Providers
ELIZABETH ANN MICKS, MD, MPH
NPI 1144405119, individual, Arcata, CA, Obstetrics & Gynecology, Obstetrics
5
Evidence tier
informational
- Medicaid dollars per patient on code 99204 ($312 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10197, $669K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELIZABETH ANN MICKS, MD, MPH |
| Type | Individual |
| Status | Active |
| NPI issued | January 8, 2008, last updated May 27, 2026 |
| Practice location | 770 10TH ST, Arcata, CA 95521-6210, 707-630-5177 |
| Specialties | Obstetrics & Gynecology, Obstetrics (207VX0000X, primary, license A101359 CA) |
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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $453K | 17% | $147 | $60 (top 5% from $133) | 96th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $367K | 14% | $91 | $44 (top 5% from $110) | 92nd percentile | |
| T1015 | Medicaid service code | $304K | 11% | $229 | $182 (top 5% from $488) | 68th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $264K | 10% | $312 | $95 (top 5% from $171) | 100th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $240K | 9% | $257 | $67 (top 5% from $121) | 100th percentile | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $206K | 8% | $77 | $28 (top 5% from $147) | 88th percentile | |
| 87806 | Detection test by immunoassay with direct visual observation for hiv-1 antigen, with hiv-1 and hiv-2 antibodies | $165K | 6% | $28 | $25 (top 5% from $35) | 73rd percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $139K | 5% | $155 | $45 (top 5% from $138) | 96th percentile |
In this area
4 providers in Humboldt County, CA carry an indicator in the public record, with $6.1M at stake between them. The most common is more hours than a day holds, on 4 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | CAROL GRIFFIN Arcata, CA, ranked 7727 | $1.7M |
|
| 4 | MARISSA KUMMERLING Eureka, CA, ranked 8670 | $2.3M |
|
| 4 | MALIA HONDA Eureka, CA, ranked 8732 | $2.0M |
|
| 5 | ANTHONY PIROUZ Redway, CA, ranked 10415 | $157K |
|
Recent enforcement in CA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 27, 2026
Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare
Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.
DOJCivil settlementAug 26, 2026
DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests
DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit
Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.
DOJCivil settlementAug 24, 2026
Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit
Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.
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.