Therapy House, PLLC
Therapy House, PLLC was paid $1.73M by Medicaid between Jan 2018 and Aug 2023, across 3 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 93% of everything it billed.
33Billing provider infoTHERAPY HOUSE, PLLC
HERTFORD, NC 27944
HERTFORD, NC 27944
33aNPI1023035755assigned 07/17/2006
33bProvider typeOccupational Therapist
28Total paid$1.73M
24GClaims18,910
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Occupational Therapist providers in North Carolina
Rank by total paid#21 of 94
Median peer was paid$261K
This provider vs. median6.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration93% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 93% | 17,005 | 2,738 | $1.60M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 7.4% | 1,879 | 425 | $128K |
| 97168 | <1% | 26 | 24 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPAUL, KERI (BILLING)