P4 PHYSICAL THERAPY - FAYETTEVILLE, LLC
NPI: 1649882705
· FAYETTEVILLE, TN 37334
· Physical Therapist
· NPI assigned 08/20/2020
$843.54
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, DONALD (MANAGING PARTNER) |
| NPI Enumeration Date | 08/20/2020 |
Related Entities
Other providers sharing the same authorized official: SMITH, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
316 |
$843.54 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
72 |
12 |
$727.50 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
121 |
24 |
$99.00 |
| 97010 |
|
123 |
25 |
$17.04 |