Medicaid Provider Spending

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

RODRIGUEZ, GLORIA

NPI: 1336173368 · EDINBURG, TX 78542 · Occupational Therapist · NPI assigned 07/10/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.

$1.16M
Total Medicaid Paid
18,735
Total Claims
3,451
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 774 $47K
2021 4,345 $269K
2022 4,941 $311K
2023 4,667 $291K
2024 4,008 $248K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 18,524 3,244 $1.15M
97168 170 166 $13K
97165 41 41 $3K