National Physical Therapy, INC.

National Physical Therapy, INC. was paid $337K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 82% of everything it billed.

33Billing provider infoNATIONAL PHYSICAL THERAPY, INC.
FALL RIVER, MA 02723

33aNPI1043316763assigned 09/16/2006

33bProvider typePhysical Therapy Clinic/Center

28Total paid$337K

24GClaims10,165

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Physical Therapy Clinic/Center providers in Massachusetts

Rank by total paid#5 of 28

Median peer was paid$46K

This provider vs. median7.3×

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

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

Year	Claims	Paid
2018	2,595	$52K
2019	1,941	$49K
2020	981	$32K
2021	1,469	$50K
2022	987	$43K
2023	1,525	$73K
2024incomplete	667	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	82%	7,222	2,602	$277K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	5.3%	1,228	500	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.6%	250	247	$16K
97530	Therapeutic activities, direct patient contact, each 15 minutes	3.2%	879	335	$11K
97161		1.4%	79	79	$5K
97162		1.1%	79	79	$4K
97014		<1%	166	67	$2K
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	<1%	18	13	$2K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	32	32	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	23	23	$690.30
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	<1%	63	62	$627.48
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	33	33	$371.87

4 more codes

G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	<1%	40	$304.00
81025		<1%	18	$117.36
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	15	$103.63
90686		0%	20	$0.00

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 officialKAROUL, MARK (OWNER)

Same official

Other billing entities under KAROUL, MARK

Full network →

Provider	Location	Paid
LC Holbrook, INC.	Holbrook, MA	$167K

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