Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Morgantown Physical Therapy Associates, INC.

Morgantown Physical Therapy Associates, INC. was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 47% of everything it billed.

33Billing provider infoMORGANTOWN PHYSICAL THERAPY ASSOCIATES, INC.
MORGANTOWN, WV 26505
33aNPI1437191756assigned 06/12/2006
28Total paid$1.03M
24GClaims44,496
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in West Virginia

Rank by total paid#26 of 144
Median peer was paid$2K
This provider vs. median584×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DUGGAN, JOHN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20181,279$63K
2019869$47K
20201,788$101K
20216,642$149K
202212,800$240K
202311,793$242K
2024incomplete9,325$192K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 47% 14,563 3,962 $481K
97530 Therapeutic activities, direct patient contact, each 15 minutes 20% 7,764 1,996 $208K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 12% 5,574 1,515 $119K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 7.2% 4,380 1,378 $74K
97014 6.2% 6,860 1,768 $64K
97161 3.4% 593 544 $35K
97162 2.9% 509 452 $30K
97164 1.9% 521 445 $20K
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 32 13 $331.98
97535 Self-care/home management training, each 15 minutes <1% 416 341 $224.68
97010 0% 2,983 826 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 0% 301 86 $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 officialDUGGAN, JOHN (VICE PRESIDENT)
Same official

Other billing entities under DUGGAN, JOHN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.