Providers

JULIO ENRIQUE ALMEYDA, M.D.

NPI 1366647893, individual, Eagle Butte, SD, General Practice

5
Evidence tier
informational
  • Medicaid dollars per patient on code 99213 ($533 per patient-month) sit in the top 5% of every provider billing that code.
score 35 of 100, rank 10188, $706K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameJULIO ENRIQUE ALMEYDA, M.D.
TypeIndividual, sole proprietor
StatusActive
NPI issuedJune 15, 2007, last updated September 13, 2012
Practice location24276 166 ST AIRPORT ROAD, Eagle Butte, SD 57625-1155, 605-964-0772
Mailing addressPO BOX 1155, Eagle Butte, SD 57625-1155
Specialties
General Practice (208D00000X, primary, license 009384 PR)

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
codewhat it ispaidshareper patient-monthtypicalrank among providers
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$1.8M100%$533$44 (top 5% from $110)100th percentile

In this area

3 providers in SD carry an indicator in the public record, with $57K at stake between them. The most common is named in an enforcement record, on 1 of them, followed by paid after a public list action on 1.

tierproviderat stakewhy
3AT HOME NURSING
Pierre, SD, ranked 7243
$0
  • Charged (indicted) per a state attorney general release dated May 2, 2025, not adjudicated.
5PRECISION VISION INC
Sioux Falls, SD, ranked 10596
$7K
  • Medicaid dollars per patient on code V2020 ($66 per patient-month) sit in the top 5% of every provider billing that code.
5ELIZABETH GARCIA-JANIS
Hill City, SD, ranked 11751
$50K

Recent enforcement in SD

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementSep 17, 2024
South Dakota Surgical Hospital and United Surgical Partners International Agree to Pay More Than $12.7 Million to Resolve Alleged False Claims Act Violations
Dunes allegedly made financial contributions to a non-profit affiliate of a physician group that funded athletic trainers who generated referrals and provided another physician group with free or below-fair-market-value clinic space, staff and supplies, in violation of the Anti-Kickback Statute and Stark Law.
DOJCivil settlementSep 16, 2024
South Dakota Surgical Hospital Agrees to Pay More Than $12.7M to Resolve Alleged False Claims Act Violations
Dunes made financial contributions to a non-profit affiliate of a referring physician group that funded athletic trainers who generated referrals, and provided another physician group with free or below-fair-market-value clinic space, staff and supplies, allegedly violating the Anti-Kickback Statute and Stark Law.
DOJCivil settlementSep 16, 2024
South Dakota Surgical Hospital Agrees to Pay More Than $12.7M to Resolve Alleged False Claims Act Violations
Dunes made financial contributions to a non-profit affiliate of a physician group that funded athletic trainers who generated referrals, and provided another physician group with free or below-fair-market-value clinic space, staff and supplies, allegedly violating the Anti-Kickback Statute and Stark Law.

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.

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