GAIL ELIZABETH WALTER, M.D.
NPI 1316991045, individual, Paola, KS, Emergency Medicine
- Listed on the MO Medicaid exclusion list since December 15, 2017.
- Medicaid still paid claims in 4 later months, $11,336 in total.
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 |
|---|---|---|---|---|---|---|---|---|
| MO Medicaid exclusion list state list extracted from https://mmac.mo.gov/wp-content/uploads/sanction-list-2026-08-31.xlsx (pandas claude colmap) | Exact NPI, name verified | Dec 15, 2017 | still open | 4 | Jan 2018 | Apr 2018 | $11K | $0 |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | GAIL ELIZABETH WALTER, M.D. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | May 19, 2006, last updated January 8, 2013 |
| Practice location | 3003 LAKEVIEW CIR S, Paola, KS 66071-1395, 913-557-5641 |
| Specialties | Emergency Medicine (207P00000X, primary, license 2004023934 MO) |
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 | |
|---|---|---|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | $6K | 55% | $45 | $60 (top 5% from $193) | too few months to rank | |
| 99284 | Emergency department visit with moderate level of medical decision making | $3K | 28% | $64 | $86 (top 5% from $224) | too few months to rank | |
| 99285 | Emergency department visit with high level of medical decision making | $2K | 17% | $69 | $100 (top 5% from $264) | too few months to rank |
In this area
79 providers in KS carry an indicator in the public record, with $22.3M at stake between them. The most common is part of a provider network, on 72 of them, followed by paid after a public list action on 5. 2 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | WE CARE TRANSPORTATION Overland Park, KS, ranked 42 | $4.4M |
|
| 1 | HOWARD REIFE Overland Park, KS, ranked 452 | $62 |
|
| 3 | CRAIG RESOURCES LLC Wichita, KS, ranked 891 | $11.2M |
|
| 3 | HARRY HYNES MEMORIAL HOSPICE, INC. Wichita, KS, ranked 976 | $1.9M |
|
| 3 | INTERIM HEALTH CARE OF WICHITA INC Wichita, KS, ranked 988 | $1.8M |
|
| 3 | RIVERCROSS HOSPICE L.L.C. Wichita, KS, ranked 997 | $1.5M |
|
| 3 | MIDLAND CARE CONNECTION, INC. Topeka, KS, ranked 1129 | $559K |
|
| 3 | COMMUNITY CARE HOSPICE LLC Mcpherson, KS, ranked 1366 | $91K |
|
Recent enforcement in KS
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.