Clinic
Elite Spine and Sports Physical Therapy
Elite Spine and Sports Physical Therapy was paid $599K by Medicaid between Oct 2020 and Apr 2023, across 6 billing codes. Its largest line is 97112, Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination — 50% of everything it billed.
33Billing provider infoELITE SPINE AND SPORTS PHYSICAL THERAPY
WILKES BARRE, PA 18702
WILKES BARRE, PA 18702
33aNPI1134468598assigned 02/05/2013
33bProvider typePhysical Therapy Clinic/Center
28Total paid$599K
24GClaims23,342
24DCodes billed6
24AFirst – last monthOct 2020 – Apr 2023
Compared with peers
Next to other Physical Therapy Clinic/Center providers in Pennsylvania
Rank by total paid#5 of 46
Median peer was paid$17K
This provider vs. median35×
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 | 1,105 | $21K | |
| 2021 | 10,754 | $245K | |
| 2022 | 9,876 | $277K | |
| 2023 | 1,607 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 50% | 8,429 | 4,152 | $300K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 32% | 6,978 | 3,405 | $194K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 12% | 5,305 | 2,829 | $75K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.7% | 2,419 | 1,213 | $22K |
| 97164 | 1.2% | 197 | 191 | $7K | |
| 97161 | <1% | 14 | 14 | $787.91 |
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 officialDIGWOOD, KRISTEN (OWNER)