Gormley, Sophie
Gormley, Sophie was paid $39K by Medicaid between Jun 2020 and May 2023, across 4 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 53% of everything it billed.
33Billing provider infoGORMLEY, SOPHIE
PROVIDENCE, RI 02908
PROVIDENCE, RI 02908
33aNPI1114583986assigned 05/16/2019
33bProvider typeOccupational Therapist
28Total paid$39K
24GClaims924
24DCodes billed4
24AFirst – last monthJun 2020 – May 2023
Compared with peers
Next to other Occupational Therapist providers in Rhode Island
Rank by total paid#14 of 29
Median peer was paid$37K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2020 | 353 | $14K | |
| 2021 | 425 | $17K | |
| 2022 | 58 | $2K | |
| 2023 | 88 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 53% | 502 | 278 | $21K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 38% | 345 | 126 | $15K |
| 97165 | 4.5% | 21 | 15 | $2K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 4.0% | 56 | 26 | $2K |
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.