Medicaid Provider Spending

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

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
12,933
Total Claims
1,883
Beneficiaries
2
Codes Billed
2020-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 404 $35K
2021 2,282 $235K
2022 3,451 $353K
2023 3,094 $267K
2024 3,702 $324K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 12,919 1,869 $1.21M
97166 14 14 $1K