Smertz, Rachel
Smertz, Rachel was paid $5K by Medicaid between Dec 2022 and Apr 2023, across 4 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 30% of everything it billed.
33Billing provider infoSMERTZ, RACHEL
COVENTRY, RI 02816
COVENTRY, RI 02816
33aNPI1073259123assigned 05/11/2022
33bProvider typePhysical Therapist
28Total paid$5K
24GClaims262
24DCodes billed4
24AFirst – last monthDec 2022 – Apr 2023
Compared with peers
Next to other Physical Therapist providers in Rhode Island
Rank by total paid#224 of 271
Median peer was paid$29K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 93 | $1K | |
| 2023 | 169 | $3K |
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 | 30% | 78 | 35 | $1K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 27% | 76 | 34 | $1K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 24% | 64 | 28 | $1K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 20% | 44 | 20 | $913.22 |
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.