Providers
JOHN ELGIN WILKAITIS, M.D.,M.B.A., M.S.
NPI 1154360824, individual, Jackson, MS, Psychiatry & Neurology, Child & Adolescent Psychiatry
2
Evidence tier
impossible volume with concurrency
- Billed more hands-on hours than a day holds in 2 months, peaking at 24.6 hours per day across 3 billing organizations.
- Medicaid dollars per patient on code 99232 ($286 per patient-month) sit in the top 5% of every provider billing that code.
score 85 of 100, rank 697, $1.6M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2018 | More hours than a day holds at a conservative unit price | 13.8 | 36.3 | 24.2 | 34.5 | 294 | 2 | 90792 90833 99213 99214 99222 99232 99238 | $42K |
| Sep 2022 | More hours than a day holds at a conservative unit price | 16.2 | 36.8 | 24.6 | 33.5 | 209 | 1 | 90791 90792 99232 99238 | $45K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JOHN ELGIN WILKAITIS, M.D.,M.B.A., M.S. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 6, 2006, last updated July 23, 2024 |
| Practice location | 4500 INTERSTATE 55 FRONTAGE ROAD N, SUITE 234, Jackson, MS 39211-5931, 601-982-8531 |
| Mailing address | 70 GRANDVIEW CIR, Brandon, MS 39047-7398 |
| Specialties | Psychiatry & Neurology, Psychiatry (2084P0800X, license 17435 MS) Psychiatry & Neurology, Psychiatry (2084P0800X, license 2005021711 MO) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license 17435 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.4M | 66% | $286 | $67 (top 5% from $174) | 99th percentile | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $278K | 13% | $137 | $112 (top 5% from $313) | 65th percentile | |
| 99238 | Hospital discharge day management, 30 minutes or less | $180K | 9% | $53 | $48 (top 5% from $80) | 60th percentile | |
| 90791 | Psychiatric diagnostic evaluation | $62K | 3% | $76 | $105 (top 5% from $228) | 29th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $60K | 3% | $62 | $44 (top 5% from $110) | 73rd percentile | |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $38K | 2% | $108 | $63 (top 5% from $137) | 87th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $37K | 2% | $89 | $60 (top 5% from $133) | 75th percentile | |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $23K | 1% | $109 | $37 (top 5% from $103) | 96th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 94 | 91 | $10K | $238 | $141 | 1.7x | 1.9x (90th percentile 3.6x) |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 133 | 78 | $8K | $133 | $73 | 1.8x | 2.6x (90th percentile 4.3x) |
| 90792 | Psychiatric diagnostic evaluation with medical services | 24 | 22 | $3K | $360 | $161 | 2.2x | 2.2x (90th percentile 3.9x) |
| 99238 | Hospital discharge day management, 30 minutes or less | 37 | 36 | $2K | $176 | $74 | 2.4x | 2.6x (90th percentile 4.7x) |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 40 | 25 | $1K | $118 | $46 | 2.6x | 2.4x (90th percentile 4.0x) |
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
5 providers in Hinds County, MS carry an indicator in the public record, with $44.3M at stake between them. The most common is more hours than a day holds, on 5 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | SAGAR PATEL Jackson, MS, ranked 7867 | $846K |
|
| 4 | TIMOTHY ESTES Jackson, MS, ranked 8050 | $149K |
|
| 5 | KULMORIS JOINER Jackson, MS, ranked 10295 | $42.7M |
|
| 5 | PATRICK WELDON Jackson, MS, ranked 10297 | $425K |
|
| 5 | KRISHAN GUPTA Jackson, MS, ranked 10392 | $197K |
|
Recent enforcement in MS
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedJun 30, 2026
Madison Man Sentenced to 30 Months in Federal Prison for Role in Medicare Kickback Conspiracy
Smith, a marketer for diagnostic laboratories, solicited and received kickbacks from laboratories in exchange for referrals of specimens and orders for molecular diagnostic testing of toenails and paid kickbacks to providers to induce those referrals, resulting in over $1.4 million in claims to Medicare.
DOJSentencedJun 29, 2026
Two Corinth Pharmacists Sentenced for Conspiracy to Commit Healthcare Fraud
Two pharmacists billed Medicare and Medicaid for the same single prescription drug product numerous times, including diabetic insulin pens, asthma inhalers and psychotropic medications.
DOJSentencedMay 8, 2026
Former NFL Player Sentenced to Over 16 Years in Prison for $197M Medicare Fraud
French worked with overseas call centers to obtain patient information, paid kickbacks to sham telemedicine companies for signed doctors' orders for orthotic braces, sold the orders to marketers and supply companies, and billed Medicare and CHAMPVA through eight DME companies he owned using straw owners.
DOJPleaded guiltyNov 20, 2025
Mississippi Businessman Pleads Guilty to $19M Health Care Fraud Conspiracy
Gibbs paid kickbacks for fraudulent doctors' orders and used them to bill Medicare over $19 million for medically unnecessary orthotic braces through seven durable medical equipment supply companies he owned or controlled, sometimes through straw owners.
DOJCivil settlementAug 22, 2025
MISSISSIPPI MEDICAID RECIPIENTS AGREE TO PAY OVER $170,000 TO RESOLVE FALSE CLAIMS ACT ALLEGATIONS OF HEALTH CARE BENEFITS FRAUD
Former Medicaid recipients allegedly falsified their income on Mississippi Medicaid applications and renewals to create eligibility for health care benefits for their dependents.
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.