Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Roots Rehab

Roots Rehab was paid $1.28M by Medicaid between Feb 2020 and Dec 2024, across 1 billing code. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 100% of everything it billed.

33Billing provider infoROOTS REHAB
HELENA, MT 59602
33aNPI1811539190assigned 10/08/2019
33bProvider typeOccupational Therapist
28Total paid$1.28M
24GClaims11,802
24DCodes billed1
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers

Next to other Occupational Therapist providers in Montana

Rank by total paid#4 of 27
Median peer was paid$134K
This provider vs. median9.6×

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 Concentration100% of spending on code 97530 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20201,339$151K
20211,944$207K
20222,569$281K
20233,332$349K
2024incomplete2,618$288K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 100% 11,802 4,395 $1.28M

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 officialBANKS, PAULA (INSURANCE & BILLING COORDINATOR)