THERAPLAY JUNCTION INC
NPI: 1407004989
· NEW BERN, NC 28562
· Physical Therapist
· NPI assigned 09/08/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 97530 with only 2 total codes billed. Highly concentrated billing profile.
$2.17M
Total Medicaid Paid
Provider Details
| Authorized Official | GOULD, CATHRYN (OWNER/PHYSICAL THERAPIST) |
| NPI Enumeration Date | 09/08/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,793 |
$237K |
| 2019 |
3,102 |
$266K |
| 2020 |
1,823 |
$162K |
| 2021 |
2,993 |
$247K |
| 2022 |
5,017 |
$404K |
| 2023 |
5,164 |
$428K |
| 2024 |
5,197 |
$429K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
25,992 |
8,037 |
$2.17M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
97 |
24 |
$6K |