Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Proximal Physical Therapy and Wellness LLC

Proximal Physical Therapy and Wellness LLC was paid $64K by Medicaid between Mar 2023 and Dec 2024, across 5 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 48% of everything it billed.

33Billing provider infoPROXIMAL PHYSICAL THERAPY AND WELLNESS LLC
PAHOA, HI 96778
33aNPI1285306589assigned 10/05/2021
28Total paid$64K
24GClaims1,997
24DCodes billed5
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers

Next to other Physical Therapy Clinic/Center providers in Hawaii

Rank by total paid#15 of 22
Median peer was paid$84K
This provider vs. median0.8×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2023940$32K
2024incomplete1,057$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 48% 858 350 $31K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 38% 909 374 $24K
97162 8.1% 99 91 $5K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3.7% 67 37 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2.4% 64 29 $2K

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 officialSAGUIGUIT, MARC (STAFF PT)