HEATON PEDIATRIC THERAPY INC.
NPI: 1700255056
· FOUNTAIN INN, SC 29644
· Occupational Therapy Assistant
· NPI assigned 09/16/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
$4.17M
Total Medicaid Paid
Provider Details
| Authorized Official | HEATON, TRAVIS (PRESIDENT) |
| NPI Enumeration Date | 09/16/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
5,791 |
$533K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
50,450 |
15,571 |
$4.13M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
459 |
157 |
$38K |
| 97168 |
|
15 |
15 |
$870.30 |