Providers

DIANE MARGIORE KALAYAM, LCSW LADC

NPI 1194968248, individual, Sapulpa, OK, Counselor, Mental Health

5
Evidence tier
informational
score 29 of 100, rank 11924, $12K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameDIANE MARGIORE KALAYAM, LCSW LADC
TypeIndividual
StatusActive
NPI issuedApril 18, 2009, last updated April 21, 2010
Practice location23 E ROSS AVE, Sapulpa, OK 74066-6423, 918-227-2016
Specialties
Counselor, Mental Health (101YM0800X, primary, license 0897 OK)

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
codewhat it ispaidshareper patient-monthtypicalrank among providers
90834Psychotherapy, 45 minutes$31K100%$27$101 (top 5% from $318)13th percentile
90785Psychiatric services complicated by communication factor$320%$1.60$15 (top 5% from $35)too few months to rank

In this area

3 providers in Creek County, OK carry an indicator in the public record, with $0 at stake between them. The most common is named in an enforcement record, on 2 of them, followed by part of a provider network on 1. 2 are tier 1: documented action, then payment.

tierproviderat stakewhy
1BACK PAIN HOME SUPPLIES LLC
Drumright, OK, ranked 511
$0
  • Adjudicated (indicted, convicted) per a Department of Justice release dated January 8, 2026.
  • No Medicaid payments in the last 12 observed months.
1MARK LOFTIS
Drumright, OK, ranked 596
$0
  • Adjudicated (convicted) per a Department of Justice release dated July 21, 2026.
  • No Medicaid payments in the last 12 observed months.
3CONHOLD OF MANNFORD LLC
Mannford, OK, ranked 2085
$0
  • Part of provider network D1-00112, ranked 112 nationally.

Recent enforcement in OK

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJIndictedJun 24, 2026
NDOK Announces Charges Related to the 2026 National Health Care Fraud Takedown
Bowles, operator of three pharmacies, allegedly submitted false claims for reimbursement for COVID-19 tests to Medicare and Medicaid, and a civil forfeiture complaint alleged Dameion Ray improperly used approximately $300,000 of a $600,000 Child Care Desert Grant to purchase real property.
DOJIndictedJun 23, 2026
Western District of Oklahoma Cases Filed as Part of National Health Care Fraud Takedown
Two defendants operating a durable medical equipment company were indicted for submitting fraudulent TRICARE claims for more than 650,000 in-person CPAP-related services they did not provide, and a speech-language pathologist was charged in a civil complaint with submitting more than $2.5 million in false claims to Medicare, Oklahoma Medicaid, and TRICARE for services not rendered or not medically necessary.
DOJSentencedMay 1, 2026
Oklahoma City Woman Sentenced to Federal Prison for $1.1 Million Health Care Fraud Scheme
Allmon submitted thousands of false and fraudulent claims to Blue Cross Blue Shield for behavioral health counseling sessions purportedly provided to family members, including claims of treating beneficiaries for more than 24 hours in a single day.
DOJCivil settlementJan 22, 2026
Traditions Health Agrees to Pay $34M to Resolve False Claims Act Liability Relating to Home Health Services Following Self Disclosure
Traditions submitted claims to Medicare for home health services that were not medically necessary from its McAlester, Oklahoma location and paid remuneration to physician-medical directors in Oklahoma and Texas who referred Medicare beneficiaries to it for home health services.
DOJSentencedOct 14, 2025
Compounding Pharmacy Owner Sent Back to Prison
Compounding pharmacy owner previously convicted of conspiracy to offer and pay health care kickbacks was sentenced for violating supervised release by failing to make restitution payments and concealing accounts, businesses, and asset transfers from Probation.

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.

Ask this case

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