MONTES, MONICA
NPI: 1477873032
· EDINBURG, TX 78539
· Occupational Therapist
· NPI assigned 06/07/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 97530 with only 2 total codes billed. Highly concentrated billing profile.
$1.10M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
871 |
$63K |
| 2021 |
7,206 |
$638K |
| 2022 |
4,190 |
$383K |
| 2023 |
3,139 |
$7K |
| 2024 |
89 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
14,320 |
2,114 |
$1.09M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,175 |
106 |
$2K |