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  • VASHONE RHODES  vs.  JAMES GOMEZ, et alMOTOR VEHICLE ACCIDENT document preview
  • VASHONE RHODES  vs.  JAMES GOMEZ, et alMOTOR VEHICLE ACCIDENT document preview
  • VASHONE RHODES  vs.  JAMES GOMEZ, et alMOTOR VEHICLE ACCIDENT document preview
  • VASHONE RHODES  vs.  JAMES GOMEZ, et alMOTOR VEHICLE ACCIDENT document preview
  • VASHONE RHODES  vs.  JAMES GOMEZ, et alMOTOR VEHICLE ACCIDENT document preview
  • VASHONE RHODES  vs.  JAMES GOMEZ, et alMOTOR VEHICLE ACCIDENT document preview
  • VASHONE RHODES  vs.  JAMES GOMEZ, et alMOTOR VEHICLE ACCIDENT document preview
  • VASHONE RHODES  vs.  JAMES GOMEZ, et alMOTOR VEHICLE ACCIDENT document preview
						
                                

Preview

FILED 4/1 0/2020 10:35 AM FELICIA PITRE DISTRICT CLERK DALLAS CO.,TEXAS Kellie Juricek DEPUTY CAUSE NO. DC-1 9-1 0926 VASHONE RHODES; IN THE DISTRICT COURT OF Plaintiff, VS. WWWWWWWWW DALLAS COUNTY, TEXAS JAMES GOMEZ; Defendant. 160T” JUDICIAL DISTRICT PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. Plaintiff VASHONE RHODES moves to strike Defendant’s Counter—Affidavits of Roger Clifford, D.C. and Lennard A. Nadalo, M.D., for failure to fully comply with the conditions of Texas Civil Practice & Remedies Code § 18.001 (f). l. BACKGROUND & SUMMARY OF THE ARGUMENT This lawsuit arises out of a motor vehicle collision that occurred on November 27, 2018, in Desoto, Texas. Plaintiff Vashone Rhodes was operating his vehicle on I-35E and had stopped for traffic ahead, when Defendant James Gomez rear—ended his vehicle. As a result of the collision, Mr. Rhodes was injured and required medical care. Following treatment, he produced affidavits from his medical providers attesting to the reasonable charges for his necessary medical treatment. These affidavits support a finding at trial that the treatment was necessary and the charges were reasonable, pursuant to Texas Civil Practice & Remedies Code § 18.001 (b). Defendants have responded with the Counter—Affidavits of Roger Clifford, D.C. and Lennard A. Nadalo, M.D. See Clifford Affidavit, attached as Exhibit A, and Nadalo Affidavit, attached as Exhibit B. These Affidavits, however, fail to satisfy the “reasonable PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. — Page 1 notice” condition of Texas Civil Practice & Remedies Code § 18.001 (f). As such, the Court should strike the Counter—Affidavits of Dr. Clifford and Dr. Nadalo from use in this cause. l|. SECTION 18.001 & THE HEAW BURDEN PLACED ON COUNTER-AFFIDAVITS Texas Civil Practice & Remedies Code § 18.0011 provides the following exception to the hearsay rule for proving up medical bills: Unless a controverting served as provided by this section, an affidavit is affidavit that the for a service was reasonable at amount a person charged the time and place that the service was provided and that the service was necessary is sufficient evidence to support a finding of fact by judge orjury that the amount charged was reasonable or that the service was necessary. Tex. Civ. Prac. & Rem. Code § 18.001(b). To challenge a plaintiff’s initial section 18.001 affidavits, any counter—affidavit must comply with subsection (f), as follows: The counteraffidavit must give reasonable notice of the basis on which the party servinqintends to controvert the claim reflected bv the initial affidavit it and must be taken before a person authorized to administer oaths. The counteraffidavit must be made by a person who is qualified, by knowledge, skill, experience, training, education, or other expertise, to testify in contravention of all or part of any of the matters contained in the initial affidavit. Tex. Civ. Prac. & Rem. Code §18.001(f)(emphasis added). According to the Dallas court of appeals in Turner v. Peril, “[s]ection 18.001 provides a significant savings of time and cost to litigants, particularly in personal injury cases, by providing a means to prove up the reasonableness and necessity of medical expenses.” Turner v. Peril, 50 S.W.3d 742, 746 (Tex. App.—Dallas 2001, pet. denied). 1 Section 18.001was amended in the last legislative session. See Act ofJune 10, 2019, 86th Leg., R.S., H.B. 1693, ch. 779 (amending Tex. Civ. Prac. & Rem. Code § 18.001). Because this lawsuitwas filed prior to the effective date of the amendments, the prior version of section 18.001 applies here. See Act of June 14, 2013, 83rd Leg., R.S., ch. 560, 2013 Tex. Gen. Laws 1507 (amended 2019) (current version at Tex. Civ. Prac. & Rem. Code § 18.001). All citations to section 18.001 are to that version ofthe statute. PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. — Page 2 Thus, “section 18.001 places a greater burden of proof on counter affidavits to discourage their misuse in a manner that frustrates the intended savings.” Id. at 747. III. GROUNDS FOR STRIKING COUNTER-AFFIDAVIT OF ROGER CLIFFORD, D.C. Dr. Clifford states that his Counter-Affidavit is made in response to the initial affidavit of Premier Injury Clinics. Exhibit A, p. 1. To that end, he opines “that the health care treatment and numerous procedures and charges, as indicated in [his report], are neither reasonable, necessary nor justified by the condition as described by said medical reports.” Exhibit A, p. 1-2. But as will be shown herein, such opinions are either immaterial or merely conclusory. Further, the court of appeals in Turner v. Peril has made it clear that conclusory statements are not effective to controvert initial section 18.001 affidavits. See Turner, 50 S.W.3d at 748 (concluding that counteraffidavits were deficient because they “either obscure his basis for controverting the affidavits filed by Turner or conceal the absence of any basis.”). A. Dr. Clifford’s challenge to the adequacy of the medical documentation to support causation is immaterial to the relevant inquiries under Section 18.001. In his report, Dr. Clifford begins by challenging all of the services of Premier Injury Clinics as medically unnecessary because of deficiencies he perceives with the chiropractor’s documentation. See Exhibit A, at report, p. 4-5. In particular, he states that The documentation lacks details about the motor vehicle accident, and contains no reported mechanism of injury to explain how the Plaintiff’s complaints were related to the 11-17-18 car accident. See Exhibit A, at report, p. 4. However, it is immaterial whether the documentation met standards set out by the American Chiropractic Association Clinical Documentation Manual, as the only relevant inquiries are whether the services PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 3 were necessary to treat the patient and the charges for those services were reasonable. If Dr. Clifford cannot render an opinion due to a lack of documentation, he should have stated as much instead of rejecting the treatment altogether. Moreover, the issue of whether the services provided were done so as a proximate cause of the collision with Defendant, is also immaterial. It is well settled that section 18.001 affidavits filed by an injured plaintiff do not establish that the costs associated with treatment were caused by a defendant's actions or that the plaintiff is entitled to those costs as a matter of law. Atwood v. Pietrowicz, No. 02-10-00010-CV, 2010 WL 4261600, at *4 (Tex. App.—Fort Worth Oct. 28, 2010, no pet.); see also Paz v. Molina, No. 14-11- 00664-CV, 2012 WL 2466578, at *2 (Tex. App.—Houston [14th Dist.] June 28, 2012, no pet.)(mem. opinion). Indeed, courts repeatedly concur that an affidavit concerning reasonableness and necessity submitted under Section 18.001 does not establish a causal nexus between the injury and medical expenses. Wald Tinkle Packaging & Distribution, Inc. v. Pinok, No. 01-02-01100-CV, 2004 WL 2966293, at *9 (Tex. App.— Houston [1st Dist.] Dec. 23, 2004, no pet.); Sloan v. Molandes, 32 S.W.3d 745, 752 (Tex. App.—Beaumont 2000, no pet.); Beauchamp v. Hambrick, 901 S.W.2d 747, 749 (Tex. App.—Eastland 1995, no writ)). To be consistent, if an initial affidavit submitted pursuant to Section 18.001 has no bearing on causation, a controverting affidavit cannot be based on a purported lack of causation. Consequently, in the current version of section 18.001, the Legislature clarified that a counter-affidavit “may not be used to controvert the causation element of the cause of action that is the basis for the civil action.” See Tex. Civ. Prac. &. Rem. Code § 18.001(f) (eff. 9/1/19). For these reasons, Dr. Clifford’s PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 4 statements about the adequacy of documentation and causation are not effective to controvert the initial affidavit of Premier Injury Clinics. B. Dr. Clifford does not provide reasonable notice of his basis for saying that only 10 visits to a chiropractor would be necessary. While not conceding that any services by Premier Injury Clinics were necessary, Dr. Clifford adds: [E]ven if an assumption is made with no support of documentation that some of the services would have been necessary, not all of the services would have been necessary. Only up to the 10 visits provided until 12-12- 18 would have been necessary. The overall course of care provided including number of visits, frequency of care, and duration of care was excessive and out of proportion to the injuries sustained if any. Most of the chiropractic records showed no objective findings to support that injuries were sustained or that services being rendered were necessary. Exhibit A, at report p. 6. To justify his conclusion, he adds that (a) failing to provide x-rays is inconsistent with the claimant sustaining “significant injuries,” (b) there were no neurological deficets, i.e. evidence of radiculopathy based on the x-rays, (c) people who treat more recover slower than those who treat less, (d) studies have not identified effective treatments for acute or chronic symptoms from whiplash, (e) there is no association between minor trauma and adverse low back illness, (f) re-examination of the patient showed no objective evidence of functional improvement, and (g) hot/cold packs should have been administered at home. First, it is pure speculation that x-rays were not taken because Mr. Rhodes’s injuries were not serious. One cannot get into the mind of Plaintiff’s chiropractor to know why he would or would not initially order x-rays. PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 5 Second, Dr. Clifford urges that the x-rays taken showed the absence of neurological injury. Whether this a contradiction of his earlier statement that there were no x-rays, or whether he is saying x-rays taken at a later point prove his hypothesis is simply unclear. If he is saying the chiropractor should have known from x-rays taken later that there was no sign of radiculopathy upon Plaintiff’s initial presentation to the chiropractor, this would be absurd. Further, even with evidence of an absence of radiculopathy, Dr. Clifford fails to explain why this would rule out the need for more than 10 visits to the chiropractor. Third, citing sources that say more treatment is better than less, is too non-specific to give any notice to Plaintiff regarding why 10 chiropractic sessions (and only 10 sessions) was the reasonable number for his care. Likewise, stating that studies do not show it is helpful to treat chronic whiplash does not explain why 10 sessions is the magic number of chiropractic sessions to be reasonable. Fourth, opining that there is no association between minor trauma (which he assumes) and adverse low back problems, is not helpful in informing Plaintiff why he should have only had 10 and no more chiropractic treatments. Fifth, even if it is true that there were no objective signs that Plaintiff was improving with chiropractic treatment, this does not explain why 10 treatments were reasonable, but any more were not. Sixth, rejecting the need for in-office hot/cold packs is not a challenge to the service. It is only a challenge to the charge. If Dr. Clifford felt that Plaintiff should not have been charged for hot/cold packs in the office, when he needed them for treatment, he should have provided an explanation for this opinion. PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 6 For these reasons, Dr. Clifford’s opinions are conclusory, or otherwise fails to provide Plaintiff reasonable notice of the basis for controverting the initial affidavit of Premier Injury Clinics, in violation of Section 18.001(f). C. Dr. Clifford’s opinions about the charges of Premier Injury Clinics are mere ipse dixit. Addressing the charges of Premier Injury Clinics, Dr. Clifford opines: EMS expenses were $55.00, but only up to $30.00 would have been reasonable. New patient exam expenses were $295.00, but only up to $140.00 would have been reasonable. Mechanical traction expenses were $55.00, but only up to $30.00 would have been reasonable. None of the expenses for massage therapy, therapeutic procedures, and manual therapy were reasonable. The chiropractic billing for those services was not supported by the chiropractic records as required by the Texas Board of Chiropractic Examiners. The chiropractic treatment records were below the standard of chiropractic care in this region and failed to follow the required documentation guidelines such as the AMA CPT Coding Manual; therefore, none of those expenses for those services were reasonable. The minimal documentation thresholds were not reached. The chiropractic billing was not supported by the chiropractic records and therefore none of the expenses for these services were reasonable. Detailed description was not documented. The treatment records fell below the standard of chiropractic care and did not meet the minimal documentation requirements. Re-examination expenses were $125.00, but only up to $60.00 would have been reasonable. Spinal manipulation expenses were $70.00, but only up to $50.00 would have been reasonable. Nine EMS treatments $30.00 each, totaled $270.00; 2 mechanical tractions $30.00 each, totaled $60.00. Including 1 re-examination for $60.00, 1 spinal manipulation for $50.00, and the new patient examination for $140.00, no more than $580.00 would have been reasonable. Exhibit A, at report p. 10. PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 7 In these paragraphs, Dr. Clifford generally rejects various line item charges and offers up different amounts that he thinks should have been charged or would have been reasonable. Although he cites to the CPT code book and says that chiropractors must bill in accordance with the standards set out therein, he fails to explain how any of Premier Injury Clinics’ billing procedures fail to meet the standards. Moreover, Dr. Clifford fails to cite any reference or source he used to determine the amounts that should have been charged. He also fails to explain why the amounts actually charged would not be considered reasonable for the local geographic area. He broadly urges that supporting documentation for the chiropractic billing is lacking; but he does not even identify the documents he is talking about. Nor does he discuss how alleged deficiencies in documentation are even relevant to the reasonableness of amounts charged for chiropractic services that were indisputably provided. A claim will not stand or fall on the mere ipse dixit of a credentialed witness. Burrow v. Arce, 997 S.W.2d 229, 235 (Tex. 1999). As noted by the Texas Supreme Court in Burrow, even if credentials qualify a person to offer opinions, those credentials do not supply the basis for those opinions. Id. at 236. “The opinions must have a reasoned basis which the expert, because of his knowledge, skill, experience, training, or education, is qualified to state.” Id. That basis is absent in this case. Dr. Clifford leaves Plaintiff guessing about why the amounts he was charged by Premier Injury Clinics for various services were unreasonable. In sum, whether he is discussing the necessity of treatment or the reasonableness of Plaintiff’s medical bills, Dr. Clifford’s Counter-Affidavit either obscures the basis for his opinions, or conceals the absence of any basis. Therefore, the Court should strike Dr. PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 8 Clifford’s Counter-Affidavit from use at trial to controvert Plaintiff’s initial Section 18.001 affidavit from Premier Injury Clinics. IV. GROUNDS FOR STRIKING COUNTER-AFFIDAVIT OF LENNARD A. NADALO, M.D. Lennard A. Nadalo, M.D. is a radiologist retained by Defendant to controvert the initial affidavits of MRI Centers of Texas, Dallas Radiology, URA/Uptown Radiology Associates, and Prime Diagnostic Imaging/Prime Imaging Partners. Exhibit B, p. 2. To that end, he opines exactly like Dr. Clifford “that the health care treatment and numerous procedures and charges, as indicated in [his report], are neither reasonable, necessary nor justified by the condition as described by said medical reports.” Exhibit B, p. 2. But as shown herein, Dr. Nadalo’s opinions are merely conclusory. A. Dr. Nadalo’s opinions regarding the charges of Plaintiff’s medical providers are conclusory. MRI Centers of Texas, according to Dr. Nadalo, charged as follows: 12/04/2018 CERVICAL - X-RAY 4 VIEWS OR MORE 72050 210.00 12/04/2018 Thoracic Spine X-Rays AP and Lateral 72070 156.00 12/04/2018 Lumbar Spine X-Rays AP and Lateral 72100 180.00 12/04/2018 SHOULDER, X-RAYS - MINIMUM TWO VIEWS 73030 198.00 … 12/18/2018 UPPER EXTREMITY ANY JOING MRI W/O Contrast $2295.00 Exhibit B, at report, p. 3, 5. Dr. Nadalo disagrees with the cervical X-ray charge because it “greatly exceeded the cost of available outpatient X-ray studies of the cervical spine, which when performed on a walk-in cash basis in the DFW region, are available for $50-60.” Exhibit B, at report, p. 3. He reached this opinion based on a “series of telephone surveys” he performed. However, he fails to to show why under the circumstances, and based on the location PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 9 and expenses of the provider, $210 was an excessive charge, even if it is higher than what another provider charges. Dr. Nadalo’s opinions about the thoracic X-ray, lumbar spine X-ray, and shoulder X-rays performed at MRI Centers of Texas are similar. He disagrees with the amounts charged because it greatly exceeds the walk-in price of $50-60 for the DFW region. See Exhibit B, at report, p. 4-5. However, he fails to explain why it was unreasonable for MRI Centers of Texas to charge $156 for the thoracic X-ray, $180 for the lumbar spine X-ray, or $198 for two shoulder X-rays, even if another facility may charge a lesser amount. Dr. Nadalo then rejects the reasonableness of shoulder MRIs, stating that the $2,395.00 charge exceeded the cost of available outpatient MRI of the shoulder, which when performed on a cash basis, in the DFW region are available for $350-$600. Exhibit B, at report, p. 5. Again, he fails to show why under the circumstances, and based on the location and expenses of the provider, $22,395.00 was an excessive charge, even if another provider would accept a lower amount. Turning to the services of Uptown Radiology Associates, Dr. Nadalo concludes that the following was not reasonable: 12/18/2018 Interpretation of UPPER EXTREMITY ANY JOINT MRI W/O Contrast Shoulder Uptown Radiology Associates $595.00 Exhibit B, at report, p. 6. Dr. Nadalo disagrees with the charge for the shoulder MRI, familiarly, because it “greatly exceeded the cost of available outpatient MRI of the shoulder interpretation, which when performed on a walk-in cash basis in the DFW region, are available for $50- 60.” Exhibit B, at report, p. 5. However, Dr. Nadalo fails to show why under the PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 10 circumstances, and based on the location and expenses of the provider, $595 was an excessive charge, even if it is higher than the charge of another provider. According to Dr. Nadalo, Prime Diagnostic Imaging performed another MRI to the shoulder (without contrast), as follows: 02/26/2019 UPPER EXTREMITY ANY JOINT MRI W/O Contrast Shoulder $1993.00 His opinion is that this charge is not reasonable because one can obtain such a scan on a cash basis in the DFW region for $350-$600. See Exhibit B, at report, p. 6. However, he does explain why it was unreasonable for Prime Diagnostic Imaging to charge $1,993, even if the price might be lower from another facility. Finally, Dr. Nadalo addresses the following charges of Dallas Radiology: 12/4/2018 C-SPINE XRAY MIN 4V 7205026 105.00 12/4/2018 T-SPINE XRAY 2V 7207026 100.00 12/4/2018 L-SPINE XRAY2-3V 7210026 100.00 12/4/2018 SHOULDER XRAY2V Lt 7303026 100.00 Exhibit B, at report, p. 7. He rejects the reasonableness of each of these charges, again, because he believes they greatly exceed the cost of available outpatient services obtained on a cash basis, based on his telephone surveys. See Exhibit B, at report, p. 7-9. He believes each of these services could be obtained for between $40-50; but he fails to show why the amounts Dallas Radiology charged must be considered unreasonable even if somewhat higher than what some other providers charge. Ultimately, Dr. Nadalo provides no information from which the Court can verify the source of Dr. Nadalo’s conclusory opinions regarding the charges of Plaintiff’s medical providers. He either obscures the basis for his opinions or conceals the absence of any basis at all. PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 11 B. Dr. Nadalo fails to provide a basis or rejecting Plaintiff’s need for radiology services. Not only does Dr. Nadalo challenge the charges for Plaintiff’s radiology services, he concludes that none of the X-rays of the spine and shoulder, and none of the shoulder MRI examinations, were justified. See Exhibit B, at report, p. 9. Specifically, he states that the need for these services was “not justified by the nature of the accident,” nor was the need for the studies supported by findings described in the associated written report. Exhibit B, p. 3-9. Dr. Nadalo fails to provide any basis whatsoever for his opinions that radiology services were not justified by the nature of the accident. Indeed, he relies on these very X-rays and MRI studies to reach his conclusion that there was no evidence of an injury from the accident. See Exhibit B, at report, p. 11. If there were findings described in the associated reports that would rule out the need for X-rays and MRIs, it was Dr. Nadalo’s obligation to identify them. Instead, his report to either obscures the basis of his opinions, or to conceals the absence of any basis at all. In sum, Dr. Nadalo fails to provide reasonable notice to Plaintiff of the basis for challenging his initial affidavits of MRI Centers of Texas, Dallas Radiology, URA/Uptown Radiology Associates, and Prime Diagnostic Imaging/Prime Imaging Partners, in violation of Section 18.001(f). Accordingly, Plaintiff asks that the Court strike Dr. Nadalo’s Counter- Affidavit from use in this cause. V. CONCLUSION & PRAYER Allowing the Counter-Affidavits of Dr. Clifford and Dr. Nadalo to controvert the initial affidavits of Mr. Rhodes’s medical providers without requiring strict compliance with the reasonable notice condition of Texas Civil Practice & Remedies Code § 18.001(f), PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. – Page 12 would frustrate the savings intended by the statute. Therefore, to promote the legislative intent of making it efficient to prove—up a claimant’s medical bills, this Court should strike these Counter-Affidavits, in their entirety. WHEREFORE, PREMISES CONSIDERED, Plaintiff VASHONE RHODES respectfully prays that the Court grant his motion to strike, and award him such other and further relief t0 which he may be justly entitled, whether at law or in equity. Respectfully submitted, EBERSTEIN & WITHERITE, LLP BY: glmflg fimE v1 ELDRfibGE State Bar No. 24096747 paiqe.eldridqe@ewlawvers.com AMY K. WITHERITE State Bar No. 00788698 amv.witherite@ewlawvers.com 10440 N. Central Expressway Suite 400 Dallas, TX 75231-2228 21 4/378-6665 21 4/378-6670 (fax) ATTORNEYS FOR PLAINTIFF CERTIFICATE OF CONFERENCE Pursuant to Dallas County District Court Local Rule 2.07, on February 4, 2020, counsel emailed defense counsel regarding the filing of this Motion. Defense Plaintiff’s counsel is opposed to the filing of this Motion. Therefore, it is presented to the Court for @m% determination. v. §ai§eildrid¢§ Adam LeCrone B. The LeCrone Law Firm, P.C. Wall Street Plaza, 123 N. Crockett Street, Suite 200 Sherman, TX 75090 PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. — Page 13 CERTIFICATE OF SERVICE hereby certify that a true and correct copy of the foregoing has been forwarded | to all counsel of record on this 10th day of April, 2020 pursuant to the Texas Rules of Civil Procedure. ”WW v. Péfige Eldrid’ge Adam LeCrone B. The LeCrone Law Firm, P.C. Wall Street Plaza, 123 N. Crockett Street, Suite 200 Sherman, TX 75090 PLAINTIFF’S MOTION TO STRIKE DEFENDANT’S COUNTER-AFFIDAVITS OF ROGER CLIFFORD, D.C. AND LENNARD A. NADALO, M.D. — Page 14 Contains Contains Sensitive Sensitive Data CAUSE NO. DC-19-10926 VASHONE RHODES VASHONE §§ IN THE DISTRICT COURT §§ V. v. §§ §§ 16TH JUDICIAL DISTRICT § JAMES GOMEZ g § §§ DALLASCOUNTY,TEXAS DALLAS COUNTY, TEXAS DEFENDANT'S DEFENDANT’S COUNTER-AFFIDAVIT COUNTER—AFFIDAVIT PURSUANT TO T0 SECTION 18.001 18.001 OF THE TEXAS CIVIL PRACTICES & REMEDIES CODE RE: MEDICAL AFFIDAVITS STATE OF TEXAS § KNOWN ALL MEN BY THESE PRESENTS: COUNTY OF DALLAS BEFORE ME, the the undersigned undersigned authority, authority, a a notary notary public public in in and for for the the State State of Texas, Texas, on this this day day personally appeared Roger Clifford, personally appeared Clifford, D.C., D.C., D.A.C.N.B., D.A.C.N.B., who being being by by me first first duly duly sworn upon his his oath, oath, deposed deposed as as stated: stated: “My name is "My is Roger Clifford, Clifford, D.C., D.C., D.A.C.N.B. II am a a licensed licensed Doctor of Chiropractic Chiropractic inin the the County of Dallas, Dallas, State State of of Texas. Texas. II am boardboard certified certified by by the the American Chiropractic Chiropractic Neurology Board. Boaxd. (See (See Curriculum Curriculum Vitae, Vitae, attached attached hereto hereto as as Exhibit Exhibit 'A,''A,‘ incorporated incorporated herein herein for for all all purposes.) purposes.) I I am a a member of the Texas Chiropractic Association, of the Texas Chiropractic Association, the the American Chiropractic Chiropractic Association, Association, and thethe ACA Council Council on Neurology.· Neurology. II am over ' over 1818 years years of age, age, of sound mind, mind, and make this this affidavit affidavit upon my best best information information and belief. belief. II state state that that Il am qualified qualified byby knowledge, knowledge, skill, skill, experience, experience, training, training, education education andand other other expertise expertise toto make the the statements statements contained contained in in this this affidavit affidavit and II am fully fully competent competent to to testify testify to to the the matters matters stated stated herein. herein. My Texas license license is is 5539 II have treated treated nwnerous numerous patients patients in in the the field field of of chiropractic chiropractic care,care, specifically specifically relating relating to to pain management and independent independent medical medical reviews reviews andand exams for for 2525 years. years. II am certified certified inin impairment ratings. ratings. Il have performed performed numerous record record reviews reviews and and served served as as an expert expert witness witness for for both plaintiffs plaintiffs and defendants defendants in in Dallas Dallas County County and throughout throughout the the State State of Texas. Texas. II am familiar familiar with reasonable reasonable and customary customary charges charges forfor evaluation evaluation and and treatment treatment thereof thereof inin Dallas Dallas County and throughout throughout the the State State of Texas." Texas.” "This “This counter-affidavit counter-affidavit is is made pursuant to § pursuant to 18.001 of the §18.001 the TEXAS CIVIL PRACTICES & REMEDIES CODE and is is made in in response response toto the the following following affidavits affidavits and/or and/or records records pertaining pertaining to to PlaintiffVashone Plaintiff Vashone Rhodes which areare attached attached hereto hereto as as Exhibit Exhibit 'B': ‘B’: 1. 1. Premier Premier Injury Injury Clinics. Clinics. "Such “Such affidavits affidavits state state as as a a purported purported fact fact that that the the services services outlined outlined on on attachments attachments thereto thereto were necessary necessary and that that the the charges charges for for said said services services were reasonable; reasonable; however, however, II have reviewed the the medical and billing billing records records attached attached to to the the above-referenced above-referenced affidavits affidavits and and it it is is my opinion, Opinion, COUNTER-AFFIDAVIT COUNTER—AFFIDAVIT OF 0F ROGER CLIFFORD, D.C., D.C., D.A.C.N.B. D.A.C.N.B. Page 1l l10001.14942/emonslvais 0001.14942/emonsivais EXHIBIT exhibitsticker.com "A" based based on my training, training, experience experience and and expertise expertise that that the the health health care care treatment treatment andand numerous numerous procedures procedures and and charges, as indicated charges, as indicated inin my report dated October 28. 2019. are neither reasonable, report dated October 28. 201 9. are neither reasonable, necessary necessary nor nor justified justified byby the the condition condition asas described by said described by said medical medical reports. reports. Please Please see see the the true true and and correct copy of correct copy of the the report report which which isls attached attached to to this this counter-affidavit counter—affidavit a,ntl arm incorporated incorporated herein herein by reference as Exhibit ‘C’. ” Further Affiant sayeth not. If: /1 V I I ROGER CL / FORD, D. CLiFFom); 11C,., D.A C I 4