VERITY
Providers

INDIRA AYALA, M.A.

NPI 1851315923, individual, Kissimmee, FL, Speech-Language Pathologist,

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 67 months, but with up to 736 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 52 of 100, rank 8315, $8.3M 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.

monthwhat was foundhours per day, lower boundhours per day, at pricehours per day, conservativeper working daypatientsbilling organizationscodespaid
Feb 2019More hours than a day holds, even counting one unit per claim line30.843.729.240.8451292507 92523$132K
Mar 2019More hours than a day holds, even counting one unit per claim line31.926.617.726.2485292507 92523$88K
Apr 2019More hours than a day holds, even counting one unit per claim line38.434.523.031.4514292507 92523$112K
May 2019More hours than a day holds, even counting one unit per claim line39.533.522.330.1537292507 92523$112K
Jun 2019More hours than a day holds, even counting one unit per claim line36.930.220.130.2525292507 92523$97K
Jul 2019More hours than a day holds, even counting one unit per claim line39.530.920.627.7535292507 92523$102K
Aug 2019More hours than a day holds, even counting one unit per claim line42.839.926.637.4538292507 92523$133K
Sep 2019More hours than a day holds, even counting one unit per claim line42.833.222.131.6537292507 92523$106K
Oct 2019More hours than a day holds, even counting one unit per claim line49.931.521.028.3572292507 92523$104K
Nov 2019More hours than a day holds, even counting one unit per claim line36.025.216.824.0512292507 92523$81K
Dec 2019More hours than a day holds, even counting one unit per claim line29.523.615.722.1487292507 92523$79K
Jan 2020More hours than a day holds, even counting one unit per claim line37.430.320.227.2509292507 92523$100K
Feb 2020More hours than a day holds, even counting one unit per claim line35.028.419.027.5492292507 92523$88K
Apr 2020More hours than a day holds, even counting one unit per claim line35.433.522.330.4403292507$108K
May 2020More hours than a day holds, even counting one unit per claim line32.424.116.123.7424292507$80K
Jun 2020More hours than a day holds, even counting one unit per claim line34.226.917.924.5433292507 92523$86K
Jul 2020More hours than a day holds, even counting one unit per claim line34.725.416.922.8458292507 92523$84K
Aug 2020More hours than a day holds, even counting one unit per claim line35.330.020.029.5490292507 92523$99K
Sep 2020More hours than a day holds, even counting one unit per claim line41.126.117.423.8523292507 92523$84K
Oct 2020More hours than a day holds, even counting one unit per claim line43.029.219.427.4546392507$97K
Nov 2020More hours than a day holds, even counting one unit per claim line40.926.117.424.9601392507 92523$84K
Dec 2020More hours than a day holds, even counting one unit per claim line38.821.014.018.8577292507$70K
Jan 2021More hours than a day holds, even counting one unit per claim line44.948.732.548.0648392507 92523$148K
Feb 2021More hours than a day holds, even counting one unit per claim line52.046.831.243.7656292507 92523$129K
Mar 2021More hours than a day holds, even counting one unit per claim line52.848.332.243.4684292507 92523$147K
Apr 2021More hours than a day holds, even counting one unit per claim line53.552.835.248.0681292507 92523$156K
May 2021More hours than a day holds, even counting one unit per claim line48.442.328.241.6697292507 92523$128K
Jun 2021More hours than a day holds, even counting one unit per claim line52.946.230.842.0695292507 92523$136K
Jul 2021More hours than a day holds, even counting one unit per claim line47.940.927.338.4665292507 92523$124K
Aug 2021More hours than a day holds, even counting one unit per claim line49.040.026.737.6637392507$122K
Sep 2021More hours than a day holds, even counting one unit per claim line48.640.026.736.4609392507$118K
Oct 2021More hours than a day holds, even counting one unit per claim line49.544.229.543.5630392507 92523$135K
Nov 2021More hours than a day holds, even counting one unit per claim line41.034.222.831.1568392507$101K
Dec 2021More hours than a day holds, even counting one unit per claim line37.125.817.223.2575392507$79K
Jan 2022More hours than a day holds, even counting one unit per claim line43.555.737.154.8609392507$168K
Feb 2022More hours than a day holds, even counting one unit per claim line50.551.334.247.9646392507 92523$140K
Mar 2022More hours than a day holds, even counting one unit per claim line50.545.830.541.2649392507$138K
Apr 2022More hours than a day holds, even counting one unit per claim line46.954.136.151.5659392507$158K
May 2022More hours than a day holds, even counting one unit per claim line47.548.132.145.2697392507 92523$145K
Jun 2022More hours than a day holds, even counting one unit per claim line50.250.033.345.5716392507 92523$146K
Jul 2022More hours than a day holds, even counting one unit per claim line45.544.829.944.1703392507 92523$135K
Aug 2022More hours than a day holds, even counting one unit per claim line51.548.432.343.5736392507 92523$146K
Sep 2022More hours than a day holds, even counting one unit per claim line44.542.228.138.4661392507$123K
Oct 2022More hours than a day holds, even counting one unit per claim line44.352.735.251.9683392507 92523$159K
Nov 2022More hours than a day holds, even counting one unit per claim line38.230.920.628.1624392507$90K
Dec 2022More hours than a day holds, even counting one unit per claim line32.829.419.627.6590392507$89K
Jan 2023More hours than a day holds, even counting one unit per claim line41.054.436.251.1636392507$173K
Feb 2023More hours than a day holds, even counting one unit per claim line45.342.928.640.0643392507$124K
Mar 2023More hours than a day holds, even counting one unit per claim line44.346.330.941.6658392507$148K
Apr 2023More hours than a day holds, even counting one unit per claim line42.945.530.345.5640392507$140K
May 2023More hours than a day holds, even counting one unit per claim line42.740.026.635.9647392507$127K
Jun 2023More hours than a day holds, even counting one unit per claim line42.843.328.939.4648392507 92523$133K
Jul 2023More hours than a day holds, even counting one unit per claim line38.344.729.844.0653392507 92523$142K
Aug 2023More hours than a day holds, even counting one unit per claim line42.645.230.240.6649392507 92523$144K
Sep 2023More hours than a day holds, even counting one unit per claim line40.841.027.339.1629392507 92523$126K
Oct 2023More hours than a day holds, even counting one unit per claim line43.246.430.943.6637392507 92523$148K
Nov 2023More hours than a day holds, even counting one unit per claim line43.238.625.735.1668392507 92523$119K
Dec 2023More hours than a day holds, even counting one unit per claim line33.227.518.327.1611392507 92523$87K
Jan 2024More hours than a day holds, even counting one unit per claim line41.053.335.647.9633392507 92523$171K
Feb 2024More hours than a day holds, even counting one unit per claim line46.344.229.540.7655392507 92523$132K
Mar 2024More hours than a day holds, even counting one unit per claim line41.841.127.440.5681392507 92523$132K
Apr 2024More hours than a day holds, even counting one unit per claim line48.045.430.341.3684392507 92523$141K
May 2024More hours than a day holds, even counting one unit per claim line45.847.932.043.1687392507 92523$154K
Jun 2024More hours than a day holds, even counting one unit per claim line41.338.825.938.8672392507 92523$120K
Jul 2024More hours than a day holds, even counting one unit per claim line41.741.927.937.6658392507 92523$134K
Aug 2024More hours than a day holds, even counting one unit per claim line39.735.623.733.4592392507$114K
Sep 2024More hours than a day holds, even counting one unit per claim line28.527.018.025.7463292507$84K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameINDIRA AYALA, M.A.
TypeIndividual, sole proprietor
StatusActive
NPI issuedJuly 26, 2006, last updated July 8, 2007
Practice location1318 W OAK ST STE 1, Kissimmee, FL 34741-4009, 407-847-7344
Specialties
Speech-Language Pathologist, (235Z00000X, primary, license SA 4851 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.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder$8.3M99%$202$190 (top 5% from $477)54th percentile
92523Evaluation of speech sound production with evaluation of language comprehension and expression$51K1%$60$137 (top 5% from $251)15th percentile

In this area

15 providers in Osceola County, FL carry an indicator in the public record, with $10.2M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by part of a provider network on 5.

tierproviderat stakewhy
3AQUAMED SUPPLY LLC
Kissimmee, FL, ranked 1676
$587
  • Charged (charged) per a Department of Justice release dated July 1, 2024, not adjudicated.
  • Medicaid paid $587 in the last 12 observed months.
3HOUSECALL HOME HEALTH, L.L.C.
Celebration, FL, ranked 2012
$0
  • Part of provider network D1-00071, ranked 71 nationally.
3CROWN HOME CARE INC
Kissimmee, FL, ranked 2710
$0
  • Part of provider network D1-00040, ranked 40 nationally.
3KISSIMMEE OPCO LLC
Kissimmee, FL, ranked 2918
$0
  • Part of provider network D1-00035, ranked 35 nationally.
3ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Kissimmee, FL, ranked 3057
$0
  • Part of provider network D1-00071, ranked 71 nationally.
3ST CLOUD OPCO LLC
Saint Cloud, FL, ranked 6879
$0
  • Part of provider network D1-00035, ranked 35 nationally.
4AZIZ IMTIAZ
Kissimmee, FL, ranked 7629
$2.4M
  • Hours beyond a day in 9 months, but with up to 1595 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4SANJAY MEHRA
Kissimmee, FL, ranked 7630
$2.4M
  • Hours beyond a day in 10 months, but with up to 1260 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
All 15 in FL

Recent enforcement in FL

All releases

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

DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.

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.

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