Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Therapy By Design, LLC

Therapy By Design, LLC was paid $2.65M by Medicaid between Oct 2020 and Dec 2024, across 3 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 97% of everything it billed.

33Billing provider infoTHERAPY BY DESIGN, LLC
DALLAS, TX 75254
33aNPI1649519844assigned 02/07/2013
28Total paid$2.65M
24GClaims32,663
24DCodes billed3
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Speech-Language Pathologist providers in Texas

Rank by total paid#21 of 579
Median peer was paid$144K
This provider vs. median18×

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 Concentration97% of spending on code 92507 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20201,452$116K
20217,814$603K
20228,286$683K
20238,040$654K
2024incomplete7,071$598K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 97% 31,837 4,936 $2.58M
S9152 Speech therapy, re-evaluation 2.6% 764 680 $68K
92523 <1% 62 62 $9K

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.

From NPPES

Who's on the registration

Authorized officialCARTER, AMANDA (SPEECH-LANGUAGE PATHOLOGIST)
Same official

Other billing entities under CARTER, AMANDA

Full network →
ProviderLocationPaid
Burrell, INC.Springfield, MO$759.75M
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Adult and Child Center, INCIndianapolis, IN$113.89M
Adult and Child Mental Health Center INCIndianapolis, IN$23.49M
Adult and Child Mental Health Center INCIndianapolis, IN$10.81M
Burrell, INC.Springfield, MO$9.10M
2Gethertech, LLCSpringfield, MO$7.49M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.