PROTAILORED PHYSICAL THERAPY LLC
NPI: 1063805042
· FORT WAYNE, IN 46845
· Orthopedic Physical Therapist
· NPI assigned 03/14/2015
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | EVANS, JONATHAN (PHYSICAL THERAPIST/OWNER) |
| NPI Enumeration Date | 03/14/2015 |
Related Entities
Other providers sharing the same authorized official: EVANS, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
713 |
$4K |
| 2019 |
2,151 |
$67K |
| 2020 |
112 |
$3K |
| 2021 |
133 |
$2K |
| 2022 |
600 |
$10K |
| 2023 |
393 |
$12K |
| 2024 |
244 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,865 |
512 |
$51K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,437 |
443 |
$36K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,002 |
336 |
$18K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
42 |
12 |
$723.42 |