Providers

PAMELA ROWE, M.A., CCC-SLP

NPI 1922151018, individual, Longwood, FL, Speech-Language Pathologist,

4
Evidence tier
structure or single-organization volume
  • Hours beyond a day in 6 months, but with up to 449 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • Medicaid dollars per patient on code 92523 ($256 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7571, $2.9M 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
Jan 2023More hours than a day holds, even counting one unit per claim line24.029.319.527.5395392507 92523$83K
Feb 2023More hours than a day holds, even counting one unit per claim line26.328.719.126.8400392507 92523$72K
Mar 2023More hours than a day holds, even counting one unit per claim line30.032.121.428.8449392507 92523$88K
Apr 2023More hours than a day holds, even counting one unit per claim line27.823.415.623.4415392507 92523$65K
May 2023More hours than a day holds, even counting one unit per claim line29.324.316.221.8396392507 92523$71K
Jun 2023More hours than a day holds, even counting one unit per claim line24.022.314.920.3350392507 92523$64K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NamePAMELA ROWE, M.A., CCC-SLP
TypeIndividual
StatusActive
NPI issuedJanuary 19, 2007, last updated September 27, 2024
Practice location2957 W STATE ROAD 434 STE 100, Longwood, FL 32779-4453, 407-928-2538
Specialties
Speech-Language Pathologist, (235Z00000X, primary, license SA6505 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$2.5M78%$173$190 (top 5% from $477)44th percentile
92523Evaluation of speech sound production with evaluation of language comprehension and expression$699K21%$256$137 (top 5% from $251)96th percentile
92610Evaluation of swallowing function$29K1%$13$61 (top 5% from $209)9th percentile

In this area

14 providers in Seminole County, FL carry an indicator in the public record, with $38.6M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by part of a provider network on 3.

tierproviderat stakewhy
3ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Altamonte Springs, FL, ranked 1942
$0
  • Part of provider network D1-00071, ranked 71 nationally.
3ADVENTHEALTH HOME HEALTH AND HOSPICE INC
Altamonte Springs, FL, ranked 2271
$0
  • Part of provider network D1-00071, ranked 71 nationally.
3HOME HEALTH AREA 7, LLC
Altamonte Springs, FL, ranked 6577
$0
  • Part of provider network D1-00053, ranked 53 nationally.
4VENESSA THOMAS
Altamonte Springs, FL, ranked 7318
$1.3M
  • Hours beyond a day in 13 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 2 more
4TIMOTHY HENDRIX
Sanford, FL, ranked 7346
$25.6M
  • Hours beyond a day in 64 months, but with up to 6002 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4SCOTT VANLUE
Altamonte Springs, FL, ranked 7406
$7.1M
  • Hours beyond a day in 18 months, but with up to 1939 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
5GERMANO FALCAO
Oviedo, FL, ranked 10080
$1.2M
  • Medicaid dollars per patient on code 99204 ($644 per patient-month) sit in the top 5% of every provider billing that code.
5FRANCO VALLEJO GARCIA
Lake Mary, FL, ranked 10132
$897K
  • Medicaid dollars per patient on code 99306 ($168 per patient-month) sit in the top 5% of every provider billing that code.
All 14 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

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