SN KENTUCKIANA REHAB, LLC

NPI: 1013480409 · LOUISVILLE, KY 40205 · Rehabilitation Clinic/Center · NPI assigned 01/08/2019

$17K

Total Medicaid Paid

580

Total Claims

186

Beneficiaries

Codes Billed

2021-12

First Month

2022-10

Last Month

Provider Details

Authorized Official	TARVIN, MICHAEL (VICE PRESIDENT)
Parent Organization	SELECT MEDICAL
NPI Enumeration Date	01/08/2019

Other providers sharing the same authorized official: TARVIN, MICHAEL

Provider	City	State	Total Paid
NOVACARE REHABILITATION OF OHIO INC	COLUMBUS	OH	$158K
LOUISVILLE PHYSICAL THERAPY PSC	LOUISVILLE	KY	$153K
NOVACARE REHABILITATION OF OHIO INC	COLUMBUS	OH	$60K
CARITAS REHAB SERVICE LLC	LOUISVILLE	KY	$47K
KENTUCKY ORTHOPEDIC REHABILITATION LLC	LOUISVILLE	KY	$46K
JEFFERSONTOWN PHYSICAL THERAPY LLC	LOUISVILLE	KY	$15K
SELECT PHYSICAL THERAPY HOLDINGS INC	HERNDON	VA	$13K
KENTUCKY ORTHOPEDIC REHABILITATION LLC	ELIZABETHTOWN	KY	$11K
KENTUCKY ORTHOPEDIC REHABILITATION LLC	LOUISVILLE	KY	$10K
KENTUCKY ORTHOPEDIC REHABILITATION LLC	JEFFERSONVILLE	IN	$0.00

Year	Claims	Total Paid
2021	100	$3K
2022	480	$14K

Code	Description	Claims	Beneficiaries	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	344	99	$12K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	104	36	$3K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	62	25	$1K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	70	26	$983.72