Okorie v. Keystone Healthcare
CourtCourt of Appeals for the Fifth Circuit
Date FiledOctober 28, 2026
Docket26-60151
StatusUnpublished
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Full Opinion
Case: 26-60151 Document: 35-1 Page: 1 Date Filed: 10/28/2026
United States Court of Appeals
for the Fifth Circuit United States Court of Appeals
Fifth Circuit
____________ FILED
October 28, 2026
No. 26-60151 Thomas B. Plunkett, III
____________ Clerk
In the Matter of Ikechukwu H. Okorie,
Debtor,
Ikechukwu H. Okorie,
Appellant,
versus
Keystone Healthcare Partners,
Appellee.
______________________________
Appeal from the United States District Court
for the Southern District of Mississippi
USDC No. 2:25-CV-42
______________________________
Before Higginbotham, Engelhardt, and Ramirez, Circuit
Judges.
Per Curiam:*
Ikechukwu Okorie appeals the denial of his motions for violation of an
automatic bankruptcy stay and summary judgment. We AFFIRM.
_____________________
*
This opinion is not designated for publication. See 5th Cir. R. 47.5.
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No. 26-60151
In 2019, Okorie filed a Chapter 11 bankruptcy petition, triggering an
automatic stay. Later that year, he entered a “Physician Agreement” with
Keystone Healthcare Partners to provide emergency medical services. At his
request, Keystone sent his payments to Inland Family Practice, which Okorie
owned, from September 2020 through July 2021. In July 2021, Okorie asked
Keystone to begin sending him the payments directly. Keystone then realized
that it had been erroneously paying Okorie for duplicate shifts, resulting in a
total overpayment of $151,567.31. Keystone notified Okorie that it planned to
recoup the funds over a period of 12 months. They eventually negotiated an
agreement for recoupment over a period of 2.5 years.
Shortly before the end of the recoupment period, Okorie filed a
motion in bankruptcy court arguing that the recoupment violated the
automatic stay. The bankruptcy court found that there was no violation
because Keystone showed unrefuted proof that it overpaid Okorie, and the
overpayment and recoupment both arose from the same contract or
transaction. Okorie appealed to the district court and further argued that the
bankruptcy court had lacked jurisdiction over the dispute. The district court
found that the bankruptcy court had jurisdiction and affirmed its judgment.
This appeal followed.
In a bankruptcy appeal, “[w]e review . . . lower court conclusions of
law de novo.” In re Kosadnar, 157 F.3d 1011, 1013 (5th Cir. 1998). Here, the
district court found that the bankruptcy court had jurisdiction because
“matters related to the automatic stay are considered ‘core proceedings,’”
and, regardless, Okorie consented to jurisdiction by filing in that court.1
Under 28 U.S.C. § 157(b)(2)(G), “core” Chapter 11 proceedings include
_____________________
1
Okorie’s brief “preserves” his jurisdictional objection but does not meaningfully
argue that the district court erred on this issue.
2
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No. 26-60151
“motions to terminate, annul, or modify the automatic stay.” Okorie’s
motion for violation of automatic stay fell into this category. He also
consented to jurisdiction, as the district court noted, by filing the motion. See
28 U.S.C. § 157(c)(2) (bankruptcy court may hear non-core proceedings
“with the consent of all the parties”). The bankruptcy court properly
exercised jurisdiction.
Substantively, Okorie’s claim turns on whether Keystone’s actions
qualify as recoupment. “Recoupment allows a defendant to reduce the
amount of a plaintiff’s claim by asserting a claim against the plaintiff which
arose out of the same transaction to arrive at a just and proper liability on the
plaintiff’s claim.” In re Kosadnar, 157 F.3d at 1013 (citation modified). In
bankruptcy proceedings, recoupment is “not . . . subject to the automatic
stay.” Id. For a claim to qualify as recoupment, “first, some type of
overpayment must have been made, and second, both the creditor’s claim
and the amount owed to the debtor must arise from a single contract or
transaction.” Id.
Okorie does not dispute overpayment, but he argues that Keystone
does not meet the “single contract or transaction” requirement because it
issued nine separate overpayments, and they were made to Inland Family
Practice rather than to Okorie. This court “construe[s] the term
‘transaction’ broadly,” with a focus “on the facts and the equities of each
case.” Kadonsky v. United States, 216 F.3d 499, 507 (5th Cir. 2000) (citation
modified). Here, the overpayments and Okorie’s claim for compensation
both arose under the Physician Agreement, meaning that they “ar[o]se from
a single contract.” See Kosadnar, 157 F.3d at 1013. The fact that Okorie had
Keystone remit payments to Inland Family Practice is irrelevant because the
contract itself was between Keystone and Okorie. There is no equitable
justification for restricting recoupment to “corrections within the same
invoice cycle or a contemporaneous netting of the same account,” as Okorie
3
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suggests. Like the debtor in Kosadnar, Okorie received “exactly the type of
overpayments the recoupment doctrine contemplates.” Id. at 1014.
Because Keystone properly sought to recoup overpayments from
Okorie, the bankruptcy court was correct to deny his motion for violation of
automatic stay and deny as moot his motion for summary judgment.
The judgment of the bankruptcy court is AFFIRMED.
4