Rodriguez, Gloria
Rodriguez, Gloria was paid $1.16M by Medicaid between Oct 2020 and Dec 2024, across 3 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 99% of everything it billed.
33Billing provider infoRODRIGUEZ, GLORIA
EDINBURG, TX 78542
EDINBURG, TX 78542
33aNPI1336173368assigned 07/10/2006
33bProvider typeOccupational Therapist
28Total paid$1.16M
24GClaims18,735
24DCodes billed3
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Texas
Rank by total paid#29 of 299
Median peer was paid$93K
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 3 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 | |
|---|---|---|---|
| 2020 | 774 | $47K | |
| 2021 | 4,345 | $269K | |
| 2022 | 4,941 | $311K | |
| 2023 | 4,667 | $291K | |
| 2024incomplete | 4,008 | $248K |
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% | 18,524 | 3,244 | $1.15M |
| 97168 | 1.1% | 170 | 166 | $13K | |
| 97165 | <1% | 41 | 41 | $3K |
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.