GARCIA, DANIEL
NPI: 1083058713
· MCALLEN, TX 78501
· Occupational Therapist
· NPI assigned 04/24/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
$1.35M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
305 |
$15K |
| 2021 |
1,068 |
$68K |
| 2022 |
1,066 |
$58K |
| 2023 |
6,874 |
$491K |
| 2024 |
9,247 |
$720K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
18,203 |
2,945 |
$1.33M |
| 97168 |
|
268 |
262 |
$16K |
| 97166 |
|
89 |
82 |
$6K |