Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OPTIMAL PHYSICAL THERAPY GYM LLC

NPI: 1386964773 · PHILADELPHIA, PA 19147 · Physical Therapist · NPI assigned 06/08/2010

$1.12M
Total Medicaid Paid
83,620
Total Claims
26,485
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOLES, JEFFERY (PHYSICAL THERAPIST)
NPI Enumeration Date06/08/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,306 $7K
2020 2,863 $39K
2021 22,336 $296K
2022 20,797 $308K
2023 15,180 $241K
2024 14,138 $231K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 21,924 6,768 $498K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 22,352 6,919 $315K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21,220 6,566 $142K
97014 9,970 3,126 $131K
97024 5,480 1,728 $15K
97163 275 270 $14K
97161 44 43 $3K
97535 Self-care/home management training, each 15 minutes 325 201 $2K
97162 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 1,819 675 $273.68
97164 12 12 $201.21
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 49 42 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 76 66 $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 47 42 $0.00