SARAH LYNN JOY KOWALCZYK, MA, CCC-SLP

NPI 1639790645, individual, Ozark, AL, Speech-Language Pathologist,

Evidence tier

structure or single-organization volume

Hours beyond a day in 1 month under one organization, which can be supervisory billing.
Records needed.

score 51 of 100, rank 9150, $595K 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
May 2022	More hours than a day holds, even counting one unit per claim line	27.4	6.1	4.1	5.7	108	1	92507	$20K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	SARAH LYNN JOY KOWALCZYK, MA, CCC-SLP
Type	Individual
Status	Active
NPI issued	April 30, 2020, last updated April 30, 2020
Practice location	193 SAM LISENBY RD, Ozark, AL 36360-3048, 334-445-6336
Specialties	Speech-Language Pathologist, (235Z00000X, primary, license 190059 AL)

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	$1.2M	94%	$210	$190 (top 5% from $477)	56th percentile
92523	Evaluation of speech sound production with evaluation of language comprehension and expression	$78K	6%	$134	$137 (top 5% from $251)	48th percentile

In this area

75 providers in AL carry an indicator in the public record, with $74.7M at stake between them. The most common is more hours than a day holds, on 48 of them, followed by part of a provider network on 19. 6 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	DEBORAH FORD Andalusia, AL, ranked 44	$37K	Listed on the OIG exclusion list since September 20, 2001. Medicaid still paid claims in 9 later months, $36,674 in total. and 1 more
1	TOMMIE ROBINSON Owens Cross Roads, AL, ranked 217	$33K	Adjudicated (charged, pleaded guilty, sentenced) per a Department of Justice release dated August 18, 2025. Medicaid paid $33,068 in the last 12 observed months.
1	RENITA BROWN Oxford, AL, ranked 295	$9K	Listed on the Medicare revocation list since August 29, 2022. Medicaid still paid claims in 4 later months, $8,856 in total.
1	CARE COMPLETE MEDICAL CLINIC(CCMC)LLC Birmingham, AL, ranked 313	$6K	Listed on the Medicare revocation list since August 14, 2018. Medicaid still paid claims in 9 later months, $6,105 in total.
1	HASAN PULLIAM Anniston, AL, ranked 567	$0	Adjudicated (sentenced) per a Department of Justice release dated April 2, 2026. No Medicaid payments in the last 12 observed months.
1	FRANCENE GAYLE Huntsville, AL, ranked 672	$0	Adjudicated (sentenced) per a Department of Justice release dated December 19, 2024. No Medicaid payments in the last 12 observed months.
3	ASERACARE HOSPICE - HAMILITON, LLC Hamilton, AL, ranked 1036	$1.1M	Part of provider network D1-00051, ranked 51 nationally.
3	HOMESTEAD HOSPICE OF CAHABA, LLC Selma, AL, ranked 1404	$60K	Part of provider network D1-00051, ranked 51 nationally.

All 75 in AL

Recent enforcement in AL

All releases

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

DOJCivil settlementJun 23, 2026

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A Phenix City-based provider billed Alabama Medicaid for Basic Living Skills services for at-risk children that were not actually rendered.

DOJSentencedApr 2, 2026

Former Medicaid Provider Sentenced to Federal Prison for Health Care Fraud and Aggravated Identity Theft

Pulliam, a child and family therapist enrolled as an Alabama Medicaid provider, submitted claims for counseling services that were never provided using beneficiaries' identifying information without consent.

DOJCivil judgmentMar 19, 2026

Mississippi Man Ordered to Pay $31 Million for Role in Healthcare Kickback Scheme

Crites and others referred patients, primarily TRICARE beneficiaries, to Cloverland Pharmacy in exchange for kickbacks paid by the pharmacy for each referral.

DOJCivil settlementFeb 21, 2025

Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients

Saad submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and thus ineligible for the Medicare hospice benefit.

DOJCivil settlementFeb 21, 2025

Saad Healthcare Agrees to Pay $3M to Settle False Claims Act Allegations That It Billed Medicare for Ineligible Hospice Patients

Saad Healthcare submitted, or caused the submission of, false claims to Medicare between 2013 and 2020 for 21 hospice patients who were not terminally ill and were ineligible for the Medicare hospice benefit.

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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