Heaton Pediatric Therapy INC.
Heaton Pediatric Therapy INC. was paid $4.17M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 99% of everything it billed.
33Billing provider infoHEATON PEDIATRIC THERAPY INC.
FOUNTAIN INN, SC 29644
FOUNTAIN INN, SC 29644
33aNPI1700255056assigned 09/16/2015
33bProvider typeOccupational Therapy Assistant
28Total paid$4.17M
24GClaims50,924
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Occupational Therapy Assistant providers in South Carolina
Rank by total paid#2 of 12
Median peer was paid$1.16M
This provider vs. median3.6×
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 Concentration99% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,817 | $224K | |
| 2019 | 6,729 | $514K | |
| 2020 | 8,604 | $669K | |
| 2021 | 11,809 | $967K | |
| 2022 | 9,584 | $793K | |
| 2023 | 5,590 | $471K | |
| 2024incomplete | 5,791 | $533K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 99% | 50,450 | 15,571 | $4.13M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 459 | 157 | $38K |
| 97168 | <1% | 15 | 15 | $870.30 |
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 officialHEATON, TRAVIS (PRESIDENT)