MASSIEL MERLO-GOMEZ, M.S., CCC-SLP
NPI 1457499097, individual, Miami, FL, Speech-Language Pathologist,
- Billed more hands-on hours than a day holds in 1 month, peaking at 14.2 hours per day across 4 billing organizations.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2024 | More hours than a day holds, even counting one unit per claim line | 24.9 | 19.2 | 12.8 | 17.4 | 117 | 4 | 92507 | $60K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MASSIEL MERLO-GOMEZ, M.S., CCC-SLP |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | February 4, 2007, last updated June 19, 2024 |
| Practice location | 8300 W FLAGLER ST STE 170, Miami, FL 33144-2098, 786-633-5171 |
| Mailing address | 7005 LOCH ISLE DR S, Miami Lakes, FL 33014-2081 |
| Specialties | Speech-Language Pathologist, (235Z00000X, primary, license SA5789 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.
| 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 | $1.7M | 99% | $379 | $190 (top 5% from $477) | 88th percentile | |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $6K | 0% | $50 | $137 (top 5% from $251) | 12th percentile | |
| 97530 | Therapy procedure using functional activities | $3K | 0% | $200 | $124 (top 5% from $387) | too few months to rank |
In this area
256 providers in Miami-Dade County, FL carry an indicator in the public record, with $454.1M at stake between them. The most common is more hours than a day holds, on 202 of them, followed by part of a provider network on 44. 6 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ALAN SWARTZ Miami, FL, ranked 419 | $452 |
|
| 1 | ROSALVA ZEGARRA Hialeah, FL, ranked 424 | $302 |
|
| 1 | LARKIN BEHAVIOR HEALTH INC Hialeah Gardens, FL, ranked 501 | $0 |
|
| 1 | ABRH CARE INC Miami, FL, ranked 507 | $0 |
|
| 1 | DAVILA MEDICAL CENTER INC Miami, FL, ranked 649 | $0 |
|
| 1 | NEW BEHAVIOR HEALTH DIRECTION INC Miami, FL, ranked 683 | $0 |
|
| 2 | MARIA MACHADO Miami, FL, ranked 691 | $4.0M |
|
| 3 | PRIMARY MEDICAL STAFFING, INC. Miami Lakes, FL, ranked 756 | $17.5M |
|
Recent enforcement in FL
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.