Sgambato, Albert
Sgambato, Albert was paid $59K by Medicaid between Aug 2022 and May 2023, 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 — 58% of everything it billed.
33Billing provider infoSGAMBATO, ALBERT
CRANSTON, RI 02910
CRANSTON, RI 02910
33aNPI1265079008assigned 11/27/2019
33bProvider typePhysical Therapist
28Total paid$59K
24GClaims2,511
24DCodes billed8
24AFirst – last monthAug 2022 – May 2023
Compared with peers
Next to other Physical Therapist providers in Rhode Island
Rank by total paid#91 of 271
Median peer was paid$29K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2022 | 1,225 | $26K | |
| 2023 | 1,286 | $33K |
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 | 58% | 1,027 | 417 | $34K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 17% | 641 | 308 | $10K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 10% | 341 | 192 | $6K |
| 97161 | 9.3% | 136 | 134 | $6K | |
| 97014 | 4.1% | 300 | 128 | $2K | |
| 97162 | <1% | 12 | 12 | $526.08 | |
| 97035 | <1% | 25 | 13 | $168.59 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 29 | 12 | $102.57 |
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.