Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COLUNGA, ANNA

NPI: 1467651968 · DONNA, TX 78537 · Occupational Therapist · NPI assigned 07/13/2007

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.

$1.58M
Total Medicaid Paid
21,543
Total Claims
4,364
Beneficiaries
3
Codes Billed
2020-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,356 $96K
2021 5,670 $424K
2022 5,059 $372K
2023 4,793 $354K
2024 4,665 $332K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 21,238 4,060 $1.55M
97168 249 248 $19K
97166 56 56 $5K