SHAIRA J. LOPEZ ACEVEDO, Speech Language Path
NPI 1356577563, individual, Ponce, PR, Speech-Language Pathologist,
- Hours beyond a day in 2 months under one organization, which can be supervisory billing.
- Records needed.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2024 | More hours than a day holds, even counting one unit per claim line | 62.1 | 38.5 | 25.7 | 34.6 | 156 | 1 | 92507 | $147K |
| Nov 2024 | More hours than a day holds, even counting one unit per claim line | 59.1 | 74.1 | 49.4 | 70.6 | 150 | 1 | 92507 | $274K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SHAIRA J. LOPEZ ACEVEDO, Speech Language Path |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 2, 2009, last updated June 2, 2009 |
| Practice location | URB. VILLA GRILLASCA 906 VIRGILIO BIAGGI, Ponce, PR 00717, 787-840-7928 |
| Specialties | Speech-Language Pathologist, (235Z00000X, primary, license 803 PR) |
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.
| 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 | $1.3M | 99% | $461 | $190 (top 5% from $477) | 94th percentile | |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $11K | 1% | $211 | $137 (top 5% from $251) | too few months to rank |
In this area
8 providers in Ponce Municipio County, PR carry an indicator in the public record, with $8.7M at stake between them. The most common is more hours than a day holds, on 7 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CMS HOME CARE SUR, LLC. Ponce, PR, ranked 5147 | $0 |
|
| 4 | ANTONIA NIEVES SANCHEZ Ponce, PR, ranked 8263 | $186K |
|
| 4 | DAISY COSTAS VARGAS Ponce, PR, ranked 8326 | $7.7M |
|
| 4 | NATALIA DIEPPA LOPEZ DE VICTORIA Ponce, PR, ranked 9530 | $138K |
|
| 5 | JOSE RAMIREZ-MARTINEZ Coto Laurel, PR, ranked 10328 | $358K |
|
| 5 | JOMAYRA NEGRON BANKS Ponce, PR, ranked 10706 | $40K |
|
| 5 | AXEL REYES VAZQUEZ Ponce, PR, ranked 10752 | $27K |
|
| 5 | LUIS LOPEZ DEL POZO Ponce, PR, ranked 11476 | $191K |
Recent enforcement in PR
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.