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    OpenPayerNPI Medicare & MedicaidLaura Veal
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    Laura Veal — Billing Profile & Reimbursement Data

    NPI 1588799746 · Albuquerque, NM · Speech-Language Pathologist

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    Laura Veal is a speech-language pathologist provider located in Albuquerque, New Mexico. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLaura Veal
    Address3904 Bryan Ave Nw
    CityAlbuquerque
    StateNM
    ZIP87114
    TaxonomySpeech-Language Pathologist
    NPI EnumeratedFebruary 21, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$31M
    Medicare$0

    Key Findings

    This provider is effectively single-payer in scope: Total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $31M, indicating the provider’s billing footprint is concentrated entirely in Medicaid programs. The absence of any Medicare claims on file suggests operational focus and revenue reliance are tied to state Medicaid waiver and community services rather than Medicare-covered services.

    Revenue concentration is extremely high: the top 3 Medicaid codes account for 98.6% of this provider’s total Medicaid revenue, with a single code, T2016, representing the majority of receipts. T2016 alone generated $26.5M (85.6% of the provider’s Medicaid revenue) at $377 avg paid/claim, signaling a heavy dependence on residential habilitation per diem billing.

    Business/service-line implications: the dominant codes—T2016 (Habilitation, residential, waiver; per diem), H2021 (Community-based wrap-around services, per 15 minutes), and T2025 (Waiver services; nos)—point to a service model focused on waiver-funded residential habilitation and community wrap-around supports rather than traditional outpatient therapy. Given the provider’s taxonomy as Speech-Language Pathologist, the billing mix suggests the organization’s revenue is generated through Medicaid waiver/residential program billing streams more so than direct speech therapy claims.

    Competitive standing for the top revenue driver is modestly above median in-state: T2016 ranks #13 of 40 providers in-state (69th percentile) and is labeled as typical, unremarkable volume for this code, which indicates the provider is a meaningful but not dominant participant statewide for this service. The provider does not appear to be a market leader for H2021 or the smaller waiver codes based on rank and percentile information.

    For the secondary codes, H2021 produced $3.3M (10.8% of Medicaid revenue) at $617 avg paid/claim and ranks #36 of 62 providers in-state (43th percentile), described as typical, unremarkable volume for this code; this places the provider in the middle-to-lower segment of state peers on community wrap-around services. T2025 contributed $694.9K (2.2% of Medicaid revenue) at $1013 avg paid/claim and ranks #22 of 35 (38th percentile), also characterized as typical, unremarkable volume.

    A smaller residential waiver code, T2033, generated $432.5K (1.4% of Medicaid revenue) at $865 avg paid/claim and ranks #37 of 39 providers in-state (5th percentile); despite the low percentile, the supplied label for this code is typical, unremarkable volume for this code, indicating no flagged statistical extremity in the source characterization. Overall, the billing mix shows limited diversification across code types beyond the large T2016 line item.

    Tenure and operational stability: the provider’s NPI was enumerated 2007-02-21 (~19 years ago), indicating a long-standing presence in the market and a sustained Medicaid billing relationship. Combined with the concentrated revenue profile, the tenure suggests an established operational role within New Mexico’s waiver/residential services landscape rather than a recent or transient entrant.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem70,330$380$26.5M
    H2021Community-based wrap-around services, per 15 minutes5,410$620$3.3M
    T2025Waiver services; not otherwise specified (nos)690$1,010$694.9K
    T2033Residential care, not otherwise specified (nos), waiver; per diem500$870$432.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Mexico median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem134054,080$360$22.1M
    T2033Residential care, not otherwise specified (nos), waiver; per diem374011,070$280$10.8M
    H2021Community-based wrap-around services, per 15 minutes36606,750$340$4.4M
    T2025Waiver services; not otherwise specified (nos)22401,010$360$1.6M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Laura Veal, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Albuquerque Indian Health CenterNMClinic/Center$0$6.6M
    Kevin HammKSDiagnostic Radiology Physician$275.4K$66.6K
    Jeremy FullingimOKDiagnostic Radiology Physician$220.1K$0
    John WaltonOKDiagnostic Radiology Physician$155K$0
    Brooke WhiteOKDiagnostic Radiology Physician$150.4K$0
    Timothy MccayOKDiagnostic Radiology Physician$146.9K$0
    Pius YoonOKDiagnostic Radiology Physician$136.8K$0
    Benjamin BrooksMNDiagnostic Radiology Physician$132.2K$0
    Stephen BackOKDiagnostic Radiology Physician$125.1K$0
    Donald Von BorstelOKDiagnostic Radiology Physician$121.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Laura Veal, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lovelace Health System, LLCNMGeneral Acute Care Hospital$0$31.2M
    Tasker Hatch Rowan LLCNMDentist$0$25M
    Onyx Supportive Living LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$22.3M
    Presbyterian Healthcare ServicesNMSpecialty Pharmacy$0$8.7M
    A Center For Function And CreativityNMDevelopmentally Disabled Services Day Training Agency$0$8.2M
    Tasker, Hatch, Rowan, LLCNMPediatric Dentistry$0$4.5M
    Joyce JeffriesNMOral and Maxillofacial Surgery (Dentist)$0$4.3M
    Angel Touch Personal Care, Inc.NMHome Health Agency$0$3.8M
    Home Medical Equipment Specialists LLCNMHome Infusion Therapy Pharmacy$0$3.7M
    Making An Impact LLCNMSubstance Use Disorder Rehabilitation Clinic/Center$0$3.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Mexico Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Laura Veal — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico