Hill, Michelle
Hill, Michelle was paid $1.19M by Medicaid between Jan 2018 and Dec 2020, across 2 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 99% of everything it billed.
33Billing provider infoHILL, MICHELLE
LEBANON, TN 37090
LEBANON, TN 37090
33aNPI1144349523assigned 03/28/2007
33bProvider typePediatric Occupational Therapist
28Total paid$1.19M
24GClaims31,026
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatric Occupational Therapist providers in Tennessee
Rank by total paid#3 of 12
Median peer was paid$91K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code 97530 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,251 | $390K | |
| 2019 | 10,209 | $400K | |
| 2020 | 10,566 | $404K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 99% | 30,860 | 7,011 | $1.19M |
| 97165 | <1% | 166 | 160 | $8K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.