GARCIA, MARY
NPI: 1073759783
· EDINBURG, TX 78539
· Occupational Therapist
· NPI assigned 12/30/2008
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.
$1.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
404 |
$35K |
| 2021 |
2,282 |
$235K |
| 2022 |
3,451 |
$353K |
| 2023 |
3,094 |
$267K |
| 2024 |
3,702 |
$324K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
12,919 |
1,869 |
$1.21M |
| 97166 |
|
14 |
14 |
$1K |