Medicaid Provider Spending

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

ZIMMERMAN, ELIZABETH

NPI: 1205271707 · MOON TOWNSHIP, PA 15108 · Occupational Therapist · NPI assigned 05/10/2013

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.

$1.69M
Total Medicaid Paid
16,139
Total Claims
4,722
Beneficiaries
2
Codes Billed
2020-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 356 $37K
2021 2,634 $267K
2022 3,273 $371K
2023 5,113 $533K
2024 4,763 $486K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 16,127 4,710 $1.69M
97165 12 12 $634.12