SIFUENTES, YEVIRELY
NPI: 1467897629
· ALAMO, TX 78516
· Occupational Therapist
· NPI assigned 05/01/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
$2.12M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,508 |
$117K |
| 2021 |
9,579 |
$747K |
| 2022 |
8,108 |
$623K |
| 2023 |
6,031 |
$464K |
| 2024 |
2,160 |
$168K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
27,227 |
4,724 |
$2.11M |
| 97168 |
|
117 |
117 |
$10K |
| 97166 |
|
42 |
42 |
$4K |