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
GRAND RAPIDS, MI 49525
33aNPI1063021715assigned 07/29/2020
33bProvider typePediatric Rehabilitation Medicine Physician
28Total paid$450K
24GClaims7,661
24DCodes billed5
24AFirst – last monthMay 2021 – Dec 2024
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 | |
|---|---|---|---|
| 2021 | 222 | $12K | |
| 2022 | 2,150 | $120K | |
| 2023 | 2,724 | $157K | |
| 2024incomplete | 2,565 | $161K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)