MICHELE BOWMAN, OTRL

NPI 1336443241, individual, Spring Hill, FL, Occupational Therapist

Evidence tier

informational

Medicaid dollars per patient on code 97530 ($398 per patient-month) sit in the top 5% of every provider billing that code.

score 34 of 100, rank 10444, $124K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MICHELE BOWMAN, OTRL
Type	Individual, sole proprietor
Status	Active
NPI issued	January 6, 2011, last updated January 6, 2011
Practice location	13790 RUDI LOOP, Spring Hill, FL 34609-7967, 352-293-3448
Specialties	Occupational Therapist (225X00000X, primary, license OT11087 FL)

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
97530	Therapy procedure using functional activities	$232K	100%	$398	$124 (top 5% from $387)	95th percentile

In this area

5 providers in Hernando County, FL carry an indicator in the public record, with $3.8M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 2.

tier	provider	at stake	why
3	HERNANDO-PASCO HOSPICE, INC. Brooksville, FL, ranked 4813	$0	Part of provider network D1-00126, ranked 126 nationally.
3	PINNACLE HOME CARE OF SPRING HILL, LLC. Spring Hill, FL, ranked 6302	$0	Part of provider network D1-00113, ranked 113 nationally.
4	CAROL SPAGNOLO-HYE Spring Hill, FL, ranked 8739	$2.0M	Hours beyond a day in 5 months, but with up to 1143 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
5	MICHAEL GRIFFEN Spring Hill, FL, ranked 9999	$1.8M	Medicaid dollars per patient on code 95165 ($1408 per patient-month) sit in the top 5% of every provider billing that code.
5	JONADAB UZOHO Spring Hill, FL, ranked 11759	$47K

Recent enforcement in FL

All releases

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

DOJPleaded guiltyAug 14, 2026

Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud

Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.

DOJConvictedAug 12, 2026

Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme

Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.

DOJCivil settlementAug 3, 2026

Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit

Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.

DOJCivil settlementJul 31, 2026

Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds

Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.

DOJCivil settlementJul 31, 2026

Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds

Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.

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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