PHENOM SPORTS AND REHABILITATION
NPI: 1427704170
· ARVADA, CO 80004
· Physical Therapy Clinic/Center
· NPI assigned 02/22/2022
$604K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVYDOV, MARK (OWNER) |
| NPI Enumeration Date | 02/22/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,541 |
$51K |
| 2023 |
5,847 |
$335K |
| 2024 |
4,012 |
$218K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,165 |
1,758 |
$469K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,415 |
1,346 |
$89K |
| 97164 |
|
374 |
342 |
$18K |
| 97161 |
|
195 |
187 |
$15K |
| 97162 |
|
188 |
168 |
$12K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
63 |
31 |
$1K |