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

Alessa Lerma

Speech-Language Pathologist, ·Brownsville, TX·NPI: 1972701977Share

Compared to Speech-Language Pathologist, Peers

Total spending distribution among 30 providers in this specialty

P25MedianP75P90

This provider's total spending of $464K is at the 50th percentile among 30 Speech-Language Pathologist, providers.

Total Paid

$464K

$464,412

Total Claims

5,601

Beneficiaries

999

5.6 claims/patient

Avg Cost/Claim

$83

🔍 Analysis

Provider Overview

Alessa Lerma is a Speech-Language Pathologist, provider based in Brownsville, TX. From 2020-10 through 2021-09, this provider received $464K in Medicaid payments across 6K claims serving 999 beneficiaries, billing 2 distinct procedure codes.

Key Findings

  • 📊Bills 1.7× the national median for 92507 (92507), at $83 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 $98K in 2020 to $366K in 2021 (272% growth).
  • 📊Saw a 3.7× spike in 2021 ($98K → $366K), a sharp year-over-year increase.
  • 📊Billing stopped in 2021-09, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2020
$98K
+272%
2021
$366K

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

$461K

5,562 claims · 99.3%

Your Cost: $82.92/claim|Median: $49.45
1.7× median
S9152Normal range

Speech therapy, re-evaluation

$3K

39 claims · 0.7%

Your Cost: $82.27/claim|Median: $92.99
0.9× median

Similar Providers

Other top providers in Speech-Language Pathologist,