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NPI 1306073069
NPI deactivated
1306073069
1306073069 was paid $1.23M by Medicaid between Jan 2018 and Aug 2022, across 16 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 43% of everything it billed.
33Billing provider info1306073069
33aNPI1306073069
33bProvider type—
28Total paid$1.23M
24GClaims55,181
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2022
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 | 13,119 | $306K | |
| 2019 | 14,538 | $342K | |
| 2020 | 12,034 | $248K | |
| 2021 | 11,011 | $244K | |
| 2022 | 4,479 | $94K |
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 | 43% | 15,599 | 3,486 | $530K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 26% | 14,877 | 3,395 | $321K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 20% | 15,834 | 3,592 | $250K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 4.3% | 2,547 | 1,261 | $54K |
| 97164 | 3.0% | 1,282 | 1,191 | $37K | |
| 97163 | 1.7% | 459 | 456 | $21K | |
| 97162 | 1.2% | 294 | 293 | $14K | |
| 97161 | <1% | 74 | 74 | $4K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 147 | 95 | $2K |
| 97014 | <1% | 134 | 43 | $1K | |
| 97010 | <1% | 3,567 | 1,058 | $36.00 | |
| 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% | 205 | 194 | $0.00 |
4 more codes
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 23 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 54 | $0.00 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 0% | 31 | $0.00 |
| 1036F | 0% | 54 | $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.