Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LYCEUM PHYSICAL MEDICINE, PC

NPI: 1235422759 · PHILADELPHIA, PA 19128 · General Practice Physician · NPI assigned 05/17/2011

$408K
Total Medicaid Paid
20,730
Total Claims
6,885
Beneficiaries
13
Codes Billed
2020-08
First Month
2022-05
Last Month

Provider Details

Authorized OfficialPEZZELLO, WILLIAM (OWNER)
NPI Enumeration Date05/17/2011

Related Entities

Other providers sharing the same authorized official: PEZZELLO, WILLIAM

ProviderCityStateTotal Paid
LYCEUM LONGEVITY CENTER PLLC PHILADELPHIA PA $509K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,096 $65K
2021 13,845 $272K
2022 3,789 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,534 984 $104K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,268 975 $77K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4,030 1,035 $72K
98940 4,158 1,176 $56K
97012 3,570 999 $32K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,077 844 $27K
97164 431 407 $19K
20553 294 173 $10K
97163 89 87 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 118 117 $3K
97014 127 62 $2K
27096 20 14 $1K
97530 Therapeutic activities, direct patient contact, each 15 minutes 14 12 $124.28