Marshall Pediatric Therapy, LLC

Marshall Pediatric Therapy, LLC was paid $15.92M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is S9128, Speech therapy, in the home, per diem — 38% of everything it billed.

33Billing provider infoMARSHALL PEDIATRIC THERAPY, LLC
NICHOLASVILLE, KY 40356

33aNPI1104198472assigned 02/02/2012

33bProvider typeProfessional Counselor

28Total paid$15.92M

24GClaims241,514

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Professional Counselor providers in Kentucky

Rank by total paid#5 of 255

Median peer was paid$129K

This provider vs. median124×

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	11,369	$890K
2019	20,180	$1.33M
2020	32,000	$1.66M
2021	42,556	$2.37M
2022	43,595	$2.84M
2023	48,774	$3.58M
2024incomplete	43,040	$3.26M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9128	Speech therapy, in the home, per diem	38%	77,559	23,405	$6.02M
97530	Therapeutic activities, direct patient contact, each 15 minutes	31%	75,985	27,755	$4.88M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	9.4%	18,834	10,231	$1.50M
97533		6.5%	18,542	7,116	$1.03M
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	3.4%	3,498	415	$538K
S9129	Occupational therapy, in the home, per diem	3.2%	8,478	3,057	$503K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	2.7%	8,676	2,997	$436K
S9131	Physical therapy; in the home, per diem	1.2%	3,098	1,080	$195K
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	1.1%	1,418	360	$170K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	5,568	2,263	$148K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	1,460	1,381	$130K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	1,548	1,253	$85K

14 more codes

92523		<1%	720	$83K
90832	Psychotherapy session, about 30 minutes	<1%	1,466	$63K
97535	Self-care/home management training, each 15 minutes	<1%	2,027	$53K
H0032	Mental health service plan development by non-physician	<1%	486	$29K
92609		<1%	308	$19K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	979	$19K
97151		<1%	39	$6K
92526		<1%	84	$4K
96112		<1%	18	$2K
97166		<1%	33	$1K
97162		<1%	12	$818.19
97156		<1%	20	$762.74
99072		<1%	7,710	$681.00
888888		0%	2,948	$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 officialMARSHALL, PAM (OCCUPATIONAL THERAPIST / OWNER)