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NPI 1205804960
NPI deactivated
1205804960
1205804960 was paid $200K by Medicaid between Jan 2018 and Dec 2018, across 8 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 38% of everything it billed.
33Billing provider info1205804960
33aNPI1205804960
33bProvider type—
28Total paid$200K
24GClaims10,228
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2018
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 | 10,228 | $200K |
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 | 38% | 3,265 | 1,254 | $76K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 19% | 2,577 | 989 | $38K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 17% | 1,420 | 623 | $33K |
| 97001 | 11% | 391 | 371 | $21K | |
| 97010 | 8.2% | 1,548 | 648 | $16K | |
| 97014 | 4.5% | 745 | 312 | $9K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.3% | 257 | 113 | $5K |
| 97113 | <1% | 25 | 18 | $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.