Providers
All 14 in NY
YITZCHOK ISAAC SCHLAFRIG, SLP
NPI 1619955309, individual, Monroe, NY, Speech-Language Pathologist,
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 3 months, but with up to 177 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 9014, $921K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2022 | More hours than a day holds at a conservative unit price | 17.3 | 37.6 | 25.1 | 37.0 | 167 | 1 | 92507 92522 | $122K |
| Feb 2022 | More hours than a day holds at a conservative unit price | 16.1 | 36.1 | 24.1 | 33.7 | 160 | 1 | 92507 92522 | $106K |
| Mar 2022 | More hours than a day holds at a conservative unit price | 16.2 | 36.9 | 24.6 | 33.2 | 175 | 1 | 92507 92522 | $119K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | YITZCHOK ISAAC SCHLAFRIG, SLP |
| Type | Individual |
| Status | Active |
| NPI issued | January 4, 2006, last updated July 13, 2026 |
| Practice location | 49 FOREST RD, Monroe, NY 10950, 845-782-3242 |
| Specialties | Speech-Language Pathologist, (235Z00000X, primary, license 0149811 NY) |
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 | $4.3M | 97% | $408 | $190 (top 5% from $477) | 91st percentile | |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $66K | 2% | $247 | $137 (top 5% from $251) | 94th percentile | |
| 92522 | Evaluation of speech sound production | $66K | 1% | $144 | $67 (top 5% from $224) | 90th percentile | |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | $11K | 0% | $124 | $31 (top 5% from $184) | too few months to rank |
In this area
14 providers in Orange County, NY carry an indicator in the public record, with $12.5M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by paid after a public list action on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | PAUL FELDMAN Newburgh, NY, ranked 23 | $25K |
|
| 4 | TANISHA CASTELLANOS Goshen, NY, ranked 7303 | $2.5M |
|
| 4 | LAZAR KHAIMOV Monroe, NY, ranked 7526 | $3.4M |
|
| 4 | TZVI FARKAS Monroe, NY, ranked 8048 | $157K |
|
| 4 | SAMUEL WERZBERGER Monroe, NY, ranked 9038 | $852K |
|
| 4 | SAMUEL WEISER Monroe, NY, ranked 9193 | $536K |
|
| 4 | OSA GUOBADIA Middletown, NY, ranked 9692 | $27K |
|
| 5 | ERROL YOUNG Warwick, NY, ranked 10206 | $641K |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.
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.