SHINE PEDIATRIC THERAPY, LLC
NPI: 1659017507
· INDIANAPOLIS, IN 46268
· Pediatric Physical Therapist
· NPI assigned 05/12/2022
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.
$1.56M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
520 |
$639K |
| 2024 |
2,180 |
$919K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
2,222 |
123 |
$1.43M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
464 |
89 |
$131K |
| 97156 |
|
14 |
12 |
$1K |