Opinion

American Tr. Ins. Co. v. Gotto Med. Care, PC

  • 2026 NY Slip Op 30903(U)
Court
New York Supreme Court, New York County
Filed
Mar 10, 2026
Status
Unpublished
Author
Emily Morales-Minerva
Cited by
0 cases
Authority
More cited than 39.3%

The opinion

American Tr. Ins. Co. v Gotto Med. Care, PC

2026 NY Slip Op 30903(U)

March 10, 2026

Supreme Court, New York County

Docket Number: Index No. 650698/2025

Judge: Emily Morales-Minerva

Cases posted with a "30000" identifier, i.e., 2013 NY Slip

Op 30001(U), are republished from various New York

State and local government sources, including the New

York State Unified Court System's eCourts Service.

This opinion is uncorrected and not selected for official

publication.

file:///LRB-ALB-FS1/Vol1/ecourts/Process/covers/NYSUP.6506982025.NEW_YORK.001.LBLX049_TO.html[03/19/2026 3:45:56 PM]

FILED: NEW YORK COUNTY CLERK 03/10/2026 02:39 PM INDEX NO. 650698/2025

NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/10/2026

SUPREME COURT OF THE STATE OF NEW YORK

COUNTY OF NEW YORK: PART 42M

---------------------X

AMERICAN TRANSIT INSURANCE COMPANY, INDEX NO. 650698/2025

Petitioner,

MOTION DATE 02/26/2025

- V -

MOTION SEQ. NO. 001

GOTTO MEDICAL CARE, PC,

Respondent.

DECISION+ ORDER ON

MOTION

---------------------X

The following e-filed documents, listed by NYSCEF document number (Motion 001) 2

were read on this motion to/for VACATE - DECISION/ORDER/JUDGMENT/AWARD

APPEARANCES:

Larkin Farrell LLC, New York, New York (William Robert Larkin,

Esq., of counsel), for petitioner.

Peter J. Diconza, Jr., Port Washington, New York (Peter James

Diconza, Esq., of counsel), for respondent.

EMILY MORALES-MINERVA, J.S.C.

In this special proceeding, petitioner AMERICAN TRANSIT

INSURANCE COMPANY moves, by notice of petition (motion sequence

number 01), pursuant to CPLR § 7511, to vacate the arbitration

award issued by Arbitrator Lisa Capruso, Esq., and subsequently

confirmed by Master Arbitrator Vic D'Ammora, Esq., in favor of

respondent GOTTO MEDICAL CARE, PC. Respondent opposes the

petition. 1

1 Respondent does not cross-petition or cross-move to confirm the arbitration

award.

650698/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. GOTTO MEDICAL CARE, PC, Page 1 of 7

Motion No. 001

[* 1] 1 of 7

FILED: NEW YORK COUNTY CLERK 03/10/2026 02:39 PM INDEX NO. 650698/2025

NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/10/2026

For the reasons explained below, petitioner's petition

(mot. seq. no. 01) is denied.

BACKGROUND

On October 19, 2022, non-party Olushola Fashola was injured

in a motor vehicle accident (see New York State Court Electronic

Filing System [NYSCEF] Doc. No. 01, petition). As a result of

the accident, Mr. Fashola received medical treatment, including

left shoulder surgery from respondent GOTTO MEDICAL CARE, PC

(respondent) on February 13, 2023 (see id.; see also NYSCEF Doc.

No. 03, lower arbitration award, dated September 29, 2024).

Thereafter, respondent submitted a no-fault benefit claim

to petitioner seeking reimbursement of the medical treatment

provided to Mr. Fashola, but Petitioner denied reimbursement of

said claim based on lack of (1) medical necessity; and lack of

(2) causation (see NYSCEF Doc. No. 01, petition). Specifically,

petitioner relied on the peer review report of Dr. Nicholas

Delaney, a review of the intraoperative photographs by Dr.

Matthew D. Skolnick, and the MRI film review of Dr. Jeffrey

Warhit (see id.). As a result of the denial, respondent

initiated arbitration with petitioner (see NYSCEF Doc. No. 05,

motor vehicle no-fault insurance law arbitration request form,

dated April 26, 2024).

650698/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. GOTTO MEDICAL CARE, PC, Page 2 of7

Motion No. 001

[* 2] 2 of 7

FILED: NEW YORK COUNTY CLERK 03/10/2026 02:39 PM INDEX NO. 650698/2025

NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/10/2026

The American Arbitration Association (AAA) assigned the

action to Arbitrator Lisa Capruso (Arbitrator Capruso) pursuant

to AAA Case No. 17-24-1345-5975, and on September 24, 2024,

Arbitrator Capruso conducted a hearing (see NYSCEF Doc. No. 03,

lower arbitration award). Arbitrator Capruso reviewed one

disputed claim for $3,261.63 (see id.). To support its denial

of the claim, petitioner submitted the peer review report of Dr.

Nicholas Delaney, who concluded that Mr. Fashola's injury was

not casually related to his motor vehicle accident (see id.).

In rebuttal, respondent submitted the report of Dr. Victor Katz

(see id.) .

Upon conclusion of the hearing and in consideration of the

evidence and testimony submitted, Arbitrator Capruso determined

that the peer review report submitted by petitioner did not

establish that Mr. Fashola's injury was not casually related to

the accident (see id., p 2). Accordingly, Arbitrator Capruso

awarded respondent $3,261.63 for the claim in dispute, plus

statutory interest, attorneys' fees, and filing fees (see id.).

Petitioner appealed, and the matter was assigned to Master

Arbitrator Vic D'Ammora, Esq. (master arbitrator) pursuant to

AAA Case No. 99-24-1345-5975 (see NYSCEF Doc. No. 01, petition).

The master arbitrator affirmed Arbitrator Capruso's decision

entirely.

650698/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. GOTTO MEDICAL CARE, PC, Page 3 of 7

Motion No. 001

[* 3] 3 of 7

FILED: NEW YORK COUNTY CLERK 03/10/2026 02:39 PM INDEX NO. 650698/2025

NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/10/2026

Despite the two-tier arbitration process, petitioner

commenced the instant Article 75 proceeding, seeking vacatur of

the $3,261.63 award pursuant to CPLR § 7511 (b) (1) (iii)2 (see

NYSCEF Doc. No. 01, petition). Petitioner contends that the

"arbitrator's decision was arbitrary and capricious, without

rational basis and incorrect as a matter of law" (id., p 9).

Respondent opposes, arguing that the arbitrators' decisions

were not arbitrary or capricious, or incorrect as a matter of

law.

ANALYSIS

"It is a bedrock principle of arbitration law that the

scope of judicial review of an arbitration proceeding is

extremely limited" (Frankel v Sardis, 76 AD3d 136, 139 [1st Dept

2010], citing Matter of Silverman [Benmor Coats], 61 NY2d 299

[1984]) . "Accordingly, an award will not be overturned unless

it is violative of a strong public policy, or is totally

2 Section 7511 of the CPLR provides, as relevant here:

"(a) An application to vacate or modify an award may be made by a party

within ninety days after its delivery to him.

"(b) Grounds for vacating.

1. The award shall be vacated on the application of a party who either

participated in the arbitration or was served with a notice of

intention to arbitrate if the court finds that the rights of that party

were prejudiced by:

(iii) an arbitrator, or agency or person making the award

exceeded his power or so imperfectly executed it that a final and

definite award upon the subject matter submitted was not

made . . "

650698/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. GOTTO MEDICAL CARE, PC, Page4of7

Motion No. 001

[* 4] 4 of 7

FILED: NEW YORK COUNTY CLERK 03/10/2026 02:39 PM INDEX NO. 650698/2025

NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/10/2026

irrational, or exceeds a specifically enumerated limitation on

the arbitrator's power" (Frankel, 76 AD3d at 139, quoting

Silverman, 61 NY2d at 308, and Board of Educ. of Dover Union

Free School Dist. V Dovr-Wingdale Teachers' Ass'n, 61 NY2d 913,

915 [1984] ) .

An "arbitrator's interpretation of the issues and the scope

of their authority is accorded substantial deference, and [the]

Court will not overturn the decision unless there is no support

at all justifying the decision" (Roffler v Spear, Leeds &

Kellogg, 13 AD3d 308, 310 [1st Dept 2004] [emphasis added])

Indeed, "a court cannot examine the merits of an arbitration

award and substitute its judgment for that of the arbitrator

simply because it believes its interpretation would be the

better one" (Matter of Arbitration Between Spence and State

Univ. of New York, 230 AD3d 1559, 1561 [4th Dept 2024], citing

Matter of New York State Correctional Officers & Police

Benevolent Ass'n, Inc. v State of New York, 94 NY2d 321, 326

[1999]). Therefore, "the party seeking to upset an arbitration

award bears a heavy burden" (Frankel, 76 AD3d at 140, citing

Lehman Bros., Inc. v Cox, 10 NY3d 743, 744 [2008]).

Here, the petition must be denied because petitioner has

failed to establish any cognizable ground for vacatur under

CPLR § 7511 (b) (1) (iii). Arbitrator Capruso considered the

evidence submitted by both parties, and concluded that

650698/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. GOTTO MEDICAL CARE, PC, Page 5of7

Motion No. 001

[* 5] 5 of 7

FILED: NEW YORK COUNTY CLERK 03/10/2026 02:39 PM INDEX NO. 650698/2025

NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/10/2026

"[petitioner] [did] not submit any evidence which would

establish that [Mr. Fashola's] injuries or [respondent's]

services were not casually related to the accident" (NYSCEF Doc.

No. 03, arbitration award, p 2; see also NYSCEF Doc. No. 12, Dr.

Katz's report["Dr. Delaney never provided a medical rationale

why the surgery was not medically necessary"]).

Thereafter, the master arbitrator appropriately determined

that Arbitrator Capruso acted within her authority in weighing

the evidence and giving greater weight to the evidence she felt

was most persuasive (see NYSCEF Doc. No. 01, petition). Mere

disagreement with an arbitrator's factual findings or the manner

in which the evidence was weighed does not constitute a basis

for vacatur of an arbitration award under CPLR § 7511

(b) (1) (iii).

Accordingly, it is hereby

ORDERED that the petition of petitioner AMERICAN TRANSIT

INSURANCE COMPANY to vacate the arbitration award issued in AAA

Case No. 17-24-1345-5975 is denied in its entirety; it is

further

ORDERED that petitioner shall serve a copy of this decision

and order with notice of entry upon respondent GOTTO MEDICAL

CARE, PC within fifteen days from the date of this decision and

order; and it is further

650698/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. GOTTO MEDICAL CARE, PC, Page6of7

Motion No. 001

[* 6] 6 of 7

FILED: NEW YORK COUNTY CLERK 03/10/2026 02:39 PM INDEX NO. 650698/2025

NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 03/10/2026

ORDERED that the Clerk of Court shall mark the file

accordingly.

THIS CONSTITUTES THE DECISION AND ORDER OF THE COURT.

3/10/2026

DATE

~

CHECK ONE: CASE DISPOSED NON-FINAL DISPOSITION

GRANTED 0 DENIED GRANTED IN PART □ OTHER

APPLICATION: SETTLE ORDER SUBMIT ORDER

CHECK IF APPROPRIATE: INCLUDES TRANSFER/REASSIGN FIDUCIARY APPOINTMENT □ REFERENCE

650698/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. GOTTO MEDICAL CARE, PC, Page 7 of 7

Motion No. 001

[* 7] 7 of 7

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.