The Back Clinic, INC.

The Back Clinic, INC. was paid $175K by Medicaid between Nov 2018 and Oct 2023, across 4 billing codes. Its largest line is 97535, Self-care/home management training, each 15 minutes — 44% of everything it billed.

33Billing provider infoTHE BACK CLINIC, INC.
WILMINGTON, DE 19808

33aNPI1275513368assigned 01/17/2006

33bProvider typePhysical Therapy Clinic/Center

28Total paid$175K

24GClaims9,975

24DCodes billed4

24AFirst – last monthNov 2018 – Oct 2023

Compared with peers

Next to other Physical Therapy Clinic/Center providers in Delaware

Rank by total paid#4 of 6

Median peer was paid$175K

This provider vs. median1.0×

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
2018	201	$0.00
2019	1,638	$6K
2020	1,999	$40K
2021	1,868	$47K
2022	2,545	$52K
2023	1,724	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97535	Self-care/home management training, each 15 minutes	44%	3,316	1,024	$77K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	24%	2,611	917	$43K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	20%	2,394	848	$35K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	12%	1,654	574	$21K

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 officialHIGGINS, MELLISSA (OWNER/DIRECTOR)