Spoken-4 Communications, LLC
Spoken-4 Communications, LLC was paid $5.38M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 58% of everything it billed.
33Billing provider infoSPOKEN-4 COMMUNICATIONS, LLC
DURHAM, NC 27713
DURHAM, NC 27713
33aNPI1720125917assigned 01/30/2007
33bProvider typeOccupational Therapist
28Total paid$5.38M
24GClaims73,491
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Occupational Therapist providers in North Carolina
Rank by total paid#11 of 94
Median peer was paid$261K
This provider vs. median21×
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.
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 | 20,983 | $1.55M | |
| 2019 | 20,070 | $1.47M | |
| 2020 | 11,629 | $866K | |
| 2021 | 7,206 | $550K | |
| 2022 | 4,211 | $318K | |
| 2023 | 3,612 | $251K | |
| 2024incomplete | 5,780 | $367K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 58% | 48,733 | 8,201 | $3.13M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 16% | 8,969 | 2,231 | $857K |
| 92523 | 12% | 4,317 | 2,355 | $641K | |
| 92610 | 4.0% | 3,821 | 3,513 | $218K | |
| 92521 | 3.5% | 2,146 | 1,992 | $186K | |
| 92524 | 2.9% | 2,110 | 1,968 | $155K | |
| 97750 | 2.0% | 1,176 | 1,164 | $109K | |
| 97165 | <1% | 778 | 762 | $49K | |
| 97166 | <1% | 170 | 170 | $11K | |
| 97167 | <1% | 184 | 111 | $9K | |
| 92551 | <1% | 1,087 | 1,078 | $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 officialHOWELL, LISA (CEO/CLINICAL DIRECTOR)