ROOTS REHAB
NPI: 1811539190
· HELENA, MT 59602
· Occupational Therapist
· NPI assigned 10/08/2019
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.
$1.28M
Total Medicaid Paid
Provider Details
| Authorized Official | BANKS, PAULA (INSURANCE & BILLING COORDINATOR) |
| NPI Enumeration Date | 10/08/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,339 |
$151K |
| 2021 |
1,944 |
$207K |
| 2022 |
2,569 |
$281K |
| 2023 |
3,332 |
$349K |
| 2024 |
2,618 |
$288K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
11,802 |
4,395 |
$1.28M |