Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Saco Bay Orthopaedic and Sports Physical Therapy, INC

Saco Bay Orthopaedic and Sports Physical Therapy, INC was paid $300K by Medicaid between Mar 2022 and Dec 2024, across 8 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 33% of everything it billed.

33Billing provider infoSACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC
PORTLAND, ME 04102
33aNPI1144788209assigned 03/07/2019
28Total paid$300K
24GClaims15,877
24DCodes billed8
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers

Next to other Rehabilitation Clinic/Center providers in Maine

Rank by total paid#3 of 15
Median peer was paid$33K
This provider vs. median9.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DUGGAN, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2022282$4K
20236,852$140K
2024incomplete8,743$156K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 33% 3,897 1,592 $98K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 23% 3,899 1,664 $70K
97535 Self-care/home management training, each 15 minutes 20% 3,677 1,656 $60K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 17% 3,208 1,303 $51K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3.3% 707 305 $10K
97164 2.4% 194 178 $7K
97116 <1% 120 63 $1K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 175 70 $1K

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 officialDUGGAN, JOHN (CHIEF LEGAL OFFICER)
Same official

Other billing entities under DUGGAN, JOHN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.