Driscoll Childrens Hospital
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $2.6M (2020) to $24.1M (2021) — a 825% swing with $21.5M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 825% from 2020 to 2021.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $259.72 per claim for 99213 (Office/outpatient visit, est. patient, low-mod complexity) — 6.9× the national median of $37.81.
Bills $434.98 per claim for 99284 (Emergency dept visit, high complexity) — 6.3× the national median of $69.51.
Bills $180.18 per claim for 99212 (Office/outpatient visit, low complexity) — 7.2× the national median of $25.06.
Billing in the top 1% nationally for 20 procedure codes: 99213, 80053, 69436.
This is a statistical summary, not an accusation. See our methodology.
Compared to Speech-Language Pathologist, Peers
Total spending distribution among 30 providers in this specialty
This provider's total spending of $133.1M is at the 99th percentile among 30 Speech-Language Pathologist, providers.
Above 99th percentile for this specialty — higher spending than 29 of 30 peers
Total Paid
$133.1M
$133,069,160
Total Claims
973K
Beneficiaries
822K
1.2 claims/patient
Avg Cost/Claim
$137
#861 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Driscoll Childrens Hospital is a Speech-Language Pathologist, provider based in Corpus Christi, TX. From the 2018–2024 period, this provider received $133.1M in Medicaid payments across 973K claims.
Why This Matters
This provider received $133.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,633 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 12% of total spending.
$15.4M
59K claims
$259.72
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$15.4M
59K claims · 11.6%
$11.0M
25K claims
$434.98
$69.51
Emergency dept visit, high complexity
$11.0M
25K claims · 8.3%
$10.8M
60K claims
$180.18
$25.06
Office/outpatient visit, low complexity
$10.8M
60K claims · 8.1%
Speech/hearing/language treatment
$7.6M
51K claims · 5.7%
Comprehensive metabolic panel
$6.3M
24K claims · 4.8%
Tympanostomy, general anesthesia
$6.0M
3K claims · 4.5%
$5.7M
1K claims
$4,618.93
$331.68
Tonsillectomy and adenoidectomy, under age 12
$5.7M
1K claims · 4.3%
$5.5M
3K claims
$1,887.30
$112.83
Echocardiography, transthoracic, limited
$5.5M
3K claims · 4.2%
$5.0M
66K claims
$76.48
$42.48
Emergency dept visit, moderate complexity
$5.0M
66K claims · 3.8%
$4.2M
34K claims
$121.81
$12.93
Office/outpatient visit, minimal complexity
$4.2M
34K claims · 3.1%
$3.3M
10K claims
$333.12
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$3.3M
10K claims · 2.4%
$3.1M
5K claims
$620.75
$85.65
Emergency dept visit, high/urgent complexity
$3.1M
5K claims · 2.3%
$2.6M
2K claims
$1,136.35
$54.68
Echocardiography, transthoracic, complete, with Doppler
$2.6M
2K claims · 1.9%
$2.5M
12K claims
$206.22
$7.50
Electrocardiogram, tracing only, without interpretation
$2.5M
12K claims · 1.9%
$2.3M
19K claims
$125.37
$12.59
Influenza virus detection, rapid test
$2.3M
19K claims · 1.8%
Therapeutic activities, each 15 min
$2.2M
11K claims · 1.7%
General health panel
$2.0M
3K claims · 1.5%
$1.9M
657 claims · 1.4%
$1.6M
404 claims · 1.2%
Ultrasound, retroperitoneal, complete
$1.6M
3K claims · 1.2%
$1.5M
609 claims
$2,424.86
$233.73
Polysomnography, sleep study, 6+ hours
$1.5M
609 claims · 1.1%
Lipid panel
$1.5M
5K claims · 1.1%
$1.4M
3K claims · 1.0%
$1.2M
24K claims
$47.88
$28.46
Streptococcus Group A detection, nucleic acid, amplified probe
$1.2M
24K claims · 0.9%
Thyroid stimulating hormone (TSH)
$1.1M
6K claims · 0.8%
$1.1M
963 claims · 0.8%
Vitamin D, 25 hydroxy
$1.1M
10K claims · 0.8%
$1.0M
31K claims
$32.83
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$1.0M
31K claims · 0.8%
Free thyroxine level blood test
$979K
10K claims · 0.7%
Urinalysis, automated, with microscopy
$963K
25K claims · 0.7%
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