Protailored Physical Therapy LLC
Protailored Physical Therapy LLC was paid $106K by Medicaid between May 2018 and Mar 2024, across 4 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 48% of everything it billed.
33Billing provider infoPROTAILORED PHYSICAL THERAPY LLC
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
33aNPI1063805042assigned 03/14/2015
33bProvider typeOrthopedic Physical Therapist
28Total paid$106K
24GClaims4,346
24DCodes billed4
24AFirst – last monthMay 2018 – Mar 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 | |
|---|---|---|---|
| 2018 | 713 | $4K | |
| 2019 | 2,151 | $67K | |
| 2020 | 112 | $3K | |
| 2021 | 133 | $2K | |
| 2022 | 600 | $10K | |
| 2023 | 393 | $12K | |
| 2024incomplete | 244 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 48% | 1,865 | 512 | $51K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 34% | 1,437 | 443 | $36K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 17% | 1,002 | 336 | $18K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 42 | 12 | $723.42 |
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 officialEVANS, JONATHAN (PHYSICAL THERAPIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Safe Harbor Behavioral Health of UPMC Hamot | Erie, PA | $222K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.