HERNANDEZ, SYLVIA
NPI: 1053565002
· PHARR, TX 78577
· Occupational Therapist
· NPI assigned 11/04/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 97530 with only 2 total codes billed. Highly concentrated billing profile.
$3.45M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,845 |
$160K |
| 2021 |
9,955 |
$842K |
| 2022 |
8,450 |
$716K |
| 2023 |
10,804 |
$1.08M |
| 2024 |
7,396 |
$651K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
38,399 |
6,182 |
$3.45M |
| 97168 |
|
51 |
50 |
$4K |