ADAPTIVE THERAPIES LLC
NPI: 1093324196
· FARMINGTON, NM 87401
· Rehabilitation Practitioner
· NPI assigned 07/24/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.
$1.24M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
602 |
$67K |
| 2022 |
2,704 |
$235K |
| 2023 |
2,840 |
$335K |
| 2024 |
4,245 |
$606K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
8,685 |
2,793 |
$1.13M |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,513 |
437 |
$104K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
193 |
91 |
$14K |