Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › ME › Hallowell › NPI 1588288369
Clinic

Saco Bay Orthopaedic and Sports Physical Therapy, INC.

Saco Bay Orthopaedic and Sports Physical Therapy, INC. was paid $13K by Medicaid between May 2023 and Sep 2024, across 4 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 33% of everything it billed.

33Billing provider infoSACO BAY ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.
HALLOWELL, ME 04347
33aNPI1588288369assigned 06/08/2020
28Total paid$13K
24GClaims753
24DCodes billed4
24AFirst – last monthMay 2023 – Sep 2024
Compared with peers

Next to other Rehabilitation Clinic/Center providers in Maine

Rank by total paid#10 of 15
Median peer was paid$33K
This provider vs. median0.4×

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
2023211$3K
2024incomplete542$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33% 292 113 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 33% 217 83 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 32% 227 89 $4K
97535 Self-care/home management training, each 15 minutes 1.7% 17 12 $228.36

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.