ELIZABETH JANN CARLSON QUAIFE, MD

NPI 1235212689, individual, Parker, CO, Pediatrics

Evidence tier

informational

Medicaid dollars per patient on code T1000 ($19142 per patient-month) sit in the top 5% of every provider billing that code.

score 35 of 100, rank 10175, $741K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ELIZABETH JANN CARLSON QUAIFE, MD
Type	Individual
Status	Active
NPI issued	October 21, 2006, last updated January 26, 2012
Practice location	10371 PARKGLENN WAY, SUITE 100, Parker, CO 80138-3871, 303-841-2905
Specialties	Pediatrics (208000000X, primary, license 32401 CO)

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
T1000	Private duty/independent nursing licensed up to 15 min	$24.3M	99%	$19K	$8K (top 5% from $15K)	98th percentile
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$163K	1%	$69	$44 (top 5% from $110)	81st percentile
90460	Administration of first vaccine or toxoid component with counseling (18 years or younger)	$56K	0%	$40	$26 (top 5% from $54)	77th percentile
99393	Medicaid service code	$19K	0%	$96	$78 (top 5% from $121)	78th percentile
99391	Medicaid service code	$16K	0%	$87	$76 (top 5% from $126)	66th percentile
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$14K	0%	$105	$60 (top 5% from $133)	88th percentile
99392	Medicaid service code	$12K	0%	$93	$78 (top 5% from $124)	73rd percentile
99173	Medicaid service code	$8K	0%	$8.75	$1.22 (top 5% from $11)	93rd percentile

In this area

10 providers in Douglas County, CO carry an indicator in the public record, with $11.1M at stake between them. The most common is more hours than a day holds, on 8 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	TAMMY SWITZER Parker, CO, ranked 206	$37K	Listed on the CA Medicaid exclusion list since July 7, 2022. Medicaid still paid claims in 16 later months, $37,476 in total.
3	CENTER AT LINCOLN, LLC Parker, CO, ranked 2979	$0	Part of provider network D1-00140, ranked 140 nationally.
4	MATTHEW GRZEGOZEWSKI Lone Tree, CO, ranked 7510	$3.7M	Hours beyond a day in 15 months, but with up to 365 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	JOSEPH LADIKA Highlands Ranch, CO, ranked 7935	$508K	Hours beyond a day in 2 months, but with up to 901 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed. and 1 more
4	NEDA ARAMI Castle Pines, CO, ranked 9710	$19K	Hours beyond a day in 1 month, but with up to 125 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
5	KATIE KOSTELYK Castle Pines, CO, ranked 10534	$2.1M	75% of Medicaid dollars are on codes with a history of abuse.
5	MELANIE MORRIS Highlands Ranch, CO, ranked 10709	$3.9M
5	AISLYN NELSON Parker, CO, ranked 11123	$732K

All 10 in CO

Recent enforcement in CO

All releases

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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.

Ask this case

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