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If you decide you want to discontinue the service, you can cancel your subscription at any time.The state also claims that less than 60 percent of Dr.Nitta’s billing was for the primary care-related codes the law outlines.The HMA and Litigation Center say this approach skews the ratio. Nitta’s records, an auditor concluded that well over 60 percent of the physician’s time was spent providing primary care treatment and services to Medicaid patients, the brief says.