REVOLUTION SPORT & SPINE THERAPY LLC
NPI: 1598215170
· SOLDOTNA, AK 99669
· Orthopedic Physical Therapist
· NPI assigned 10/07/2016
$197K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CUNNINGHAM, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
261 |
$19K |
| 2019 |
287 |
$18K |
| 2020 |
79 |
$6K |
| 2021 |
778 |
$57K |
| 2022 |
932 |
$77K |
| 2023 |
189 |
$15K |
| 2024 |
70 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,725 |
556 |
$129K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
716 |
285 |
$52K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
155 |
53 |
$16K |