Providence Physical Therapy Associates, INC.

Providence Physical Therapy Associates, INC. was paid $3.45M by Medicaid between Jan 2018 and Sep 2024, across 19 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 37% of everything it billed.

33Billing provider infoPROVIDENCE PHYSICAL THERAPY ASSOCIATES, INC.
PROVIDENCE, RI 02907

33aNPI1073726733assigned 05/08/2007

33bProvider typePhysical Therapy Clinic/Center

28Total paid$3.45M

24GClaims193,742

24DCodes billed19

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Physical Therapy Clinic/Center providers in Rhode Island

Rank by total paid#1 of 9

Median peer was paid$47K

This provider vs. median73×

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
2018	35,563	$483K
2019	20,118	$326K
2020	16,225	$246K
2021	29,107	$535K
2022	34,772	$650K
2023	35,303	$735K
2024incomplete	22,654	$472K

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	37%	59,589	15,333	$1.29M
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	25%	36,637	10,470	$853K
97164		5.1%	6,709	3,367	$176K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	5.0%	23,892	7,283	$171K
97014		5.0%	20,162	5,208	$171K
97124		4.7%	13,767	2,853	$163K
97535	Self-care/home management training, each 15 minutes	4.2%	8,079	6,797	$147K
97163		4.1%	3,349	3,273	$141K
97162		3.7%	3,081	1,833	$127K
97530	Therapeutic activities, direct patient contact, each 15 minutes	2.3%	3,730	2,314	$81K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	1.5%	2,989	1,313	$53K
97035		1.5%	7,921	2,667	$51K

7 more codes

97116		<1%	327	$5K
97032		<1%	482	$5K
A4556	Electrodes, (e.g., apnea monitor), per pair	<1%	404	$5K
97026		<1%	1,399	$4K
97033		<1%	251	$2K
G8979	Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting	0%	22	$0.00
97010		0%	952	$0.00

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 officialSCOTT, WALTER (PRESIDENT AND CLINICAL DIRECTOR)

Same official

Other billing entities under SCOTT, WALTER

Full network →

Provider	Location	Paid
Walter S Scott DDS PA	Fayetteville, NC	$307K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.