Prohealth and Fitness PT OT PLLC
Prohealth and Fitness PT OT PLLC was paid $7.68M by Medicaid between Jul 2019 and Jun 2024, across 7 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 95% of everything it billed.
33Billing provider infoPROHEALTH AND FITNESS PT OT PLLC
NEW YORK, NY 10023
NEW YORK, NY 10023
33aNPI1124344650assigned 04/08/2010
33bProvider typeOccupational Therapist
28Total paid$7.68M
24GClaims12,624
24DCodes billed7
24AFirst – last monthJul 2019 – Jun 2024
Compared with peers
Next to other Occupational Therapist providers in New York
Rank by total paid#1 of 202
Median peer was paid$38K
This provider vs. median201×
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 | |
|---|---|---|---|
| 2019 | 378 | $120K | |
| 2020 | 1,144 | $1.33M | |
| 2021 | 3,107 | $3.70M | |
| 2022 | 3,394 | $2.03M | |
| 2023 | 3,869 | $493K | |
| 2024incomplete | 732 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 95% | 2,195 | 2,194 | $7.32M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 4.3% | 9,634 | 3,193 | $331K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 225 | 67 | $16K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 329 | 147 | $4K |
| 97162 | <1% | 140 | 140 | $3K | |
| 97161 | <1% | 67 | 67 | $3K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 34 | 12 | $948.86 |
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 officialNUSSBAUM, JAMES (CLINICAL DIRECTOR, OWNER)