Providers
All 10 in CO
SUSAN APKON, MD
NPI 1083707434, individual, Aurora, CO, Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 15 months, but with up to 1389 patients a month across 4 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 92507 ($544 per patient-month) sit in the top 5% of every provider billing that code.
score 56 of 100, rank 7479, $4.4M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2019 | More hours than a day holds at a conservative unit price | 20.4 | 61.7 | 41.1 | 57.2 | 918 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 | $171K |
| Mar 2019 | More hours than a day holds at a conservative unit price | 23.5 | 70.7 | 47.1 | 69.0 | 1187 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97803 99214 | $224K |
| Apr 2019 | More hours than a day holds, even counting one unit per claim line | 32.0 | 70.7 | 47.2 | 63.1 | 1358 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97803 | $223K |
| May 2019 | More hours than a day holds, even counting one unit per claim line | 31.0 | 74.1 | 49.4 | 66.2 | 1448 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 | $244K |
| Jun 2019 | More hours than a day holds, even counting one unit per claim line | 32.5 | 89.4 | 59.6 | 88.4 | 1483 | 1 | 92507 92508 92523 92526 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 | $261K |
| Jul 2019 | More hours than a day holds, even counting one unit per claim line | 34.8 | 97.7 | 65.1 | 86.9 | 1560 | 1 | 92507 92508 92523 92526 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 | $305K |
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 30.2 | 91.8 | 61.2 | 85.3 | 1491 | 1 | 92507 92508 92523 92526 92609 96132 96136 96137 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 | $283K |
| Sep 2019 | More hours than a day holds at a conservative unit price | 20.1 | 51.4 | 34.3 | 48.1 | 1023 | 1 | 92507 92508 92523 92526 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 99214 99215 | $153K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 28.6 | 77.8 | 51.9 | 69.4 | 1192 | 1 | 92507 92508 92523 92526 92609 96132 96133 96137 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 | $235K |
| Nov 2019 | More hours than a day holds, even counting one unit per claim line | 25.8 | 71.3 | 47.5 | 66.8 | 1126 | 1 | 92507 92508 92523 92526 92609 96133 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 | $220K |
| Dec 2019 | More hours than a day holds at a conservative unit price | 23.5 | 57.7 | 38.5 | 52.9 | 1058 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97166 97530 97535 97760 99214 | $191K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 33.5 | 77.3 | 51.5 | 68.6 | 1351 | 1 | 92507 92508 92523 92526 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97165 97166 97530 97535 97750 97760 97803 99214 99215 | $255K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 33.0 | 87.5 | 58.3 | 83.6 | 1367 | 1 | 92507 92508 92523 92526 92609 96132 96133 96136 96137 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97763 97802 97803 | $266K |
| Mar 2020 | More hours than a day holds at a conservative unit price | 20.8 | 52.3 | 34.9 | 48.7 | 1088 | 1 | 92507 92508 92523 92526 92609 96132 96133 97110 97112 97140 97161 97162 97166 97530 97535 97760 | $171K |
| Apr 2020 | More hours than a day holds at a conservative unit price | 14.9 | 38.7 | 25.8 | 35.2 | 451 | 1 | 92507 92508 92526 92609 97110 97161 97166 97530 97535 97760 | $127K |
| May 2020 | More hours than a day holds at a conservative unit price | 19.5 | 46.9 | 31.3 | 46.0 | 784 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97803 | $160K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 28.2 | 64.1 | 42.7 | 57.9 | 1027 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97802 97803 99214 | $213K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 33.8 | 72.7 | 48.5 | 64.8 | 1288 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97750 97760 97802 97803 99214 99215 | $249K |
| Aug 2020 | More hours than a day holds, even counting one unit per claim line | 32.4 | 73.4 | 48.9 | 70.9 | 1294 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97803 99214 99215 | $247K |
| Sep 2020 | More hours than a day holds, even counting one unit per claim line | 34.1 | 78.3 | 52.2 | 69.8 | 1315 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97750 97760 97802 97803 99215 | $259K |
| Oct 2020 | More hours than a day holds, even counting one unit per claim line | 35.2 | 83.8 | 55.9 | 77.4 | 1394 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97763 97803 | $287K |
| Nov 2020 | More hours than a day holds, even counting one unit per claim line | 30.7 | 77.2 | 51.4 | 72.9 | 1303 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97165 97166 97530 97535 97750 97760 97763 97802 | $253K |
| Dec 2020 | More hours than a day holds, even counting one unit per claim line | 31.4 | 77.3 | 51.5 | 68.4 | 1323 | 1 | 92507 92508 92523 92526 92609 97110 97112 97140 97161 97162 97166 97530 97535 97760 97763 97802 | $265K |
| Jan 2021 | More hours than a day holds, even counting one unit per claim line | 30.5 | 69.4 | 46.3 | 67.5 | 1286 | 1 | 92507 92508 92523 92526 97110 97112 97140 97161 97162 97166 97530 97535 97760 97763 97803 99215 | $226K |
| Feb 2021 | More hours than a day holds, even counting one unit per claim line | 35.3 | 81.2 | 54.2 | 75.4 | 1374 | 1 | 92507 92508 92523 92526 97110 97112 97140 97161 97162 97164 97165 97166 97530 97535 97760 97803 99215 | $238K |
| Mar 2021 | More hours than a day holds, even counting one unit per claim line | 33.1 | 75.1 | 50.1 | 67.1 | 1426 | 1 | 92507 92508 92523 92526 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97803 99215 | $246K |
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 30.7 | 72.3 | 48.2 | 64.9 | 1360 | 1 | 92507 92508 92523 92524 92526 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 97803 99214 99215 | $229K |
| May 2021 | More hours than a day holds at a conservative unit price | 24.5 | 58.2 | 38.8 | 56.5 | 1203 | 1 | 92507 92508 92523 92526 97110 97112 97140 97161 97162 97165 97166 97530 97535 97760 99215 | $193K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 35.3 | 102.5 | 68.3 | 92.0 | 1389 | 4 | 92507 92508 92523 97110 97112 97140 97161 97162 97166 97530 97535 97760 97802 97803 99215 | $252K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 28.9 | 91.0 | 60.7 | 84.2 | 1208 | 4 | 92507 92508 92523 92526 97110 97112 97140 97161 97162 97530 97535 97760 97803 99215 99233 | $225K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 27.2 | 84.3 | 56.2 | 77.1 | 1156 | 4 | 92507 92508 92523 92526 97110 97112 97140 97161 97162 97166 97530 97535 97760 97803 99215 | $210K |
| Sep 2021 | More hours than a day holds at a conservative unit price | 23.6 | 84.1 | 56.0 | 76.3 | 971 | 4 | 92507 92508 92523 92526 97110 97140 97161 97162 97530 97535 97760 97803 99215 | $203K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 25.6 | 86.4 | 57.6 | 84.2 | 1125 | 4 | 92507 92508 92523 92526 97110 97112 97140 97161 97162 97166 97530 97535 97760 97803 99213 | $213K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 28.1 | 93.4 | 62.3 | 83.7 | 1181 | 4 | 92507 92508 92523 97110 97112 97140 97161 97162 97166 97530 97535 97760 97802 97803 99213 99215 | $220K |
| Dec 2021 | More hours than a day holds at a conservative unit price | 24.9 | 84.6 | 56.4 | 75.3 | 1169 | 4 | 92507 92508 92523 97110 97112 97140 97161 97530 97535 97760 97802 99233 | $208K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 28.0 | 74.7 | 49.8 | 72.8 | 1114 | 3 | 92507 92508 92523 97110 97140 97161 97166 97530 97535 | $233K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 33.7 | 86.1 | 57.4 | 78.3 | 1188 | 3 | 92507 92508 92523 97110 97112 97140 97161 97530 97535 99215 | $239K |
| Mar 2022 | More hours than a day holds at a conservative unit price | 24.7 | 81.6 | 54.4 | 72.2 | 886 | 3 | 92507 92508 97110 97112 97140 97161 97162 97530 97535 97803 99215 | $247K |
| Apr 2022 | More hours than a day holds at a conservative unit price | 15.4 | 52.1 | 34.7 | 49.1 | 543 | 3 | 92507 92508 97110 97112 97140 97530 99215 | $151K |
| May 2022 | More hours than a day holds at a conservative unit price | 14.0 | 46.7 | 31.2 | 43.5 | 493 | 3 | 92507 92508 97110 97112 97140 97530 99215 | $140K |
| Jun 2022 | More hours than a day holds at a conservative unit price | 12.8 | 43.3 | 28.8 | 39.0 | 444 | 3 | 92507 92508 97110 97112 97140 97530 | $125K |
| Jul 2022 | More hours than a day holds at a conservative unit price | 10.9 | 42.5 | 28.3 | 41.8 | 383 | 3 | 92507 92508 97110 97530 99215 | $127K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SUSAN APKON, MD |
| Type | Individual |
| Status | Active |
| NPI issued | September 30, 2006, last updated January 14, 2019 |
| Practice location | 13123 E 16TH AVE, Aurora, CO 80045-7106, 720-777-1234 |
| Mailing address | PO BOX 110429, Aurora, CO 80042-0429 |
| Specialties | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (2081P0010X, license 60085504w WA) Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (2081P0010X, primary, license DR.0035411 CO) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $4.8M | 36% | $544 | $190 (top 5% from $477) | 97th percentile | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $2.3M | 17% | $132 | $76 (top 5% from $314) | 74th percentile | |
| 97530 | Therapy procedure using functional activities | $1.2M | 9% | $95 | $124 (top 5% from $387) | 40th percentile | |
| 92609 | Therapy service for use of speech-generating device with programming | $918K | 7% | $369 | $181 (top 5% from $466) | 87th percentile | |
| V5257 | Medicaid service code | $471K | 3% | $1K | too few months to rank | ||
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $395K | 3% | $266 | $137 (top 5% from $251) | 96th percentile | |
| 96125 | Test to assess the ability to complete specific functional tasks applicable to environment | $395K | 3% | $1K | too few months to rank | ||
| 92508 | Treatment of speech, language, voice, communication, and/or hearing processing disorder in a group setting | $379K | 3% | $220 | $48 (top 5% from $111) | 100th percentile |
In this area
10 providers in Adams County, CO carry an indicator in the public record, with $20.0M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CENTER AT NORTHRIDGE, LLC Westminster, CO, ranked 4430 | $0 |
|
| 4 | DENNIS MATTHEWS Aurora, CO, ranked 7433 | $5.6M |
|
| 4 | LINDA CAMPAGNA Westminster, CO, ranked 8182 | $1.1M |
|
| 4 | STACY LABAR Northglenn, CO, ranked 8427 | $4.6M |
|
| 4 | ANTHONY EUSER Brighton, CO, ranked 8446 | $4.2M |
|
| 4 | NICOLE FESTA Thornton, CO, ranked 8663 | $2.3M |
|
| 4 | STEPHEN VOLIN Thornton, CO, ranked 9006 | $944K |
|
| 4 | PAUL LEO Thornton, CO, ranked 9128 | $636K |
|
Recent enforcement in CO
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedJun 23, 2026
Colorado Man Charged In Medicaid Fraud Scheme Connected To Arapahoe County Adult Daycare
Omer offered three $500 kickback payments in exchange for referrals of Medicaid beneficiaries for adult daycare, and $10,000 in other kickback payments described as marketing expenses or office supply, to induce beneficiaries to attend Nadina Adult Daycare Center.
DOJCivil settlementNov 24, 2025
Southern Colorado Hospital and Doctors Agree to Pay $650,000 to Resolve Allegations That They Unlawfully Prescribed Opioids and Other Controlled Substances
Three physicians employed by Mt. San Rafael Hospital allegedly issued invalid prescriptions for controlled substances including opioids not for a legitimate medical purpose or outside the usual course of professional practice, and caused claims for those prescriptions to be submitted to Medicare and other federal health care programs.
DOJCivil settlementDec 3, 2024
$2 Million Resolves Kickback Allegations Relating to Denver Neuromonitoring Company
Assure paid remuneration to surgeons through joint venture companies to induce them to order intraoperative neuromonitoring services, resulting in claims submitted to federally funded healthcare programs.
DOJIndictedSep 24, 2024
Seven People Charged With Over $40 Million In Medicare And Medicaid Fraud
Defendants, through genetic testing laboratories they owned and operated, paid kickbacks and bribes to marketing companies for referrals for medically unnecessary genetic testing, resulting in more than $40 million in false and fraudulent claims paid by Medicare and Colorado Medicaid, and three defendants laundered the proceeds.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.