P4 PHYSICAL THERAPY- BLAINE LLC

NPI: 1437750841 · BLAINE, TN 37709 · Physical Therapist · NPI assigned 11/03/2020

$8K

Total Medicaid Paid

1,425

Total Claims

326

Beneficiary Records

Codes Billed

2021-04

First Month

2022-09

Last Month

Provider Details

Authorized Official	SMITH, MICHELLE (REVENUE CYCLE MANAGER)
NPI Enumeration Date	11/03/2020

Other providers sharing the same authorized official: SMITH, MICHELLE

Provider	City	State	Total Paid
VOLUNTEER AMBULANCE CORPS OF BATH NY INC	BATH	NY	$1.52M
SUNRISE INSPIRATIONS, PC	HASTINGS	NE	$844K
ATLANTIC MEDICAL GROUP	CANTON	OH	$732K
AFFILIATED PATHOLOGISTS PA	ALTUS	OK	$194K
HELIOS HEALTHCARE, LLC	SUNNYVALE	CA	$5K
ANATOMICAL MEDICAL LABORATORIES, INC.	DENTON	TX	$22.19

Year	Claims	Total Paid
2021	1,188	$6K
2022	237	$3K

Code	Description	Claims	Bene. Records	Total Paid
97530	Therapeutic activities, direct patient contact, each 15 minutes	577	122	$6K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	331	78	$1K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	121	29	$471.43
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	132	40	$360.33
97010		264	57	$0.00