MERCADO, VANESSA
NPI: 1487806501
· PHARR, TX 78577
· Speech-Language Pathologist
· NPI assigned 10/21/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code 92507 with only 3 total codes billed. Highly concentrated billing profile.
$1.92M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,431 |
$103K |
| 2021 |
7,533 |
$546K |
| 2022 |
4,786 |
$365K |
| 2023 |
6,938 |
$512K |
| 2024 |
5,848 |
$389K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
25,975 |
5,818 |
$1.85M |
| 92523 |
|
342 |
335 |
$43K |
| S9152 |
Speech therapy, re-evaluation |
219 |
219 |
$25K |