Sunbelt Medical Group LLC
Sunbelt Medical Group LLC was paid $425K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 30% of everything it billed.
33Billing provider infoSUNBELT MEDICAL GROUP LLC
TUCSON, AZ 85712
TUCSON, AZ 85712
33aNPI1104354752assigned 05/26/2017
33bProvider typePhysical Therapist
28Total paid$425K
24GClaims12,009
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Arizona
Rank by total paid#41 of 173
Median peer was paid$46K
This provider vs. median9.3×
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 | 381 | $16K | |
| 2020 | 340 | $8K | |
| 2021 | 2,493 | $95K | |
| 2022 | 4,435 | $141K | |
| 2023 | 2,164 | $84K | |
| 2024incomplete | 2,196 | $80K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 30% | 2,559 | 1,259 | $127K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 26% | 3,624 | 1,432 | $112K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 1,635 | 795 | $64K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11% | 1,840 | 604 | $46K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 7.8% | 924 | 469 | $33K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.9% | 457 | 251 | $13K |
| 97161 | 1.8% | 81 | 81 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 277 | 175 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 119 | 92 | $4K |
| 99385 | <1% | 38 | 38 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 55 | 48 | $2K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 86 | 45 | $2K |
11 more codes
| 99386 | <1% | 30 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $1K |
| 99306 | Prolong nursin fac eval 15m | <1% | 18 | $724.42 |
| 97597 | <1% | 44 | $683.93 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 15 | $269.87 |
| 11056 | <1% | 33 | $210.00 | |
| 99342 | <1% | 15 | $154.19 | |
| 11720 | <1% | 35 | $121.35 | |
| 11721 | <1% | 14 | $58.37 | |
| 11719 | <1% | 37 | $42.14 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 60 | $39.88 |
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 officialHUDSON, EDWARD (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Escalera Health LLC | Tucson, AZ | $4.97M |
| Escalera Health, LLC | Tucson, AZ | $316K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.