KM PEDIATRIC THERAPY, INC.
NPI: 1457309932
· CARY, NC 27519
· Community/Behavioral Health Agency
· NPI assigned 05/05/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code 92507 with only 2 total codes billed. Highly concentrated billing profile.
$2.27M
Total Medicaid Paid
Provider Details
| Authorized Official | ALLEN, LORAINE (OWNER) |
| NPI Enumeration Date | 05/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,472 |
$225K |
| 2019 |
5,165 |
$336K |
| 2020 |
3,036 |
$204K |
| 2021 |
4,533 |
$313K |
| 2022 |
5,642 |
$384K |
| 2023 |
6,172 |
$405K |
| 2024 |
6,261 |
$398K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
31,969 |
6,243 |
$2.08M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,312 |
711 |
$188K |