Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PTSMA INC

NPI: 1558330019 · WEST HARTFORD, CT 06107 · Rehabilitation Clinic/Center · NPI assigned 03/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUGGAN, JOHN controls 20+ related entities in our dataset. Read more

$5K
Total Medicaid Paid
13,706
Total Claims
3,915
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialDUGGAN, JOHN (VICE PRESIDENT)
NPI Enumeration Date03/16/2006

Related Entities

Other providers sharing the same authorized official: DUGGAN, JOHN

ProviderCityStateTotal Paid
REHABCLINICS SPT INC DEVON PA $5.04M
NOVACARE OUTPATIENT REHABILITATION EAST INC ROCKLEDGE PA $3.01M
REHABCLINICS SPT INC CINCINNATI OH $1.44M
NOVACARE OUTPATIENT REHABILITATION EAST INC VADNAIS HEIGHTS MN $1.35M
NOVACARE OUTPATIENT REHABILITATION EAST INC ROGERS MN $1.27M
NOVACARE REHABILITATION OF OHIO INC CLEVELAND HEIGHTS OH $1.15M
NOVACARE OUTPATIENT REHABILITATION EAST INC SARTELL MN $550K
INDIANAPOLIS PHYSICAL THERAPY AND SPORTS MEDICINE INC INDIANAPOLIS IN $502K
REHABCLINICS SPT INC RICHBORO PA $350K
PROFESSIONAL THERAPEUTIC SERVICES INC HUBER HEIGHTS OH $179K
REHABCLINICS SPT INC HORSHAM PA $153K
NOVACARE OUTPATIENT REHABILITATION EAST INC COLLEGEVILLE PA $131K
START INC CONCORD MA $82K
VIBRA HOSPITAL OF SAN DIEGO, LLC SAN DIEGO CA $35K
NOVACARE OUTPATIENT REHABILITATION EAST INC LANSDOWNE PA $17K
DOUGLAS AVERY & ASSOCIATES LTD WALDORF MD $10K
REHABCLINICS (SPT), INC. CONSHOHOCKEN PA $9K
REHABCLINICS SPT INC HATBORO PA $6K
DOUGLAS AVERY & ASSOCIATES LTD LEONARDTOWN MD $3K
SELECT SPECIALTY HOSPITAL - AKRON LLC AKRON OH $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,287 $376.32
2019 5,016 $2K
2020 2,878 $75.32
2021 1,032 $4.75
2022 260 $370.48
2023 233 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,579 823 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,500 442 $979.01
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,001 754 $881.22
97150 Therapeutic procedure(s), group (2 or more individuals) 2,965 796 $734.11
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,266 779 $202.35
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 194 156 $0.07
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 163 135 $0.05
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 20 15 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 18 15 $0.00