Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CT › Danbury › NPI 1518936012

Ptsma, INC.

Ptsma, INC. was paid $37K by Medicaid between May 2019 and Oct 2024, across 7 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 32% of everything it billed.

33Billing provider infoPTSMA, INC.
DANBURY, CT 06810
33aNPI1518936012assigned 03/16/2006
33bProvider typeOccupational Therapist
28Total paid$37K
24GClaims3,048
24DCodes billed7
24AFirst – last monthMay 2019 – Oct 2024
Compared with peers

Next to other Occupational Therapist providers in Connecticut

Rank by total paid#11 of 27
Median peer was paid$10K
This provider vs. median3.8×

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$2.0K$4.0K2018201920202021202220232024
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
2019600$8K
2020202$1K
2021674$9K
20221,314$16K
2023142$2K
2024incomplete116$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 32% 915 308 $12K
97150 Therapeutic procedure(s), group (2 or more individuals) 26% 932 265 $10K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 21% 561 217 $8K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 16% 559 195 $6K
97161 1.8% 24 13 $656.37
97010 1.8% 43 12 $656.00
97164 1.1% 14 13 $413.64

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 (CHIEF LEGAL OFFICER)
Same official

Other billing entities under DUGGAN, JOHN

Full network →

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