Medicaid Provider Spending

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

MARATHON PHYSICAL THERAPY OF NY PC

NPI: 1649544834 · GREAT NECK, NY 11023 · Physical Therapist · NPI assigned 03/06/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code 97530 with only 3 total codes billed. Highly concentrated billing profile.

$1.27M
Total Medicaid Paid
12,249
Total Claims
3,416
Beneficiaries
3
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJALAYER, NEGIN (PRESIDENT/OWNER)
NPI Enumeration Date03/06/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 549 $35K
2019 1,105 $54K
2020 986 $56K
2021 1,712 $132K
2022 2,250 $268K
2023 2,767 $365K
2024 2,880 $363K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 11,377 2,859 $1.23M
97161 441 441 $40K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 431 116 $613.71