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NPI 1477809804
NPI deactivated
1477809804
1477809804 was paid $191K by Medicaid between Jul 2018 and Nov 2021, across 7 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 29% of everything it billed.
33Billing provider info1477809804
33aNPI1477809804
33bProvider type—
28Total paid$191K
24GClaims14,287
24DCodes billed7
24AFirst – last monthJul 2018 – Nov 2021
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 | 102 | $0.00 | |
| 2020 | 4,683 | $95K | |
| 2021 | 9,502 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 29% | 2,153 | 367 | $55K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 28% | 2,251 | 378 | $53K |
| 97813 | 15% | 4,412 | 613 | $29K | |
| 97814 | 15% | 4,412 | 613 | $28K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 895 | 547 | $20K |
| 97166 | 2.3% | 113 | 111 | $4K | |
| 76881 | <1% | 51 | 51 | $2K |
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.