CUSTOM CARE PHYSICAL THERAPY, LLC.
NPI: 1508005026
· FOREST GROVE, OR 97116
· Physical Therapy Clinic/Center
· NPI assigned 02/05/2009
$698K
Total Medicaid Paid
Provider Details
| Authorized Official | MASON, LAUREN (GENERAL MANAGER) |
| NPI Enumeration Date | 02/05/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,063 |
$55K |
| 2019 |
1,926 |
$97K |
| 2020 |
776 |
$49K |
| 2021 |
2,228 |
$102K |
| 2022 |
3,050 |
$99K |
| 2023 |
3,810 |
$165K |
| 2024 |
2,794 |
$130K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
9,784 |
4,086 |
$606K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,122 |
1,509 |
$64K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
924 |
536 |
$20K |
| 99072 |
|
1,817 |
878 |
$8K |