JDR74 HOLDINGS, LLC
NPI: 1649779331
· DEWITT, MI 48820
· Physical Therapist
· NPI assigned 02/07/2018
$874.20
Total Medicaid Paid
Provider Details
| Authorized Official | RABORN, RYAN (PHYSICAL THERAPIST) |
| NPI Enumeration Date | 02/07/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
43 |
$874.20 |
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 |
43 |
12 |
$874.20 |