Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THERAPY HOUSE, PLLC

NPI: 1023035755 · HERTFORD, NC 27944 · Occupational Therapist · NPI assigned 07/17/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

93% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.

$1.73M
Total Medicaid Paid
18,910
Total Claims
3,187
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialPAUL, KERI (BILLING)
NPI Enumeration Date07/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,666 $250K
2019 2,745 $261K
2020 2,932 $274K
2021 4,246 $380K
2022 4,319 $385K
2023 2,002 $179K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 17,005 2,738 $1.60M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,879 425 $128K
97168 26 24 $1K