MAXIMUM IMPACT PHYSICAL THERAPY SERVICES, LLC

NPI: 1538183975 · TUCSON, AZ 85704 · Ergonomics Physical Therapist · NPI assigned 07/27/2006

$1.16M

Total Medicaid Paid

38,782

Total Claims

15,820

Beneficiaries

Codes Billed

2018-01

First Month

2020-05

Last Month

Provider Details

Authorized Official	GRANADOS, JUANA (AUTHORIZED OFFICIAL)
NPI Enumeration Date	07/27/2006

Other providers sharing the same authorized official: GRANADOS, JUANA

Provider	City	State	Total Paid
DYNAMIC THERAPY SERVICES LLC	SEAFORD	DE	$12.85M
ATHLETICO LTD	OAK BROOK	IL	$11.67M
FARMINGTON PHYSICAL THERAPY, INC	OAK BROOK	IL	$3.41M
PIVOT PHYSICAL THERAPY OF PENNSYLVANIA, LLC	SOUTH ABINGTON TOWNSHIP	PA	$2.84M
PROFESSIONAL SPORTSCARE & REHAB, LLC	WINCHESTER	VA	$1.97M
MARYLAND SPORTSCARE & REHAB LLC	GERMANTOWN	MD	$166K
PROFESSIONAL SPORTSCARE & REHAB, LLC	LEXINGTON PARK	MD	$103K
MARYLAND SPORTSCARE & REHAB, LLC	TANEYTOWN	MD	$8K
PROFESSIONAL SPORTSCARE & REHAB, LLC	CHESAPEAKE BEACH	MD	$770.82

Code	Description	Claims	Beneficiaries	Total Paid
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	19,928	7,209	$724K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	7,961	3,066	$189K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	6,139	2,535	$96K
97530	Therapeutic activities, direct patient contact, each 15 minutes	2,638	1,087	$69K
97161		1,408	1,287	$58K
97162		660	610	$26K
97163		13	12	$386.86
97010		35	14	$0.00