Medicaid Provider Spending

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

MACRI, MARCIA

NPI: 1497916225 · NEW CASTLE, PA 16101 · Occupational Therapist · NPI assigned 06/24/2008

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 97530 with only 1 total codes billed. Highly concentrated billing profile.

$1.39M
Total Medicaid Paid
12,437
Total Claims
3,843
Beneficiaries
1
Codes Billed
2020-11
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 174 $17K
2021 2,112 $239K
2022 3,000 $341K
2023 3,668 $409K
2024 3,483 $383K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 12,437 3,843 $1.39M