Index of Exhibits to Defendant’s Motion in Limine to Exclude Government’s Summary Exhibits — United States v. Ron Elfenbein, Crim. No. JKB-22-146 (Dkt. 37-1, D. Md.)
Summary
An index of exhibits to defendant Ron Elfenbein's motion in limine to exclude the government's summary exhibits, in United States v. Ron Elfenbein, Crim. No. JKB-22-146, in the U.S. District Court for the District of Maryland, dated June 26, 2023. Defense exhibits A through K include 2020 and 2021 CPT Manual E/M excerpts, a 2016 CareFirst provider agreement, HRSA COVID-19 claims reimbursement terms, articles on provider charges relative to Medicare rates and an Attorney General Frosh press release on COVID-test billing. The index also lists government exhibits GX101 to GX135, mostly Medicare claims and billing summaries for Drs ERgent Care, many covering March 1, 2020 to February 28, 2022, plus a summary of Dr. Elfenbein's income per federal tax returns.
Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used
Full text
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MARYLAND
(Northern Division)
UNITED STATES OF AMERICA
v. Crim. No. JKB-22-146
RON ELFENBEIN,
Defendant.
INDEX OF EXHIBITS TO DEFENDANT’S MOTION IN LIMINE TO EXCLUDE
GOVERNMENT’S SUMMARY EXHIBITS
Ex. A 2020 CPT Manual E/M Excerpt
Ex. B 2021 CPT Manual E/M Excerpt
Ex. C 2016 CareFirst Provider Agreement
Ex. D HRSA COVID-19 Claims Reimbursement
Terms & Conditions
Ex. E “Variation in the Ratio of Physician Charges
to Medicare Payments by Specialty &
Region,” JAMA (Jan. 17, 2017, Vol. 317,
Number 3)
Ex. F L. Adler, et al., “Provider Charges Relative to
Medicare rates, 2017-2017,” USC-Brookings
Schaeffer on Health Policy, Dec. 5, 2019
Ex. G H. Meyer, “A surprise-billing loophole? Her
pregnancy led to a six-figure hospital bill,”
NPR.org, Feb. 28, 2023
Ex. H S. Fiorini, “The High Cost of U.S. Healthcare
is on Voters’ Minds,” Gallup, Oct. 20, 2022
Ex. I Press Release: Attorney General Frosh Warns
Providers Against Billing Patients for
COVID-Testing
Ex. J AMA, “Issue Brief: Balance billing for
COVID-19 testing and care – federal and state
restrictions”
Ex. K “Does your provider accept Medicare as full
payment?” (medicare.gov)
GX101 Medicare Claims Data Summary
Drs ERgent Care
GX102 Medicare Claims Data Summary
Drs ERgent Care (Counts 1–3)
GX103 Medicare Claims Data Summary
Drs ERgent Care COVID-19 Tests and Office Visits
GX104 Medicare Claims Data Summary
Drs ERgent Care - Location: Earleigh Heights Volunteer Fire Co
GX105 Medicare Claims Data Summary
Drs ERgent Care - Location: FCMCG BWI
GX106 Medicare Claims Data Summary
Drs ERgent Care - Location: Odenton Volunteer Fire Department
GX107 Medicare Claims Data Summary
Drs ERgent Care - Diagnoses Reported for All Claims & Services
GX108 Medicare Claims Data Summary
Drs ERgent Care - Diagnoses Reported for COVID-19 Tests
GX109 Medicare Claims Data Summary
Drs ERgent Care - Diagnoses Reported for Office Visits
GX110 Medicare Claims Data Summary
Drs ERgent Care Office or Outpatient Visit Evaluation and Management Services
Mar 2020 to Feb 2022
GX111 Medicare Claims Data Summary
Drs ERgent Care - Office Visits – Aug 2016 to Feb 2020
GX112 Medicare Claims Data Summary - Drs ERgent Care
Office Visits – Mar 2020 to Feb 2022
GX113 Medicare Claims Data Summary
Drs ERgent Care - Number of Office Visits & Amounts Billed for Office Visits
2
GX114 Medicare Claims Data Summary
Drs ERgent Care - Office Visits and COVID-19 Tests on Same Day
GX115 Medicare Claims Data Summary
Drs ERgent Care - Top 15 Rendering Providers
GX116 Medicare Enrollment Summary - Ron Elfenbein MD
GX117 Medicare Enrollment Summary - Drs Ergent Care LLC
GX118 Evaluation and Management Services - Office or Other Outpatient Visits
GX119 Drs ERgent Care Claims Submitted March 1, 2020 to February 28, 2022
GX120 Drs ERgent Care Billings by Payer Type March 1, 2020 to February 28, 2022
GX121 Percentage of COVID Tests Billed by Drs ERgent Care with a Level 4 Office Visit
Same Day vs COVID Tests Without a Level 4 Office Visit Same Day
GX122 Drs ERgent Care COVID Test Procedure Codes (Billed)
March 1, 2020 to February 28, 2022
GX123 Rendering Providers Billed Total Office Visits Exceeding 24 Hours in a Day
GX124 Drs ERgent Care Office Visit Procedure Codes (Billed)
March 1, 2020 to February 28, 2022
GX125 Drs ERgent Care Office Visits Billed with a COVID Test Same Day
March 1, 2020 to February 28, 2022 Total Bundled Office Visits
GX126 Drs ERgent Care Amount Paid for Office Visit and a COVID Test Same Day
March 1, 2020 to February 28, 2022 Total Paid
GX127 Drs ERgent Care Amount Billed for Office Visit and a COVID Test Same Day
March 1, 2020 to February 28, 2022
GX128 Drs ERgent Care Office Visits Billed with a COVID Test Same Day March 1,
2020 to February 28, 2022 Level 4 Office Visit Bundles & Additional Visit Codes
(Within 2-4 Days of Level 4 Bundle)
GX129 Drs ERgent Care Procedure Codes Billed for Greater than $1M
March 1, 2020 to February 28, 2022
GX130 Drs ERgent Care Top 10 Rendering Providers (Billed)
March 1, 2020 to February 28, 2022
3
GX131 Drs ERgent Care Office Visits Billed with a COVID Test Same Day
March 1, 2020 to February 28, 2022
GX132 Drs ERgent Care Amount Billed for Level 4 Office Visits and a COVID Test
Same Day – by Month
GX133 Counts 4 and 5 Billing Summary
GX134 Claim Detail for Select Beneficiaries for Date of Service 4/19/2021 and 4/22/2021
GX135 Dr. Elfenbein’s Income Per Federal Tax Returns
June 26, 2023 Respectfully submitted,
Baltimore, MD
/s/ Martin S. Himeles, Jr.
Martin S. Himeles, Jr. (Bar No. 03430)
Gregg L. Bernstein (Bar No. 01340)
Samantha A. Miller (Bar No. 21374)
ZUCKERMAN SPAEDER LLP
100 East Pratt Street - Suite 2440
Baltimore, MD 21202-1031
Tel. No: (410) 332-0444
Fax No: (410) 659-0436
mhimeles@zuckerman.com
gbernstein@zuckerman.com
samiller@zuckerman.com
Counsel for Defendant Ron Elfenbein
4
File and source
- File
- gov.uscourts.mdd.510872.37.1.pdf
- Size
- 14,967 bytes
- SHA-256
- 562ee10972288acff85f229a0d6a14ab2a61113d48c3f5ccb4e15165e49442b0
- Our copy
- gov.uscourts.mdd.510872.37.1.pdf
- Original
- archive.org