same facts and issues.

       B.      The Status of the Criminal Case

       The return of an indictment in the criminal case is also a factor that weighs in favor of a

stay. “Courts generally decline to stay civil proceedings when a related criminal matter is still in

the investigatory stage.” Treadway, 2005 WL 713826 at *3. On the other hand, “[t]he weight of

authority in this Circuit indicates that courts will stay a civil proceeding when the criminal

investigation has ripened into an indictment.” In re Par Pharm, Inc. Sec. Litig., 133 F.R.D. 12,

13 (S.D.N.Y. 1990). As the Court explained in Trustees of Plumbers and Pipefitters Nat’l

Pension Fund, et al. v. Transworld Mechanical, Inc.:

       A stay of a civil case is most appropriate when a party to the civil case has already
       been indicted for the same conduct for two reasons: first, the likelihood that a
       defendant may make incriminating statements is greatest after an indictment has
       issued, and second, the prejudice to the plaintiffs in the civil case is reduced since
       the criminal case will likely be quickly resolved.

886 F. Supp. 1134, 1139 (S.D.N.Y. 1995).

       All of the defendants (except for Eye Associates, the corporate entity owned by Ameet K.

Goyal) have been indicted. Thus, this factor also militates in favor of a stay.

       C.      The Potential Prejudice to the Parties

            There is very little, if any, prejudice to the parties that would result from the stay

sought by the Government. Defendants in parallel criminal cases typically have an interest in

not being deposed because if they assert their Fifth Amendment privilege, an adverse inference

may be drawn against them in the civil case. See Baxter v. Palmigiano, 425 U.S. 308, 318 (1976)

(noting that Fifth Amendment does not forbid adverse inferences against parties to civil actions).

                                                    4
          Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 6 of 10



But as one district court recently noted, “[t]he specter of parties and witnesses invoking their

Fifth Amendment rights would render discovery largely one-sided; the SEC would produce

scores of documents and witness testimony only to be precluded from gathering reciprocal

discovery from the defendants.” SEC v. Nicholas, 569 F.Supp. 2d. 1065, 1070 (C.D.Cal. 2008);

see also SEC v. Saad, 229 F.R.D. 90, 91 (S.D.N.Y. 2006) (JSR) (noting that in a prior civil case,

SEC v. The Oakford Corporation, 181 F.R.D. 269 (S.D.N.Y. 1998) (JSR), Judge Rakoff had

stayed deposition discovery because there was a high likelihood that invocations of the Fifth

Amendment privilege would “play havoc with the orderly conduct” of the depositions, but Judge

Rakoff allowed depositions to proceed in Saad because none of the defendants was going to

invoke the Fifth Amendment privilege). As a result, in this instance, granting a stay of the civil

cases to permit the criminal case to proceed to its conclusion would actually benefit the

defendants, since granting a stay of this civil case against would for now obviate forcing the

defendants to choose between being prejudiced in the civil cases by the assertion of their Fifth

Amendment rights or being prejudiced in the criminal case if they waives those rights.

       D.     The Public Interest

       The Government and the public have an important interest in insuring that civil discovery

is not used to circumvent the restrictions that pertain to criminal discovery. Rule 16 of the

Federal Rules of Criminal Procedure expressly limits the documents that are subject to discovery

in a criminal case and further states that it does not “authorize the discovery . . . of statements

made by government witnesses or prospective government witnesses except as provided in 18

U.S.C. § 3500.” Fed. R. Crim. P. 16(a)(2). Title 18, United States Code, Section 3500 provides

that in criminal cases, the statements of Government witnesses shall not be “the subject of

subpoena, discovery, or inspection until said witness has testified on direct examination in the


                                                  5
          Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 7 of 10



trial of the case.” The public policy against premature disclosure of the Government’s criminal

case is so strong that courts are without power to order early production of witness statements.

See United States v. Taylor, 802 F.2d 1108, 1117-18 (9th Cir. 1986). Moreover, except under

“exceptional circumstances” and pursuant to court order, the criminal rules do not provide for

depositions as a means of discovery. See In re Ahead By A Length, Inc., 78 B.R. 708, 711

(S.D.N.Y. 1987); Fed. R. Crim. P. 15.

       Courts repeatedly have recognized that a civil litigant should not be allowed to use civil

discovery to avoid the restrictions that would otherwise pertain in criminal discovery to a

criminal defendant. See SEC v. Beacon Hill Asset Management LLC, No. 02 Civ. 8855 (LAK),

2003 WL 554618, at *1 (S.D.N.Y. Feb. 27, 2003) (in context of request for civil stay of

discovery due to pending criminal investigation, “[t]he principal concern with respect to

prejudicing the government=s criminal investigation is that its targets might abuse civil discovery

to circumvent limitations on discovery in criminal cases”); Phillip Morris Inc. v. Heinrich, No.

95 Civ. 328 (LMM), 1996 WL 363156, at *19 (S.D.N.Y. June 28, 1996) (without a stay,

defendants “may have an opportunity to gain evidence to which they are not entitled under

criminal discovery rules”); Governor of the Fed’l Reserve System v. Pharaon, 140 F.R.D. 634,

639 (S.D.N.Y. 1991) (“A litigant should not be allowed to make use of the liberal discovery

procedures applicable to a civil suit as a dodge to avoid the restrictions on criminal discovery and

thereby obtain documents he would not otherwise be entitled to for use in his criminal trial”)

(quoting Campbell v. Eastland, 307 F.2d 478, 487 (5th Cir. 1952)); In re Ivan F. Boesky

Securities Litig., 128 F.R.D. 47, 49 (S.D.N.Y. 1989) (“the public interest in the criminal case is

entitled to precedence over the civil litigant”).

       E.     The Interests of the Courts

                                                    6
            Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 8 of 10




          Considerations of judicial economy also weigh in favor of granting a stay. The resolution

of the criminal case against the defendants will likely simplify the civil action. Nat’l Union Fire

Ins. Co. v. Sun, 1997 U.S. App. LEXIS 6174, at *4 (2d Cir. 1997) (“It is well established that a

criminal conviction may act to collaterally estop a litigant from challenging in a subsequent civil

action issues decided in that prosecution”) (citing Maietta v. Artuz, 84 F.3d 100, 103 n.1 (2d Cir.

1996)).     Cf. SEC v. Contorinis, 2012 WL 512626 (S.D.N.Y. Feb. 3, 2012) (“Courts in this

district have consistently found that a defendant convicted of securities fraud in a criminal

proceeding is collaterally estopped from relitigating the underlying facts in a subsequent civil

proceeding.”); Twenty First Century Corp. v. LaBianca, 801 F. Supp. 1007 (recognizing judicial

economy as a factor to be considered); Brock v. Tolkow, 109 F.R.D. 116, 120 (E.D.N.Y. 1985)

(noting that resolution of the criminal case “might reduce scope of discovery in the civil case and

otherwise simplify the issues”).




                                                  7
           Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 9 of 10




                                           CONCLUSION

         In light of the strong public interest in preventing the civil discovery rules from being

subverted into a device for improperly obtaining discovery in criminal cases; the lack of any

opposition to the motion by the parties, reflecting the lack of prejudice to the parties; the fact that

no trial date in the Civil Action has been set; the likelihood that resolution of the Criminal Case

will resolve issues in the Civil Action, and to assure that the Government’s ability to prosecute

the criminal case against the defendants is not undermined, the Government respectfully submits

that the stay requested by the Government—to which the defendants and the Plaintiff-Relator

consent—should be granted.

Dated:     New York, New York
           February 3, 2020
                                                Respectfully submitted,

                                                GEOFFREY S. BERMAN
                                                United States Attorney

                                         By:       /s/ Vladislav Vainberg
                                                Vladislav Vainberg
                                                David R. Felton
                                                Margery Feinzig
                                                Assistant United States Attorney
                                                United States Attorney=s Office
                                                One Saint Andrew’s Plaza
                                                New York, New York 10007
                                                Tel.: (212) 637-1029 / 914-993-1908 / 1903




                                                   8
       Case 7:19-cv-10832-KMK Document 7 Filed 02/03/20 Page 10 of 10




To:   Marc L. Mukasey, Esq.
      Mukasey Frenchman & Sklaroff
      2 Grand Central Tower
      140 East 45th Street
      17th Floor
      New York, NY 10017
      212-466-6400
      marc.mukasey@mfsllp.com
      Attorney for Defendants Ameet K. Goyal and Ameet Goyal M.D., P.C




                                           9


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