Medicaid Provider Spending

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

CANI PT OT SLP & PSYCHOLOGY PLLC

NPI: 1114065174 · WATERTOWN, NY 13601 · Specialist · NPI assigned 02/02/2007

$722.00
Total Medicaid Paid
22
Total Claims
12
Beneficiaries
1
Codes Billed
2021-09
First Month
2021-09
Last Month

Provider Details

Authorized OfficialPEMBERTON, JAMES (OWNER PHYSICAL THERAPIST)
NPI Enumeration Date02/02/2007

Related Entities

Other providers sharing the same authorized official: PEMBERTON, JAMES

ProviderCityStateTotal Paid
CANI PT OT SLP & PSYCHOLOGY, PLLC MEXICO NY $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 22 $722.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 22 12 $722.00