Providers
ELIZABETH AQUINO GARCIA-JANIS, MD
NPI 1417987231, individual, Hill City, SD, Psychiatry & Neurology, Child & Adolescent Psychiatry
5
Evidence tier
informational
score 30 of 100, rank 11751, $50K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELIZABETH AQUINO GARCIA-JANIS, MD (also ELIZABETH GARCIA-GRAY) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | July 4, 2006, last updated December 2, 2021 |
| Practice location | 23402 MINERAL LN, Hill City, SD 57745-6617, 605-441-7803 |
| Specialties | Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 4301100092 MI) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license DR.0052141 CO) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 01033027A IN) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 21686 KY) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 9235 SD) Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, primary, license MD-17894 HI) |
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 | $213K | 57% | $76 | $60 (top 5% from $133) | 67th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $81K | 22% | $60 | $44 (top 5% from $110) | 71st percentile | |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | $33K | 9% | $2K | $306 (top 5% from $3K) | too few months to rank | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $12K | 3% | $103 | $112 (top 5% from $313) | 45th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $11K | 3% | $105 | $88 (top 5% from $210) | too few months to rank | |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $6K | 2% | $73 | $28 (top 5% from $147) | too few months to rank | |
| T1017 | Targeted case management each 15 min | $4K | 1% | $26 | $167 (top 5% from $808) | too few months to rank | |
| 99239 | Hospital discharge day management, more than 30 minutes | $3K | 1% | $83 | $49 (top 5% from $101) | too few months to rank |
In this area
3 providers in SD carry an indicator in the public record, with $713K at stake between them. The most common is named in an enforcement record, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AT HOME NURSING Pierre, SD, ranked 7243 | $0 |
|
| 5 | JULIO ALMEYDA Eagle Butte, SD, ranked 10188 | $706K |
|
| 5 | PRECISION VISION INC Sioux Falls, SD, ranked 10596 | $7K |
|
Recent enforcement in SD
All releasesDepartment 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.