Optimal Physical Therapy Gym LLC
Optimal Physical Therapy Gym LLC was paid $1.12M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 44% of everything it billed.
33Billing provider infoOPTIMAL PHYSICAL THERAPY GYM LLC
PHILADELPHIA, PA 19147
PHILADELPHIA, PA 19147
33aNPI1386964773assigned 06/08/2010
33bProvider typePhysical Therapist
28Total paid$1.12M
24GClaims83,620
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Therapist providers in Pennsylvania
Rank by total paid#19 of 774
Median peer was paid$8K
This provider vs. median134×
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 | 8,306 | $7K | |
| 2020 | 2,863 | $39K | |
| 2021 | 22,336 | $296K | |
| 2022 | 20,797 | $308K | |
| 2023 | 15,180 | $241K | |
| 2024incomplete | 14,138 | $231K |
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) | 44% | 21,924 | 6,768 | $498K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 28% | 22,352 | 6,919 | $315K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 13% | 21,220 | 6,566 | $142K |
| 97014 | 12% | 9,970 | 3,126 | $131K | |
| 97024 | 1.4% | 5,480 | 1,728 | $15K | |
| 97163 | 1.3% | 275 | 270 | $14K | |
| 97161 | <1% | 44 | 43 | $3K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 325 | 201 | $2K |
| 97162 | <1% | 27 | 27 | $875.57 | |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | <1% | 1,819 | 675 | $273.68 |
| 97164 | <1% | 12 | 12 | $201.21 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 49 | 42 | $0.00 |
2 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 76 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 47 | $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 officialCOLES, JEFFERY (PHYSICAL THERAPIST)