Providers
REBECCA ELLEN DOWNS, SLP
NPI 1760610737, individual, Yuma, AZ, Speech-Language Pathologist,
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 11 months, but with up to 788 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8987, $993K 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 |
|---|---|---|---|---|---|---|---|---|---|
| Aug 2019 | More hours than a day holds, even counting one unit per claim line | 29.8 | 12.6 | 8.4 | 11.8 | 788 | 2 | 92507 92508 92523 97535 | $46K |
| Sep 2019 | More hours than a day holds, even counting one unit per claim line | 33.2 | 10.9 | 7.3 | 10.4 | 634 | 1 | 92507 92508 97535 | $38K |
| Oct 2019 | More hours than a day holds, even counting one unit per claim line | 27.4 | 15.0 | 10.0 | 13.5 | 679 | 2 | 92507 92508 97535 | $53K |
| Jan 2020 | More hours than a day holds, even counting one unit per claim line | 29.4 | 15.2 | 10.1 | 13.7 | 746 | 2 | 92507 92508 97535 | $60K |
| Feb 2020 | More hours than a day holds, even counting one unit per claim line | 27.7 | 14.3 | 9.5 | 13.8 | 715 | 1 | 92507 92508 92523 97535 | $54K |
| May 2020 | More hours than a day holds, even counting one unit per claim line | 24.2 | 9.6 | 6.4 | 9.5 | 671 | 1 | 92507 92508 97535 | $42K |
| Jun 2020 | More hours than a day holds, even counting one unit per claim line | 25.6 | 10.2 | 6.8 | 9.3 | 649 | 1 | 92507 92508 97535 | $41K |
| Jul 2020 | More hours than a day holds, even counting one unit per claim line | 27.2 | 10.7 | 7.1 | 9.6 | 625 | 1 | 92507 92508 97535 | $46K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 24.3 | 13.0 | 8.7 | 12.2 | 755 | 1 | 92507 92508 92523 97535 | $60K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 25.8 | 13.7 | 9.1 | 12.3 | 651 | 1 | 92507 92508 97535 | $60K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 26.3 | 13.7 | 9.1 | 12.4 | 596 | 1 | 92507 92508 97535 | $58K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | REBECCA ELLEN DOWNS, SLP |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 29, 2009, last updated June 29, 2009 |
| Practice location | 5443 E 33RD LN, Yuma, AZ 85365-9544, 620-255-4025 |
| Specialties | Speech-Language Pathologist, (235Z00000X, primary, license SLP6173 AZ) |
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 | $1.5M | 54% | $108 | $190 (top 5% from $477) | 22nd percentile | |
| 97535 | Training for self-care or home management, each 15 minutes | $776K | 27% | $61 | $48 (top 5% from $459) | 58th percentile | |
| 92508 | Treatment of speech, language, voice, communication, and/or hearing processing disorder in a group setting | $233K | 8% | $24 | $48 (top 5% from $111) | 20th percentile | |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | $178K | 6% | $148 | $137 (top 5% from $251) | 57th percentile | |
| 92526 | Treatment of swallowing and feeding disorder | $120K | 4% | $135 | $141 (top 5% from $421) | 47th percentile |
In this area
6 providers in Yuma County, AZ carry an indicator in the public record, with $13.0M at stake between them. The most common is more hours than a day holds, on 6 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | ENGIDA ALEMU Yuma, AZ, ranked 7987 | $331K |
|
| 4 | MALLAPPA NEELAPPA Yuma, AZ, ranked 8585 | $2.8M |
|
| 4 | CARL MALMQUIST Yuma, AZ, ranked 8806 | $1.6M |
|
| 5 | OLIVIA WILSON Yuma, AZ, ranked 10101 | $1.1M |
|
| 5 | SERGIO MACIAS San Luis, AZ, ranked 10692 | $5.0M | |
| 5 | MARIA MACIAS San Luis, AZ, ranked 10793 | $2.2M |
Recent enforcement in AZ
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJChargedJun 23, 2026
District of Arizona Announces Charges Involving Over $1.2 Billion in False or Fraudulent Claims as Part of National Health Care Fraud Takedown
Four defendants were charged in connection with alleged schemes involving over $1.2 billion in false or fraudulent claims for amniotic wound allografts procured through kickbacks and for substance abuse treatment services billed to Arizona Medicaid that were not provided as billed.
DOJSentencedJun 4, 2026
New River Couple Sentenced for $12 Million AHCCCS Fraud Scheme
The Currys submitted a fraudulent AHCCCS provider enrollment application concealing Thvoughn Curry's ownership role and then billed AHCCCS through 1 Family Clinic, LLC for behavioral health and substance abuse therapy services that were not provided, receiving more than $12 million.
DOJCivil settlementMar 12, 2026
Arizona Cardiology Group to Pay $4.75M to Resolve Allegations of Unnecessary Vein Ablations
Tri-City Cardiology and three physicians allegedly violated the False Claims Act by performing medically unnecessary ablations on perforator veins and incorrectly measuring or documenting blood flow duration, vein diameter, patient symptoms, and conservative therapy measures to make the procedures appear justified.
DOJConvictedFeb 27, 2026
New River Couple Convicted of $12 Million AHCCCS Fraud Scheme
The Currys submitted a fraudulent AHCCCS provider enrollment application concealing Thvoughn Curry's ownership and then billed AHCCCS for behavioral health services that were not actually provided through 1 Family Clinic, LLC, receiving more than $12 million.
DOJSentencedFeb 27, 2026
Mesa Residents Sentenced to Prison for Fraud Targeting AHCCCS
Riley and Gooch, through their behavioral health clinic New Horizons Behavioral Health, exploited AHCCCS's American Indian Health Program between 2020 and 2022 by falsely billing for services that were not provided, obtaining approximately $3.3 million.
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.