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Alma Marroquin

Occupational Therapist·Mcallen, TX·NPI: 1144667296SharePrint ReportML Risk: 83%

Compared to Occupational Therapist Peers

Total spending distribution among 7 providers in this specialty

P25MedianP75P90

This provider's total spending of $180K is at the 25th percentile among 7 Occupational Therapist providers.

Total Paid

$180K

$180,374

Total Claims

2,271

Beneficiaries

691

3.3 claims/patient

Avg Cost/Claim

$79

🔍 Analysis

Provider Overview

Alma Marroquin is a Occupational Therapist provider based in Mcallen, TX. From 2024-01 through 2024-08, this provider received $180K in Medicaid payments across 2K claims serving 691 beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊Bills 2.4× the national median for 97530 (97530), at $81 per claim vs. the median of $33, placing them above the 75th percentile.
  • 📊98% of all billing comes from a single procedure code: 97530 (97530). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 98% of total spending.

97530Top 25%

Therapeutic activities, each 15 min

$177K

2,199 claims · 98.3%

Your Cost: $80.66/claim|Median: $33.11
2.4× median
97165Normal range

OT evaluation, low complexity

$3K

72 claims · 1.7%

Your Cost: $41.83/claim|Median: $46.78
0.9× median

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