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

Laura Cabadas

Social Worker·Elmhurst, IL·NPI: 1740328186SharePrint ReportML Risk: 83%

Compared to Social Worker Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $207K is at the below 25th percentile among 10 Social Worker providers.

Total Paid

$207K

$207,061

Total Claims

3,397

Beneficiaries

1,298

2.6 claims/patient

Avg Cost/Claim

$61

🔍 Analysis

Provider Overview

Laura Cabadas is a Social Worker provider based in Elmhurst, IL. From 2018-01 through 2019-08, this provider received $207K in Medicaid payments across 3K claims serving 1K beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊Bills 2.0× the national median for 97530 (97530), at $66 per claim vs. the median of $33, placing them above the 75th percentile.
  • 📊87% of billing is concentrated in 97530 (97530), indicating significant specialization in this service.
  • 📊Billing stopped in 2019-08, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2018
$137K
-49%
2019
$70K

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 87% of total spending.

97530Top 25%

Therapeutic activities, each 15 min

$179K

2,724 claims · 86.6%

Your Cost: $65.83/claim|Median: $33.11
2.0× median
99499Normal range

Unlisted evaluation and management service

$28K

673 claims · 13.4%

Your Cost: $41.20/claim|Median: $30.88
1.3× median