Adult and Pediatric Rehabilitation

Adult and Pediatric Rehabilitation was paid $11.30M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 62% of everything it billed.

33Billing provider infoADULT AND PEDIATRIC REHABILITATION
SAN LUIS, AZ 85349

33aNPI1114274784assigned 08/13/2012

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$11.30M

24GClaims398,727

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Arizona

Rank by total paid#6 of 131

Median peer was paid$26K

This provider vs. median430×

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	54,884	$945K
2019	68,582	$1.55M
2020	42,109	$1.27M
2021	63,804	$2.26M
2022	70,439	$2.15M
2023	55,366	$1.70M
2024incomplete	43,543	$1.43M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	62%	128,891	28,662	$6.97M
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	11%	45,619	11,661	$1.25M
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	9.7%	60,499	15,068	$1.09M
97014		6.2%	59,213	13,571	$703K
97162		4.5%	7,844	7,286	$503K
97035		2.6%	34,213	8,710	$297K
97032		1.3%	14,536	3,497	$142K
97116		<1%	5,833	1,356	$113K
97113		<1%	843	252	$70K
97161		<1%	1,145	1,088	$55K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	<1%	24,939	5,525	$53K
97163		<1%	588	545	$25K

10 more codes

L3807	Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	78	$9K
L3260	Surgical boot/shoe, each	<1%	118	$7K
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	98	$6K
E0110	Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips	<1%	71	$5K
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	<1%	51	$3K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	85	$2K
97010		0%	13,744	$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	0%	112	$0.00
G8978	Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals	0%	101	$0.00
99072		0%	106	$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 officialMACIAS, SERGIO (OWNER)