GARZA, MIGUEL
NPI: 1447584263
· PHARR, TX 78577
· Occupational Therapist
· NPI assigned 09/25/2009
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.
$3.01M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$2K |
| 2020 |
2,113 |
$199K |
| 2021 |
8,286 |
$785K |
| 2022 |
8,226 |
$777K |
| 2023 |
8,082 |
$692K |
| 2024 |
5,793 |
$552K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
31,938 |
4,805 |
$2.96M |
| 97168 |
|
562 |
526 |
$43K |
| 97166 |
|
27 |
26 |
$2K |