Hetherington, Nickolas
Hetherington, Nickolas was paid $1.31M by Medicaid between Jan 2019 and Nov 2022, across 3 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 94% of everything it billed.
33Billing provider infoHETHERINGTON, NICKOLAS
MELBOURNE, FL 32901
MELBOURNE, FL 32901
33aNPI1467804278assigned 07/05/2016
33bProvider typeOccupational Therapist
28Total paid$1.31M
24GClaims21,210
24DCodes billed3
24AFirst – last monthJan 2019 – Nov 2022
Compared with peers
Next to other Occupational Therapist providers in Florida
Rank by total paid#31 of 711
Median peer was paid$35K
This provider vs. median38×
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 Concentration94% 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 | |
|---|---|---|---|
| 2019 | 2,872 | $164K | |
| 2020 | 4,748 | $304K | |
| 2021 | 7,846 | $484K | |
| 2022 | 5,744 | $359K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 94% | 20,148 | 2,709 | $1.24M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 5.7% | 1,050 | 161 | $74K |
| 97166 | <1% | 12 | 12 | $1K |
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.