LISA SMALLWOOD HOWELL, M.Ed., CCC-SLP

NPI 1902943285, individual, Durham, NC, Speech-Language Pathologist,

Evidence tier

structure or single-organization volume

Hours beyond a day in 3 months under one organization, which can be supervisory billing.
Records needed.
Medicaid dollars per patient on code 92523 ($291 per patient-month) sit in the top 5% of every provider billing that code.

score 55 of 100, rank 7605, $2.6M 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 2018	More hours than a day holds, even counting one unit per claim line	24.2	24.3	16.2	21.9	245	1	92507 92523	$102K
Feb 2018	More hours than a day holds, even counting one unit per claim line	25.0	25.3	16.9	23.6	243	1	92507 92523	$96K
May 2019	More hours than a day holds, even counting one unit per claim line	25.3	25.9	17.2	23.2	256	1	92507 92523	$107K

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	LISA SMALLWOOD HOWELL, M.Ed., CCC-SLP
Type	Individual
Status	Active
NPI issued	January 30, 2007, last updated August 30, 2012
Practice location	200 MEREDITH DRIVE, SUITE 200, Durham, NC 27713-2287, 919-361-1090
Mailing address	PO BOX 244, Butner, NC 27509-0244
Specialties	Speech-Language Pathologist, (235Z00000X, primary, license 4042 NC)

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	$2.6M	76%	$390	$190 (top 5% from $477)	89th percentile
92523	Evaluation of speech sound production with evaluation of language comprehension and expression	$461K	14%	$291	$137 (top 5% from $251)	97th percentile
92521	Evaluation of speech continuity, smoothness, rate, and effort	$127K	4%	$93	$87 (top 5% from $197)	60th percentile
92524	Analysis of voice and resonance production	$106K	3%	$78	$77 (top 5% from $188)	53rd percentile
92610	Evaluation of swallowing function	$90K	3%	$61	$61 (top 5% from $209)	50th percentile
92551	Medicaid service code	$9K	0%	$8.09	$4.76 (top 5% from $18)	70th percentile

In this area

6 providers in Durham County, NC carry an indicator in the public record, with $10.6M at stake between them. The most common is part of a provider network, on 3 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	MALIK MUHAMMAD Durham, NC, ranked 116	$2K	Listed on the Medicare revocation list since October 12, 2021. Medicaid still paid claims in 1 later month, $1,779 in total. and 1 more
3	PIUS ONDACHI Durham, NC, ranked 960	$24K	Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated. Medicaid paid $23,836 in the last 12 observed months. and 1 more
3	DUKE UNIVERSITY HEALTH SYSTEM, INC. Durham, NC, ranked 2712	$0	Part of provider network D1-00088, ranked 88 nationally.
3	HILLCREST CONVALESCENT CENTER, INC. Durham, NC, ranked 2905	$0	Part of provider network D1-00075, ranked 75 nationally.
3	DUKE UNIVERSITY HEALTH SYSTEM, INC. Durham, NC, ranked 4671	$0	Part of provider network D1-00088, ranked 88 nationally.
4	JASON OCEAN Durham, NC, ranked 7371	$10.6M	Hours beyond a day in 29 months under one organization, which can be supervisory billing. Records needed. and 1 more

Recent enforcement in NC

All releases

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

DOJSentencedAug 27, 2026

Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program

Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.

DOJPleaded guiltyJul 9, 2026

Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme

Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.

DOJPleaded guiltyJun 24, 2026

Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals

Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.

DOJChargedJun 24, 2026

McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown

White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.

DOJIndictedJun 24, 2026

Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy

Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.

Referral packet

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Ask this case

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