Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Novacare Outpatient Rehabilitation East INC

Novacare Outpatient Rehabilitation East INC was paid $3.01M by Medicaid between Nov 2019 and Dec 2024, across 10 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 85% of everything it billed.

33Billing provider infoNOVACARE OUTPATIENT REHABILITATION EAST INC
ROCKLEDGE, PA 19046
33aNPI1235138124assigned 07/21/2005
28Total paid$3.01M
24GClaims67,455
24DCodes billed10
24AFirst – last monthNov 2019 – Dec 2024
Compared with peers

Next to other Physical Therapy Clinic/Center providers in Pennsylvania

Rank by total paid#2 of 46
Median peer was paid$17K
This provider vs. median174×

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$50K$100K2018201920202021202220232024
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
201951$0.00
20201,609$77K
202110,934$572K
202214,905$625K
202320,689$919K
2024incomplete19,267$812K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 85% 51,878 19,252 $2.54M
97799 6.8% 2,777 1,087 $203K
97530 Therapeutic activities, direct patient contact, each 15 minutes 6.4% 8,691 3,170 $191K
97164 1.8% 2,228 2,148 $54K
97161 <1% 175 174 $9K
97162 <1% 65 65 $3K
97168 <1% 41 39 $1K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 239 117 $92.29
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 26 12 $3.78
97150 Therapeutic procedure(s), group (2 or more individuals) 0% 1,335 592 $0.00

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 (VICE PRESIDENT)
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.