Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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R & F INC.

R & F INC. was paid $745K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 46% of everything it billed.

33Billing provider infoR & F INC.
TECUMSEH, MI 49286
33aNPI1033118369assigned 07/19/2005
33bProvider typeOccupational Therapist
28Total paid$745K
24GClaims36,546
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Occupational Therapist providers in Michigan

Rank by total paid#13 of 59
Median peer was paid$111K
This provider vs. median6.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20186,170$123K
20196,286$118K
20203,061$64K
20215,453$103K
20224,613$98K
20236,502$134K
2024incomplete4,461$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 46% 11,811 3,015 $342K
97530 Therapeutic activities, direct patient contact, each 15 minutes 20% 5,354 1,703 $151K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 14% 8,229 2,262 $107K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 9.6% 3,546 1,022 $71K
97014 6.2% 6,746 1,774 $46K
97162 1.9% 282 281 $15K
97161 1.3% 239 237 $10K
97035 <1% 339 97 $2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLEFFLER, THOMAS (PRESIDENT)
Parent organizationR & F INC.
Same official

Other billing entities under LEFFLER, THOMAS

Full network →
ProviderLocationPaid
Zmed LLCMonroe, MI$177K
R & F INCToledo, OH$23K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.