Clinic
Mountain State Physical Therapy LLC
Mountain State Physical Therapy LLC was paid $1.03M by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 47% of everything it billed.
33Billing provider infoMOUNTAIN STATE PHYSICAL THERAPY LLC
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1083668875assigned 05/19/2006
33bProvider typePhysical Therapy Clinic/Center
28Total paid$1.03M
24GClaims42,067
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Therapy Clinic/Center providers in West Virginia
Rank by total paid#2 of 40
Median peer was paid$42K
This provider vs. median25×
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 | 2,528 | $98K | |
| 2019 | 834 | $31K | |
| 2020 | 5,921 | $165K | |
| 2021 | 7,143 | $152K | |
| 2022 | 10,592 | $238K | |
| 2023 | 8,927 | $195K | |
| 2024incomplete | 6,122 | $146K |
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 | 47% | 16,359 | 4,321 | $485K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 22% | 10,855 | 3,015 | $222K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 21% | 9,123 | 2,304 | $211K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 6.3% | 2,303 | 639 | $64K |
| 97161 | 2.3% | 405 | 375 | $24K | |
| 97014 | 1.2% | 1,740 | 519 | $12K | |
| 97162 | <1% | 96 | 88 | $5K | |
| 97010 | <1% | 1,186 | 362 | $3K |
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 officialBARRISH, ANDREW (PRESIDENT)