IRENE GEK-HIA IRBY, NP
NPI 1477792604, individual, Annapolis, MD, Nurse Practitioner, Critical Care Medicine
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| State file: provider deceased medicaid enrollment terminated: provider deceased (t-msis status 80) | Exact NPI, list gives no name | Feb 18, 2022 | still open | 5 | Feb 2023 | Jun 2023 | $7K | $3K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | IRENE GEK-HIA IRBY, NP |
| Type | Individual |
| Status | Active |
| NPI issued | February 11, 2009, last updated October 21, 2015 |
| Practice location | 108 FORBES ST, SECOND FLOOR, Annapolis, MD 21401-1502, 410-571-7880 |
| Mailing address | PO BOX 64131, Baltimore, MD 21264-4131 |
| Specialties | Nurse Practitioner, Critical Care Medicine (363LC0200X, primary, license R202633 MD) Nurse Practitioner, Critical Care Medicine (363LC0200X, license R762005 MS) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $15K | 51% | $45 | $28 (top 5% from $147) | 77th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $10K | 36% | $25 | $60 (top 5% from $133) | 13th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $3K | 10% | $64 | $95 (top 5% from $171) | too few months to rank | |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | $519 | 2% | $0.84 | $1.54 (top 5% from $9.17) | 37th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | 19 | $1K | $414 | $105 | 3.9x | 2.3x (90th percentile 3.8x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 30 | 29 | $1K | $280 | $74 | 3.8x | 2.2x (90th percentile 3.8x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Anne Arundel County, MD carry an indicator in the public record, with $936K at stake between them. The most common is more hours than a day holds, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | RON ELFENBEIN Baltimore, MD, ranked 9207 | $514K |
|
| 4 | THEMBI DEPASS Annapolis, MD, ranked 9261 | $423K |
|
Recent enforcement in MD
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.