MDR PHYSICAL THERAPY INC

NPI: 1528280146 · TUCSON, AZ 85745 · Physical Therapist · NPI assigned 05/03/2007

$62K

Total Medicaid Paid

2,193

Total Claims

726

Beneficiaries

Codes Billed

2018-01

First Month

2019-07

Last Month

Provider Details

Authorized Official	ROBERTS, MARK (OWNER MANAGER)
NPI Enumeration Date	05/03/2007

Other providers sharing the same authorized official: ROBERTS, MARK

Provider	City	State	Total Paid
JEWISH RENAISSANCE MEDICAL CENTER, INC.	NEWARK	NJ	$5K
ASHEBORO OPTOMETRIC VISION PA	ASHEBORO	NC	$1K

Year	Claims	Total Paid
2018	2,123	$61K
2019	70	$2K

Code	Description	Claims	Beneficiaries	Total Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	1,049	338	$31K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	943	307	$25K
97530	Therapeutic activities, direct patient contact, each 15 minutes	158	69	$5K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	43	12	$1K