Colunga, Anna
Colunga, Anna was paid $1.58M 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 — 98% of everything it billed.
33Billing provider infoCOLUNGA, ANNA
DONNA, TX 78537
DONNA, TX 78537
33aNPI1467651968assigned 07/13/2007
33bProvider typeOccupational Therapist
28Total paid$1.58M
24GClaims21,543
24DCodes billed3
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in Texas
Rank by total paid#19 of 299
Median peer was paid$93K
This provider vs. median17×
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 Concentration98% 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 | 1,356 | $96K | |
| 2021 | 5,670 | $424K | |
| 2022 | 5,059 | $372K | |
| 2023 | 4,793 | $354K | |
| 2024incomplete | 4,665 | $332K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 98% | 21,238 | 4,060 | $1.55M |
| 97168 | 1.2% | 249 | 248 | $19K | |
| 97166 | <1% | 56 | 56 | $5K |
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.