Clinic
Protherapy Rehabilitation OT, PT, SLP, PLLC
Protherapy Rehabilitation OT, PT, SLP, PLLC was paid $1.59M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 88% of everything it billed.
33Billing provider infoPROTHERAPY REHABILITATION OT, PT, SLP, PLLC
BRONX, NY 10460
BRONX, NY 10460
33aNPI1396022752assigned 11/12/2011
33bProvider typeHearing and Speech Clinic/Center
28Total paid$1.59M
24GClaims30,645
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Hearing and Speech Clinic/Center providers in New York
Rank by total paid#4 of 12
Median peer was paid$69K
This provider vs. median23×
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 | 3,742 | $233K | |
| 2019 | 4,206 | $236K | |
| 2020 | 3,312 | $177K | |
| 2021 | 4,523 | $217K | |
| 2022 | 4,937 | $243K | |
| 2023 | 5,314 | $260K | |
| 2024incomplete | 4,611 | $228K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 88% | 24,843 | 7,483 | $1.40M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 7.7% | 3,219 | 1,038 | $123K |
| 97166 | 1.9% | 685 | 681 | $30K | |
| 97162 | 1.0% | 443 | 441 | $17K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 1,173 | 372 | $15K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 257 | 107 | $6K |
| 97168 | <1% | 25 | 25 | $358.37 |
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 officialMAGBANUA, RUSSALETTE (CLINICAL DIRECTOR)