Medicaid Provider Spending

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

RW THERAPY CARE, LLC

NPI: 1265072813 · SAN TAN VALLEY, AZ 85143 · Physical Therapist · NPI assigned 01/12/2020

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

92% of spending on code 97153 with only 2 total codes billed. Highly concentrated billing profile.

$5.60M
Total Medicaid Paid
13,037
Total Claims
988
Beneficiaries
2
Codes Billed
2021-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGABRIEL, MARCI (CEO)
NPI Enumeration Date01/12/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,850 $1.68M
2022 2,190 $634K
2023 4,288 $1.67M
2024 3,709 $1.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 8,954 594 $5.15M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 4,083 394 $455K