Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Grand Rapids › NPI 1063021715
Physician

Mitten State Pediatric Therapy LLC

Mitten State Pediatric Therapy LLC was paid $450K by Medicaid between May 2021 and Dec 2024, across 5 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 56% of everything it billed.

33Billing provider infoMITTEN STATE PEDIATRIC THERAPY LLC
GRAND RAPIDS, MI 49525
33aNPI1063021715assigned 07/29/2020
28Total paid$450K
24GClaims7,661
24DCodes billed5
24AFirst – last monthMay 2021 – Dec 2024
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
2021222$12K
20222,150$120K
20232,724$157K
2024incomplete2,565$161K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 56% 3,685 1,237 $254K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 22% 1,918 501 $100K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 21% 2,012 716 $93K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 32 12 $2K
97166 <1% 14 14 $832.02

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 officialDAMMAR, LINDSAY (CO-OWNER)