Revolution Sport & Spine Therapy LLC
Revolution Sport & Spine Therapy LLC was paid $197K by Medicaid between Apr 2018 and Jul 2024, across 3 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 66% of everything it billed.
33Billing provider infoREVOLUTION SPORT & SPINE THERAPY LLC
SOLDOTNA, AK 99669
SOLDOTNA, AK 99669
33aNPI1598215170assigned 10/07/2016
33bProvider typeOrthopedic Physical Therapist
28Total paid$197K
24GClaims2,596
24DCodes billed3
24AFirst – last monthApr 2018 – Jul 2024
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 261 | $19K | |
| 2019 | 287 | $18K | |
| 2020 | 79 | $6K | |
| 2021 | 778 | $57K | |
| 2022 | 932 | $77K | |
| 2023 | 189 | $15K | |
| 2024incomplete | 70 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 66% | 1,725 | 556 | $129K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 27% | 716 | 285 | $52K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 8.0% | 155 | 53 | $16K |
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 officialCUNNINGHAM, MARK (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cunningham Physical Medicine | Southaven, MS | $32K |
| Fritz S Pharmacy and Wellness Center | Ronceverte, WV | $564.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.