1 Prospect Physical Therapy, LLC
1 Prospect Physical Therapy, LLC was paid $295K by Medicaid between Jan 2018 and Apr 2024, across 5 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 54% of everything it billed.
33Billing provider info1 PROSPECT PHYSICAL THERAPY, LLC
WEST ORANGE, NJ 07052
WEST ORANGE, NJ 07052
33aNPI1356570246assigned 07/13/2009
33bProvider typeOrthopedic Physical Therapist
28Total paid$295K
24GClaims27,143
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Orthopedic Physical Therapist providers in New Jersey
Rank by total paid#1 of 11
Median peer was paid$3K
This provider vs. median113×
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 | 7,382 | $86K | |
| 2019 | 5,759 | $62K | |
| 2020 | 4,261 | $49K | |
| 2021 | 5,047 | $55K | |
| 2022 | 3,140 | $29K | |
| 2023 | 685 | $6K | |
| 2024incomplete | 869 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 54% | 8,200 | 2,273 | $159K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 28% | 9,365 | 2,559 | $81K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 18% | 9,514 | 2,595 | $53K |
| 97161 | <1% | 52 | 51 | $1K | |
| 97162 | <1% | 12 | 12 | $270.20 |
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 officialARATEN, ELAN (OWNER/MEMBER)