Medicaid Provider Spending

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

NPI: 1114342755 · BOISE, ID 83706 · Occupational Therapist · NPI assigned 02/19/2014

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.

$2.16M
Total Medicaid Paid
21,607
Total Claims
8,000
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNICKELL, NICOLE (OWNER)
NPI Enumeration Date02/19/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,725 $178K
2019 2,591 $295K
2020 2,515 $271K
2021 3,476 $405K
2022 3,666 $361K
2023 4,121 $357K
2024 3,513 $288K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 21,182 7,780 $2.12M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 400 195 $34K
97168 25 25 $1K