Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Estefania Rivera

Speech-Language Pathologist, ·Edinburg, TX·NPI: 1669031985Share

Compared to Speech-Language Pathologist, Peers

Total spending distribution among 30 providers in this specialty

P25MedianP75P90

This provider's total spending of $401K is at the 50th percentile among 30 Speech-Language Pathologist, providers.

Total Paid

$401K

$401,105

Total Claims

5,285

Beneficiaries

1,407

3.8 claims/patient

Avg Cost/Claim

$76

🔍 Analysis

Provider Overview

Estefania Rivera is a Speech-Language Pathologist, provider based in Edinburg, TX. From 2023-02 through 2024-12, this provider received $401K in Medicaid payments across 5K claims serving 1K beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊Bills 1.6× the national median for 92507 (92507), at $77 per claim vs. the median of $49, placing them above the 75th percentile.
  • 📊99% of all billing comes from a single procedure code: 92507 (92507). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
  • 📊Spending more than doubled from $91K in 2023 to $310K in 2024 (240% growth).
  • 📊Saw a 3.4× spike in 2024 ($91K → $310K), a sharp year-over-year increase.

Yearly Spending

2023
$91K
+240%
2024
$310K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (92507 (Speech/hearing/language treatment)) accounts for 99% of total spending.

92507Top 25%

Speech/hearing/language treatment

$398K

5,189 claims · 99.3%

Your Cost: $76.73/claim|Median: $49.45
1.6× median
92523Normal range

Evaluation of speech sound production with language comprehension

$3K

96 claims · 0.7%

Your Cost: $30.98/claim|Median: $110.87
0.3× median

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