Clinic
Northeast Kingdom Physical Therapy PC
Northeast Kingdom Physical Therapy PC was paid $355K by Medicaid between Jan 2018 and Sep 2024, across 13 billing codes. Its largest line is 97140, Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) — 56% of everything it billed.
33Billing provider infoNORTHEAST KINGDOM PHYSICAL THERAPY PC
NEWPORT, VT 05855
NEWPORT, VT 05855
33aNPI1417175761assigned 04/23/2007
33bProvider typePhysical Therapy Clinic/Center
28Total paid$355K
24GClaims18,598
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Physical Therapy Clinic/Center providers in Vermont
Rank by total paid#1 of 11
Median peer was paid$36K
This provider vs. median10.0×
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 | 6,360 | $109K | |
| 2019 | 3,909 | $83K | |
| 2020 | 2,106 | $42K | |
| 2021 | 2,235 | $48K | |
| 2022 | 1,458 | $26K | |
| 2023 | 1,803 | $32K | |
| 2024incomplete | 727 | $15K |
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) | 56% | 8,776 | 2,484 | $199K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 17% | 2,930 | 1,187 | $62K |
| 97164 | 12% | 1,355 | 1,237 | $44K | |
| 97035 | 8.0% | 4,099 | 1,267 | $28K | |
| 97163 | 3.7% | 258 | 234 | $13K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.0% | 176 | 92 | $4K |
| 97124 | <1% | 146 | 60 | $3K | |
| 97113 | <1% | 34 | 14 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 194 | 162 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 194 | 162 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 72 | 55 | $0.00 |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 194 | 162 | $0.00 |
1 more codes
| 1036F | 0% | 170 | $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 officialHOGAN, WILLIAM (OWNER)