Scanlon Physical Therapy INC.
Scanlon Physical Therapy INC. was paid $138K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 40% of everything it billed.
33Billing provider infoSCANLON PHYSICAL THERAPY INC.
JAMAICA PLAIN, MA 02130
JAMAICA PLAIN, MA 02130
33aNPI1306018627assigned 03/26/2008
33bProvider typeSpecialist
28Total paid$138K
24GClaims21,311
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Massachusetts
Rank by total paid#55 of 179
Median peer was paid$23K
This provider vs. median6.0×
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 | 5,695 | $36K | |
| 2019 | 4,477 | $19K | |
| 2020 | 1,988 | $14K | |
| 2021 | 2,517 | $17K | |
| 2022 | 2,532 | $16K | |
| 2023 | 2,424 | $19K | |
| 2024incomplete | 1,678 | $18K |
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 | 40% | 6,903 | 1,589 | $55K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 35% | 6,264 | 1,604 | $48K |
| 97032 | 25% | 5,434 | 1,400 | $34K | |
| 97161 | <1% | 24 | 24 | $511.50 | |
| G8991 | Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 31 | 27 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 874 | 211 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 875 | 211 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 875 | 211 | $0.00 |
| G8990 | Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 31 | 27 | $0.00 |
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 officialSCANLON, WILLIAM (PHYSICAL THERAPIST/ PRESIDENT)