HOLDREGE PHYSICAL THERAPY AND SPORTS REHAB

NPI: 1508586538 · HOLDREGE, NE 68949 · Physical Therapist · NPI assigned 08/30/2022

$18K

Total Medicaid Paid

934

Total Claims

180

Beneficiaries

Codes Billed

2023-11

First Month

2024-05

Last Month

Provider Details

Authorized Official	SMITH, BRANDON (PHYSICAL THERAPIST)
NPI Enumeration Date	08/30/2022

Other providers sharing the same authorized official: SMITH, BRANDON

Provider	City	State	Total Paid
THE GARDENS AT TAVARES	TAVARES	FL	$208K
SMITH FAMILY CHIROPRACTIC PLLC	KILN	MS	$70K
TUSCARORA DENTISTRY PLLC	MARTINSBURG	WV	$19K
CANAAN TOWNSHIP TRUSTEES	CRESTON	OH	$2K

Year	Claims	Total Paid
2023	156	$4K
2024	778	$15K

Code	Description	Claims	Beneficiaries	Total Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	438	84	$12K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	304	57	$4K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	140	26	$1K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	52	13	$1K