PRO PT
NPI: 1629343124
· MANTACHIE, MS 38855
· Physical Therapist
· NPI assigned 03/15/2012
$726K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, CORY (OWNER) |
| NPI Enumeration Date | 03/15/2012 |
Related Entities
Other providers sharing the same authorized official: LEE, CORY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,946 |
$148K |
| 2019 |
2,383 |
$115K |
| 2020 |
2,389 |
$115K |
| 2021 |
2,897 |
$121K |
| 2022 |
3,607 |
$100K |
| 2023 |
1,376 |
$72K |
| 2024 |
1,180 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92507 |
|
12,115 |
2,596 |
$556K |
| 97110 |
|
5,219 |
868 |
$156K |
| 97530 |
|
202 |
48 |
$10K |
| 97116 |
|
158 |
24 |
$2K |
| 97112 |
|
84 |
12 |
$1K |