Apex Physical Therapy and Sports Performance, LLC
Apex Physical Therapy and Sports Performance, LLC was paid $519K by Medicaid between Jan 2019 and Dec 2024, across 7 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 45% of everything it billed.
33Billing provider infoAPEX PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
BARBOURVILLE, KY 40906
BARBOURVILLE, KY 40906
33aNPI1235633454assigned 03/21/2018
33bProvider typePhysical Therapist
28Total paid$519K
24GClaims28,621
24DCodes billed7
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Physical Therapist providers in Kentucky
Rank by total paid#29 of 148
Median peer was paid$61K
This provider vs. median8.5×
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 | |
|---|---|---|---|
| 2019 | 330 | $9K | |
| 2020 | 2,197 | $28K | |
| 2021 | 9,298 | $132K | |
| 2022 | 5,075 | $107K | |
| 2023 | 5,294 | $111K | |
| 2024incomplete | 6,427 | $132K |
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 | 45% | 11,746 | 3,378 | $234K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 35% | 9,996 | 2,890 | $180K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 16% | 5,001 | 1,463 | $85K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 3.3% | 1,715 | 551 | $17K |
| 97116 | <1% | 114 | 25 | $1K | |
| 97162 | <1% | 30 | 26 | $1K | |
| 97161 | <1% | 19 | 15 | $529.63 |
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 officialSCALF, JACOB (OWNER)