REYNA, DAISY
NPI: 1457099004
· MISSION, TX 78572
· Pediatric Occupational Therapist
· NPI assigned 05/24/2022
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
$1.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
366 |
$23K |
| 2023 |
6,996 |
$458K |
| 2024 |
9,587 |
$670K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
16,892 |
3,119 |
$1.15M |
| 97168 |
|
31 |
31 |
$2K |
| 97166 |
|
26 |
25 |
$2K |