Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PTSMA INC

NPI: 1083683577 · NEW LONDON, CT 06320 · Physical Therapist · NPI assigned 03/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUGGAN, JOHN controls 20+ related entities in our dataset. Read more

$2K
Total Medicaid Paid
2,420
Total Claims
746
Beneficiaries
6
Codes Billed
2018-03
First Month
2024-01
Last Month

Provider Details

Authorized OfficialDUGGAN, JOHN (VICE PRESIDENT)
NPI Enumeration Date03/16/2006

Related Entities

Other providers sharing the same authorized official: DUGGAN, JOHN

ProviderCityStateTotal Paid
REHABCLINICS SPT INC DEVON PA $5.04M
NOVACARE OUTPATIENT REHABILITATION EAST INC ROCKLEDGE PA $3.01M
REHABCLINICS SPT INC CINCINNATI OH $1.44M
NOVACARE OUTPATIENT REHABILITATION EAST INC VADNAIS HEIGHTS MN $1.35M
NOVACARE OUTPATIENT REHABILITATION EAST INC ROGERS MN $1.27M
NOVACARE REHABILITATION OF OHIO INC CLEVELAND HEIGHTS OH $1.15M
NOVACARE OUTPATIENT REHABILITATION EAST INC SARTELL MN $550K
INDIANAPOLIS PHYSICAL THERAPY AND SPORTS MEDICINE INC INDIANAPOLIS IN $502K
REHABCLINICS SPT INC RICHBORO PA $350K
PROFESSIONAL THERAPEUTIC SERVICES INC HUBER HEIGHTS OH $179K
REHABCLINICS SPT INC HORSHAM PA $153K
NOVACARE OUTPATIENT REHABILITATION EAST INC COLLEGEVILLE PA $131K
START INC CONCORD MA $82K
VIBRA HOSPITAL OF SAN DIEGO, LLC SAN DIEGO CA $35K
NOVACARE OUTPATIENT REHABILITATION EAST INC LANSDOWNE PA $17K
DOUGLAS AVERY & ASSOCIATES LTD WALDORF MD $10K
REHABCLINICS (SPT), INC. CONSHOHOCKEN PA $9K
REHABCLINICS SPT INC HATBORO PA $6K
DOUGLAS AVERY & ASSOCIATES LTD LEONARDTOWN MD $3K
SELECT SPECIALTY HOSPITAL - AKRON LLC AKRON OH $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,262 $14.45
2019 173 $0.00
2021 327 $525.64
2022 589 $854.98
2024 69 $739.94

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 836 259 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 218 60 $355.98
97150 Therapeutic procedure(s), group (2 or more individuals) 465 145 $120.68
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 600 191 $86.22
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 288 79 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 13 12 $0.00